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FHIR IG Statistics: ValueSet/2.16.840.1.114222.4.11.3591

Packageus.cdc.phinvads
Resource TypeValueSet
Id2.16.840.1.114222.4.11.3591
FHIR VersionR4
Sourcehttp://fhir.org/packages/us.cdc.phinvads
URLhttp://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
Version10
Statusactive
Date2021-01-11T00:01:00+11:00
NamePHVS_SourceOfPaymentTypology_PHDSC
TitleSource of Payment Typology (PHDSC)
Realmus
DescriptionThe development of a standard source of payment classification system is a high priority for public health and can be used for a wide variety of public health activities such as monitoring healthcare access and documenting disparities.

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
soptSource of Payment Typology

Narrative

No narrative content found in resource


Source

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.114222.4.11.3591",
  "meta": {
    "source": "https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.3591"
  },
  "url": "http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591",
  "version": "10",
  "name": "PHVS_SourceOfPaymentTypology_PHDSC",
  "title": "Source of Payment Typology (PHDSC)",
  "status": "active",
  "date": "2021-01-11T00:01:00+11:00",
  "description": "The development of a standard source of payment classification system is a high priority for public health and can be used for a wide variety of public health activities such as monitoring healthcare access and documenting disparities.",
  "compose": {
    "include": [
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "concept": [
          {
            "code": "96",
            "display": "Auto Insurance (no fault)"
          },
          {
            "code": "69",
            "display": "BC (Indemnity or Managed Care) - Other"
          },
          {
            "code": "63",
            "display": "BC (Indemnity or Managed Care) - Out of State"
          },
          {
            "code": "64",
            "display": "BC (Indemnity or Managed Care) - Unspecified"
          },
          {
            "code": "621",
            "display": "BC Indemnity"
          },
          {
            "code": "629",
            "display": "BC Indemnity - Dental"
          },
          {
            "code": "62",
            "display": "BC Indemnity"
          },
          {
            "code": "61",
            "display": "BC Managed Care"
          },
          {
            "code": "614",
            "display": "BC Managed Care - Dental"
          },
          {
            "code": "611",
            "display": "BC Managed Care - HMO"
          },
          {
            "code": "619",
            "display": "BC Managed Care - Other"
          },
          {
            "code": "613",
            "display": "BC Managed Care - POS"
          },
          {
            "code": "612",
            "display": "BC Managed Care - PPO"
          },
          {
            "code": "623",
            "display": "BC Medicare Supplemental Plan"
          },
          {
            "code": "622",
            "display": "BC Self-insured (ERISA) Administrative Services Only (ASO) Plan"
          },
          {
            "code": "35",
            "display": "Black Lung"
          },
          {
            "code": "6",
            "display": "BLUE CROSS/BLUE SHIELD"
          },
          {
            "code": "821",
            "display": "Charity"
          },
          {
            "code": "3223",
            "display": "Children of Women Vietnam Veterans (CWVV)"
          },
          {
            "code": "3221",
            "display": "Civilian Health and Medical Program for the VA (CHAMPVA)"
          },
          {
            "code": "521",
            "display": "Commercial Indemnity"
          },
          {
            "code": "517",
            "display": "Commercial Managed Care - Dental"
          },
          {
            "code": "511",
            "display": "Commercial Managed Care - HMO"
          },
          {
            "code": "516",
            "display": "Commercial Managed Care - Pharmacy Benefit Manager"
          },
          {
            "code": "513",
            "display": "Commercial Managed Care - POS"
          },
          {
            "code": "512",
            "display": "Commercial Managed Care - PPO"
          },
          {
            "code": "32123",
            "display": "Contract Nursing Home/Community Nursing Home"
          },
          {
            "code": "41",
            "display": "Corrections Federal"
          },
          {
            "code": "43",
            "display": "Corrections Local"
          },
          {
            "code": "42",
            "display": "Corrections State"
          },
          {
            "code": "44",
            "display": "Corrections Unknown Level"
          },
          {
