Back To Index  <<  Back To Terminology

final Value Set SourceofPaymentTypologyPHDSC Source of Payment Typology (PHDSC) 2013‑01‑31

Value Set Name Value Set Id Version / effective date Status
SourceofPaymentTypologyPHDSC 2.16.840.1.114222.4.11.3591 2013‑01‑31 Final
Source Code System:
  • 2.16.840.1.113883.3.221.5 Source of Payment Typology (PHDSC)
Level/ Type Code Display Name Code System Description
0-L 1 Medicare Source of Payment Typology (PHDSC)
0-L 2 Medicaid Source of Payment Typology (PHDSC)
0-L 311 Tricare (CHAMPUS) Source of Payment Typology (PHDSC)
0-L 33 Indian Health Service or Tribe Source of Payment Typology (PHDSC)
0-L 62 BC Indemnity Source of Payment Typology (PHDSC)
0-L 61 BC Managed Care Source of Payment Typology (PHDSC)
0-L 611 BC Managed Care - HMO Source of Payment Typology (PHDSC)
0-L 619 BC Managed Care - Other Source of Payment Typology (PHDSC)
0-L 613 BC Managed Care - POS Source of Payment Typology (PHDSC)
0-L 612 BC Managed Care - PPO Source of Payment Typology (PHDSC)
0-L 35 Black Lung Source of Payment Typology (PHDSC)
0-L 6 BLUE CROSS/BLUE SHIELD Source of Payment Typology (PHDSC)
0-L 821 Charity Source of Payment Typology (PHDSC)
0-L 3223 Children of Women Vietnam Veterans (CWVV) Source of Payment Typology (PHDSC)
0-L 3221 Civilian Health and Medical Program for the VA (CHAMPVA) Source of Payment Typology (PHDSC)
0-L 521 Commercial Indemnity Source of Payment Typology (PHDSC)
0-L 511 Commercial Managed Care - HMO Source of Payment Typology (PHDSC)
0-L 513 Commercial Managed Care - POS Source of Payment Typology (PHDSC)
0-L 512 Commercial Managed Care - PPO Source of Payment Typology (PHDSC)
0-L 32123 Contract Nursing Home/Community Nursing Home Source of Payment Typology (PHDSC)
0-L 41 Corrections Federal Source of Payment Typology (PHDSC)
0-L 43 Corrections Local Source of Payment Typology (PHDSC)
0-L 42 Corrections State Source of Payment Typology (PHDSC)
0-L 44 Corrections Unknown Level Source of Payment Typology (PHDSC)
0-L 313 Dental --Stand Alone Source of Payment Typology (PHDSC)
0-L 31 Department of Defense Source of Payment Typology (PHDSC)
0-L 3119 Department of Defense - (other) Source of Payment Typology (PHDSC)
0-L 32 Department of Veterans Affairs Source of Payment Typology (PHDSC)
0-L 4 DEPARTMENTS OF CORRECTIONS Source of Payment Typology (PHDSC)
0-L 3211 Direct Care--Care provided in VA facilities Source of Payment Typology (PHDSC)
0-L 93 Disability Insurance Source of Payment Typology (PHDSC)
0-L 3121 Enrolled Prime--HMO Source of Payment Typology (PHDSC)
0-L 514 Exclusive Provider Organization Source of Payment Typology (PHDSC)
0-L 382 Federal, State, Local not specified - FFS Source of Payment Typology (PHDSC)
0-L 3811 Federal, State, Local not specified - HMO Source of Payment Typology (PHDSC)
0-L 3819 Federal, State, Local not specified - not specified managed care Source of Payment Typology (PHDSC)
0-L 389 Federal, State, Local not specified - Other Source of Payment Typology (PHDSC)
0-L 3813 Federal, State, Local not specified - POS Source of Payment Typology (PHDSC)
0-L 3812 Federal, State, Local not specified - PPO Source of Payment Typology (PHDSC)
0-L 381 Federal, State, Local not specified managed care Source of Payment Typology (PHDSC)
0-L 32121 Fee Basis Source of Payment Typology (PHDSC)
0-L 372 FFS/Indemnity Source of Payment Typology (PHDSC)
0-L 32122 Foreign Fee/Foreign Medical Program(FMP) Source of Payment Typology (PHDSC)
0-L 91 Foreign National Source of Payment Typology (PHDSC)
0-L 515 Gatekeeper PPO (GPPO) Source of Payment Typology (PHDSC)
