MEDICARE |
Medicare (Managed Care) |
Medicare HMO |
Medicare PPO |
Medicare POS |
Medicare Managed Care Other |
Medicare (Non-managed Care) |
Medicare FFS |
Medicare Drug Benefit |
Medicare Medical Savings Account (MSA) |
Medicare Non-managed Care Other |
Medicare Other |
MEDICAID |
Medicaid (Managed Care) |
Medicaid HMO |
Medicaid PPO |
Medicaid PCCM (Primary Care Case Management) |
Medicaid Managed Care Other |
Medicaid (Non-managed Care Plan) |
Medicaid/SCHIP |
Medicaid Applicant |
Medicaid - Out of State |
Medicaid Other |
OTHER GOVERNMENT (Federal/State/Local excluding Department of Corrections) |
Department of Defense |
TRICARE (CHAMPUS) |
TRICARE Prime - HMO |
TRICARE Extra - PPO |
TRICARE Standard - Fee For Service |
TRICARE For Life--Medicare Supplement |
TRICARE Reserve Select |
Uniformed Services Family Health Plan (USFHP) -- HMO |
Department of Defense - (other) |
Military Treatment Facility |
Enrolled Prime - HMO |
Non-enrolled Space Available |
TRICARE For Life (TFL) |
Dental --Stand AlonePublic Health Data Standards Consortium |
Department of Veterans Affairs |
Veteran care--Care provided to Veterans |
Direct Care--Care provided in VA facilities |
Indirect Care--Care provided outside VA facilities |
Fee Basis |
Foreign Fee/Foreign Medical Program(FMP) |
Contract Nursing Home/Community Nursing Home |
State Veterans Home |
Sharing Agreements |
Other Federal Agency |
Non-veteran care |
Civilian Health and Medical Program for the VA (CHAMPVA) |
Spina Bifida Health Care Program (SB) |
Children of Women Vietnam Veterans (CWVV) |
Other non-veteran care |
Indian Health Service or Tribe |
Indian Health Service - Regular |
Indian Health Service - Contract |
Indian Health Service - Managed Care |
Indian Tribe - Sponsored Coverage |
HRSA Program |
Title V (MCH Block Grant) |
Migrant Health Program |
Ryan White Act |
Other |
Black Lung |
State Government |
State SCHIP program (codes for individual states) |
Specific state programs (list/ local code) |
State, not otherwise specified (other state) |
Local Government |
Local - Managed care |
HMO |
PPO |
POS |
FFS/Indemnity |
Local, not otherwise specified (other local, county) |
Other Government (Federal, State, Local not specified) |
Federal, State, Local not specified managed care |
Federal, State, Local not specified - HMO |
Federal, State, Local not specified - PPO |
Federal, State, Local not specified - POS |
Federal, State, Local not specified - not specified managed care |
Federal, State, Local not specified - FFS |
Federal, State, Local not specified - OtherPublic Health Data Standards Consortium |
Other Federal |
DEPARTMENTS OF CORRECTIONS |
Corrections Federal |
Corrections State |
Corrections Local |
Corrections Unknown Level |
PRIVATE HEALTH INSURANCE |
Managed Care (Private) |
Commercial Managed Care - HMO |
Commercial Managed Care - PPO |
Commercial Managed Care - POS |
Exclusive Provider Organization |
Gatekeeper PPO (GPPO) |
Managed Care, Other (non HMO) |
Private Health Insurance - Indemnity |
Commercial Indemnity |
Self-insured (ERISA) Administrative Services Only (ASO) plan |
Medicare supplemental policy (as second payer) |
Private health insurance - other commercial Indemnity |
Managed Care (private) or private health insurance (indemnity), not otherwise specified |
Organized Delivery System |
Small Employer Purchasing Group |
Other Private Insurance |
BLUE CROSS/BLUE SHIELD |
BC Managed Care |
BC Managed Care - HMO |
BC Managed Care - PPO |
BC Managed Care - POS |
BC Managed Care - Other |
BC Indemnity |
BC (Indemnity or Managed Care) - Out of State |
BC (Indemnity or Managed Care) - Unspecified |
BC (Indemnity or Managed Care) - Other |
MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private) |
HMO |
PPO |
POS |
Other Managed Care, Unknown if public or private |
NO PAYMENT from an Organization/Agency/Program/Private Payer ListedPublic Health Data Standards Cons |
Self-pay |
No Charge |
Charity |
Professional Courtesy |
Research/Clinical Trial |
Refusal to Pay/Bad Debt |
Hill Burton Free Care |
Research/Donor |
No Payment, Other |
MISCELLANEOUS/OTHER |
Foreign National |
Other (Non-government) |
Disability Insurance |
Long-term Care Insurance |
Worker's Compensation |
Worker's Comp HMO |
Worker's Comp Fee-for-Service |
Worker's Comp Other Managed Care |
Worker's Comp, Other unspecified |
Auto Insurance (no fault) |
Other specified (includes Hospice - Unspecified plan) |
No Typology Code available for payment source |
Unavailable / Unknown |