            "code": "561",
            "display": "Dental"
          },
          {
            "code": "32127",
            "display": "Dental Care"
          },
          {
            "code": "313",
            "display": "Dental --Stand Alone"
          },
          {
            "code": "31",
            "display": "Department of Defense"
          },
          {
            "code": "3119",
            "display": "Department of Defense - (other)"
          },
          {
            "code": "32",
            "display": "Department of Veterans Affairs"
          },
          {
            "code": "4",
            "display": "DEPARTMENTS OF CORRECTIONS"
          },
          {
            "code": "3211",
            "display": "Direct Care--Care provided in VA facilities"
          },
          {
            "code": "93",
            "display": "Disability Insurance"
          },
          {
            "code": "344",
            "display": "Disaster-related (includes Covid-19)"
          },
          {
            "code": "14",
            "display": "Dual Eligibility Medicare/Medicaid Organization"
          },
          {
            "code": "141",
            "display": "Dual Eligible Special Needs Plan (D-SNP)"
          },
          {
            "code": "3121",
            "display": "Enrolled Prime--HMO"
          },
          {
            "code": "514",
            "display": "Exclusive Provider Organization"
          },
          {
            "code": "391",
            "display": "Federal Employee Health Plan"
          },
          {
            "code": "382",
            "display": "Federal, State, Local not specified - FFS"
          },
          {
            "code": "3811",
            "display": "Federal, State, Local not specified - HMO"
          },
          {
            "code": "3819",
            "display": "Federal, State, Local not specified - not specified managed care"
          },
          {
            "code": "389",
            "display": "Federal, State, Local not specified - Other"
          },
          {
            "code": "3813",
            "display": "Federal, State, Local not specified - POS"
          },
          {
            "code": "3812",
            "display": "Federal, State, Local not specified - PPO"
          },
          {
            "code": "381",
            "display": "Federal, State, Local not specified managed care"
          },
          {
            "code": "32121",
            "display": "Fee Basis"
          },
          {
            "code": "372",
            "display": "FFS/Indemnity"
          },
          {
            "code": "32122",
            "display": "Foreign Fee/Foreign Medical Program(FMP)"
          },
          {
            "code": "91",
            "display": "Foreign National"
          },
          {
            "code": "142",
            "display": "Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP)"
          },
          {
            "code": "515",
            "display": "Gatekeeper PPO (GPPO)"
          },
          {
            "code": "84",
            "display": "Hill Burton Free Care"
          },
          {
            "code": "71",
            "display": "HMO"
          },
          {
            "code": "3711",
            "display": "HMO"
          },
          {
            "code": "34",
            "display": "HRSA Program"
          },
          {
            "code": "524",
            "display": "Indemnity Insurance - Dental"
          },
          {
            "code": "332",
            "display": "Indian Health Service - Contract"
          },
          {
            "code": "333",
            "display": "Indian Health Service - Managed Care"
          },
          {
            "code": "331",
            "display": "Indian Health Service - Regular"
          },
          {
            "code": "33",
            "display": "Indian Health Service or Tribe"
          },
          {
            "code": "334",
            "display": "Indian Tribe - Sponsored Coverage"
          },
          {
            "code": "3212",
            "display": "Indirect Care--Care provided outside VA facilities"
          },
          {
            "code": "97",
            "display": "Legal Liability / Liability Insurance"
          },
          {
            "code": "371",
            "display": "Local - Managed care"
          },
          {
            "code": "37",
            "display": "Local Government"
          },
          {
            "code": "379",
            "display": "Local, not otherwise specified (other local, county)"
          },
          {
            "code": "94",
            "display": "Long-term Care Insurance"
          },
          {
            "code": "51",
            "display": "Managed Care (Private)"
          },
          {
            "code": "53",