0-L 84 Hill Burton Free Care Source of Payment Typology (PHDSC)
0-L 71 HMO Source of Payment Typology (PHDSC)
0-L 3711 HMO Source of Payment Typology (PHDSC)
0-L 34 HRSA Program Source of Payment Typology (PHDSC)
0-L 332 Indian Health Service - Contract Source of Payment Typology (PHDSC)
0-L 333 Indian Health Service - Managed Care Source of Payment Typology (PHDSC)
0-L 331 Indian Health Service - Regular Source of Payment Typology (PHDSC)
0-L 33 Indian Health Service or Tribe Source of Payment Typology (PHDSC)
0-L 334 Indian Tribe - Sponsored Coverage Source of Payment Typology (PHDSC)
0-L 3212 Indirect Care--Care provided outside VA facilities Source of Payment Typology (PHDSC)
0-L 371 Local - Managed care Source of Payment Typology (PHDSC)
0-L 37 Local Government Source of Payment Typology (PHDSC)
0-L 379 Local, not otherwise specified (other local, county) Source of Payment Typology (PHDSC)
0-L 94 Long-term Care Insurance Source of Payment Typology (PHDSC)
0-L 51 Managed Care (Private) Source of Payment Typology (PHDSC)
0-L 53 Managed Care (private) or private health insurance (indemnity), not otherwise specified Source of Payment Typology (PHDSC)
0-L 519 Managed Care, Other (non HMO) Source of Payment Typology (PHDSC)
0-L 7 MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private) Source of Payment Typology (PHDSC)
0-L 2 MEDICAID Source of Payment Typology (PHDSC)
0-L 25 Medicaid - Out of State Source of Payment Typology (PHDSC)
0-L 21 Medicaid (Managed Care) Source of Payment Typology (PHDSC)
0-L 22 Medicaid (Non-managed Care Plan) Source of Payment Typology (PHDSC)
0-L 24 Medicaid Applicant Source of Payment Typology (PHDSC)
0-L 211 Medicaid HMO Source of Payment Typology (PHDSC)
0-L 219 Medicaid Managed Care Other Source of Payment Typology (PHDSC)
0-L 29 Medicaid Other Source of Payment Typology (PHDSC)
0-L 213 Medicaid PCCM (Primary Care Case Management) Source of Payment Typology (PHDSC)
0-L 212 Medicaid PPO Source of Payment Typology (PHDSC)
0-L 23 Medicaid/SCHIP Source of Payment Typology (PHDSC)
0-L 1 MEDICARE Source of Payment Typology (PHDSC)
0-L 11 Medicare (Managed Care) Source of Payment Typology (PHDSC)
0-L 12 Medicare (Non-managed Care) Source of Payment Typology (PHDSC)
0-L 122 Medicare Drug Benefit Source of Payment Typology (PHDSC)
0-L 121 Medicare FFS Source of Payment Typology (PHDSC)
0-L 111 Medicare HMO Source of Payment Typology (PHDSC)
0-L 119 Medicare Managed Care Other Source of Payment Typology (PHDSC)
0-L 123 Medicare Medical Savings Account (MSA) Source of Payment Typology (PHDSC)
0-L 129 Medicare Non-managed Care Other Source of Payment Typology (PHDSC)
0-L 19 Medicare Other Source of Payment Typology (PHDSC)
0-L 113 Medicare POS Source of Payment Typology (PHDSC)
0-L 112 Medicare PPO Source of Payment Typology (PHDSC)
0-L 523 Medicare supplemental policy (as second payer) Source of Payment Typology (PHDSC)
0-L 342 Migrant Health Program Source of Payment Typology (PHDSC)
0-L 312 Military Treatment Facility Source of Payment Typology (PHDSC)
0-L 9 MISCELLANEOUS/OTHER Source of Payment Typology (PHDSC)
0-L 82 No Charge Source of Payment Typology (PHDSC)
0-L 8 NO PAYMENT from an Organization/Agency/Program/Private Payer Listed Source of Payment Typology (PHDSC)
0-L 89 No Payment, Other Source of Payment Typology (PHDSC)
0-L 99 No Typology Code available for payment source Source of Payment Typology (PHDSC)
0-L 3122 Non-enrolled Space Available Source of Payment Typology (PHDSC)
0-L 322 Non-veteran care Source of Payment Typology (PHDSC)
0-L 54 Organized Delivery System Source of Payment Typology (PHDSC)
0-L 349 Other Source of Payment Typology (PHDSC)
0-L 92 Other (Non-government) Source of Payment Typology (PHDSC)
0-L 39 Other Federal Source of Payment Typology (PHDSC)
0-L 32126 Other Federal Agency Source of Payment Typology (PHDSC)
0-L 38 Other Government (Federal, State, Local not specified) Source of Payment Typology (PHDSC)
0-L 3 OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections) Source of Payment Typology (PHDSC)
0-L 79 Other Managed Care, Unknown if public or private Source of Payment Typology (PHDSC)
0-L 3229 Other non-veteran care Source of Payment Typology (PHDSC)
0-L 59 Other Private Insurance Source of Payment Typology (PHDSC)
0-L 98 Other specified (includes Hospice - Unspecified plan) Source of Payment Typology (PHDSC)
0-L 73 POS Source of Payment Typology (PHDSC)
0-L 3713 POS Source of Payment Typology (PHDSC)
0-L 72 PPO Source of Payment Typology (PHDSC)
0-L 3712 PPO Source of Payment Typology (PHDSC)
0-L 5 PRIVATE HEALTH INSURANCE Source of Payment Typology (PHDSC)
0-L 52 Private Health Insurance - Indemnity Source of Payment Typology (PHDSC)
0-L 529 Private health insurance-other commercial Indemnity Source of Payment Typology (PHDSC)
0-L 822 Professional Courtesy Source of Payment Typology (PHDSC)
0-L 83 Refusal to Pay/Bad Debt Source of Payment Typology (PHDSC)
0-L 823 Research/Clinical Trial Source of Payment Typology (PHDSC)
0-L 85 Research/Donor Source of Payment Typology (PHDSC)
0-L 343 Ryan White Act Source of Payment Typology (PHDSC)
0-L 522 Self-insured (ERISA) Administrative Services Only (ASO) plan Source of Payment Typology (PHDSC)
0-L 81 Self-pay Source of Payment Typology (PHDSC)
0-L 32125 Sharing Agreements Source of Payment Typology (PHDSC)
0-L 55 Small Employer Purchasing Group Source of Payment Typology (PHDSC)
0-L 362 Specific state programs (list/ local code) Source of Payment Typology (PHDSC)
0-L 3222 Spina Bifida Health Care Program (SB) Source of Payment Typology (PHDSC)
0-L 36 State Government Source of Payment Typology (PHDSC)
0-L 361 State SCHIP program (codes for individual states) Source of Payment Typology (PHDSC)
0-L 32124 State Veterans Home Source of Payment Typology (PHDSC)
0-L 369 State, not otherwise specified (other state) Source of Payment Typology (PHDSC)
0-L 341 Title V (MCH Block Grant) Source of Payment Typology (PHDSC)
0-L 311 TRICARE (CHAMPUS) Source of Payment Typology (PHDSC)
0-L 3112 TRICARE Extra--PPO Source of Payment Typology (PHDSC)
0-L 3123 TRICARE For Life (TFL) Source of Payment Typology (PHDSC)
0-L 3114 TRICARE For Life--Medicare Supplement Source of Payment Typology (PHDSC)
0-L 3111 TRICARE Prime--HMO Source of Payment Typology (PHDSC)
0-L 3115 TRICARE Reserve Select Source of Payment Typology (PHDSC)
0-L 3113 TRICARE Standard - Fee For Service Source of Payment Typology (PHDSC)
0-L 9999 Unavailable / Unknown Source of Payment Typology (PHDSC)
0-L 3116 Uniformed Services Family Health Plan (USFHP) -- HMO Source of Payment Typology (PHDSC)
0-L 321 Veteran care--Care provided to Veterans Source of Payment Typology (PHDSC)
0-L 953 Worker's Comp Fee-for-Service Source of Payment Typology (PHDSC)
0-L 951 Worker's Comp HMO Source of Payment Typology (PHDSC)
0-L 954 Worker's Comp Other Managed Care Source of Payment Typology (PHDSC)
0-L 959 Worker's Comp, Other unspecified Source of Payment Typology (PHDSC)
0-L 95 Worker's Compensation Source of Payment Typology (PHDSC)
Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear in @nullFlavor attribute instead of @code.