            "display": "Managed Care (private) or private health insurance (indemnity), not otherwise specified"
          },
          {
            "code": "519",
            "display": "Managed Care, Other (non HMO)"
          },
          {
            "code": "7",
            "display": "MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)"
          },
          {
            "code": "2",
            "display": "MEDICAID"
          },
          {
            "code": "299",
            "display": "Medicaid - Dental"
          },
          {
            "code": "26",
            "display": "Medicaid – Long Term Care"
          },
          {
            "code": "25",
            "display": "Medicaid - Out of State"
          },
          {
            "code": "21",
            "display": "Medicaid (Managed Care)"
          },
          {
            "code": "22",
            "display": "Medicaid (Non-managed Care Plan)"
          },
          {
            "code": "211",
            "display": "Medicaid HMO"
          },
          {
            "code": "219",
            "display": "Medicaid Managed Care Other"
          },
          {
            "code": "29",
            "display": "Medicaid Other"
          },
          {
            "code": "213",
            "display": "Medicaid PCCM (Primary Care Case Management)"
          },
          {
            "code": "291",
            "display": "Medicaid Pharmacy Benefit Manager"
          },
          {
            "code": "212",
            "display": "Medicaid PPO"
          },
          {
            "code": "23",
            "display": "Medicaid/SCHIP"
          },
          {
            "code": "1",
            "display": "MEDICARE"
          },
          {
            "code": "12",
            "display": "Medicare (Non-managed Care)"
          },
          {
            "code": "1111",
            "display": "Medicare Chronic Condition Special Needs Plan (C-SNP)"
          },
          {
            "code": "122",
            "display": "Medicare Drug Benefit"
          },
          {
            "code": "121",
            "display": "Medicare FFS"
          },
          {
            "code": "111",
            "display": "Medicare HMO"
          },
          {
            "code": "13",
            "display": "Medicare Hospice"
          },
          {
            "code": "1112",
            "display": "Medicare Institutional Special Needs Plan (I-SNP)"
          },
          {
            "code": "11",
            "display": "Medicare Managed Care (Includes Medicare Advantage Plans)"
          },
          {
            "code": "119",
            "display": "Medicare Managed Care Other"
          },
          {
            "code": "123",
            "display": "Medicare Medical Savings Account (MSA)"
          },
          {
            "code": "129",
            "display": "Medicare Non-managed Care Other"
          },
          {
            "code": "19",
            "display": "Medicare Other"
          },
          {
            "code": "191",
            "display": "Medicare Pharmacy Benefit Manager"
          },
          {
            "code": "113",
            "display": "Medicare POS"
          },
          {
            "code": "112",
            "display": "Medicare PPO"
          },
          {
            "code": "523",
            "display": "Medicare supplemental policy (as second payer)"
          },
          {
            "code": "342",
            "display": "Migrant Health Program"
          },
          {
            "code": "312",
            "display": "Military Treatment Facility"
          },
          {
            "code": "9",
            "display": "MISCELLANEOUS/OTHER"
          },
          {
            "code": "82",
            "display": "No Charge"
          },
          {
            "code": "8",
            "display": "NO PAYMENT from an Organization/Agency/Program/Private Payer Listed"
          },
          {
            "code": "89",
            "display": "No Payment, Other"
          },
          {
            "code": "99",
            "display": "No Typology Code available for payment source"
          },
          {
            "code": "3122",
            "display": "Non-enrolled Space Available"
          },
          {
            "code": "322",
            "display": "Non-veteran care"
          },
          {
            "code": "54",
            "display": "Organized Delivery System"
          },
          {
            "code": "349",
            "display": "Other"
          },
          {
            "code": "92",
            "display": "Other (Non-government)"
          },
          {
            "code": "39",
            "display": "Other Federal"
          },
          {
            "code": "32126",
            "display": "Other Federal Agency"
          },
          {
            "code": "38",
            "display": "Other Government (Federal, State, Local not specified)"
          },
          {
            "code": "3",
            "display": "OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)"
          },
          {
            "code": "79",
            "display": "Other Managed Care, Unknown if public or private"
          },
          {
            "code": "3229",
            "display": "Other non-veteran care"
          },
          {
            "code": "59",
            "display": "Other Private Insurance"
          },
          {
            "code": "98",
            "display": "Other specified (includes Hospice - Unspecified plan)"
          },
          {
            "code": "3713",
            "display": "POS"
          },
          {
            "code": "73",
            "display": "POS"
          },
          {
            "code": "72",
            "display": "PPO"
          },
          {
            "code": "3712",
            "display": "PPO"
          },
          {
            "code": "5",
            "display": "PRIVATE HEALTH INSURANCE"
          },
          {
            "code": "52",
            "display": "Private Health Insurance - Indemnity"
          },
          {
            "code": "529",
            "display": "Private health insurance-other commercial Indemnity"
          },
          {
            "code": "822",
            "display": "Professional Courtesy"
          },
          {
            "code": "83",
            "display": "Refusal to Pay/Bad Debt"
          },
          {
            "code": "823",
            "display": "Research/Clinical Trial"
          },
          {
            "code": "85",
            "display": "Research/Donor"
          },
          {
            "code": "343",
            "display": "Ryan White Act"
          },
          {
            "code": "522",
            "display": "Self-insured (ERISA) Administrative Services Only (ASO) plan"
          },
          {
            "code": "81",
            "display": "Self-pay"
          },
          {
            "code": "32125",
            "display": "Sharing Agreements"
          },
          {
            "code": "55",
            "display": "Small Employer Purchasing Group"
          },
          {
            "code": "56",
            "display": "Specialized Stand Alone Plan"
          },
          {
            "code": "362",
            "display": "Specific state programs (list/ local code)"
          },
          {
            "code": "3222",
            "display": "Spina Bifida Health Care Program (SB)"
          },
          {
            "code": "36",
            "display": "State Government"
          },
          {
            "code": "361",
            "display": "State SCHIP program (codes for individual states)"
          },
          {
            "code": "32124",
            "display": "State Veterans Home"
          },
          {
            "code": "369",
            "display": "State, not otherwise specified (other state)"
          },
          {
            "code": "341",
            "display": "Title V (MCH Block Grant)"
          },
          {
            "code": "311",
            "display": "TRICARE (CHAMPUS)"
          },
          {
            "code": "3112",
            "display": "TRICARE Extra--PPO"
          },
          {
            "code": "3123",
            "display": "TRICARE For Life (TFL)"
          },
          {
            "code": "3114",
            "display": "TRICARE For Life--Medicare Supplement"
          },
          {
            "code": "3111",
            "display": "TRICARE Prime--HMO"
          },
          {
            "code": "3115",
            "display": "TRICARE Reserve Select"
          },
          {
            "code": "3113",
            "display": "TRICARE Standard - Fee For Service"
          },
          {
            "code": "9999",
            "display": "Unavailable / No Payer Specified / Blank"
          },
          {
            "code": "3116",
            "display": "Uniformed Services Family Health Plan (USFHP) -- HMO"
          },
          {
            "code": "321",
            "display": "Veteran care--Care provided to Veterans"
          },
          {
            "code": "562",
            "display": "Vision"
          },
          {
            "code": "32128",
            "display": "Vision Care"
          },
          {
            "code": "953",
            "display": "Worker's Comp Fee-for-Service"
          },
          {
            "code": "951",
            "display": "Worker's Comp HMO"
          },
          {
            "code": "954",
            "display": "Worker's Comp Other Managed Care"
          },
          {
            "code": "959",
            "display": "Worker's Comp, Other unspecified"
          },
          {
            "code": "95",
            "display": "Worker's Compensation"
          }
        ]
      }
    ]
  }
}