Health eData 1 Sandbox
0.1.0 - CI Build
Health eData 1 Sandbox - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/core/ValueSet/us-core-source-of-payment | Version: 0.1.0 | |||
Standards status: Trial-use | Maturity Level: 2 | Computable Name: USCoreSourceofPaymentValueSet | ||
Copyright/Legal: The Source of Payment Typology is freely available for use and modification. |
US Public Health Data Consortium Source of Payment Codes excluding specific payer organizations such as “BLUE CROSS/BLUE SHIELD” and limited to main categories for classification, type of plan and additional subcategories.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
This value set includes codes based on the following rules:
This value set excludes codes based on the following rules:
https://nahdo.org/sopt
Code | Display |
1111 | Medicare Chronic Condition Special Needs Plan (C-SNP) |
1112 | Medicare Institutional Special Needs Plan (I-SNP) |
3111 | TRICARE Prime--HMO |
3112 | TRICARE Extra--PPO |
3113 | TRICARE Standard - Fee For Service |
3114 | TRICARE For Life--Medicare Supplement |
3115 | TRICARE Reserve Select |
3116 | Uniformed Services Family Health Plan (USFHP) -- HMO |
3119 | Department of Defense - (other) |
3121 | Enrolled Prime--HMO |
3122 | Non-enrolled Space Available |
3123 | TRICARE For Life (TFL) |
3211 | Direct Care-Care provided in VA facilities |
3212 | Indirect Care-Care provided outside VA facilities |
32121 | Fee Basis |
32122 | Foreign Fee/Foreign Medical Program (FMP) |
32123 | Contract Nursing Home/Community Nursing Home |
32124 | State Veterans Home |
32125 | Sharing Agreements |
32126 | Other Federal Agency |
32127 | Dental Care |
32128 | Vision Care |
3221 | Civilian Health and Medical Program for the VA (CHAMPVA) |
3222 | Spina Bifida Health Care Program (SB) |
3223 | Children of Women Vietnam Veterans (CWVV) |
3229 | Other non-veteran care |
3711 | HMO |
3712 | PPO |
3713 | POS |
3811 | Federal, State, Local not specified - HMO |
3812 | Federal, State, Local not specified - PPO |
3813 | Federal, State, Local not specified - POS |
3819 | Federal, State, Local not specified - not specified managed care |
6 | BLUE CROSS/BLUE SHIELD |
61 | BC Managed Care |
611 | BC Managed Care - HMO |
612 | BC Managed Care - PPO |
613 | BC Managed Care - POS |
614 | BC Managed Care - Dental |
619 | BC Managed Care - Other |
62 | BC Insurance Indemnity |
621 | BC Indemnity |
622 | BC Self-insured (ERISA) Administrative Services Only (ASO)Plan |
623 | BC Medicare Supplemental Plan |
629 | BC Indemnity - Dental |
Expansion based on:
This value set has 162 codes in it. In order to keep the publication size manageable, only a selection (119 codes) of the whole set of codes is shown.
Explanation of the columns that may appear on this page:
Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
Code | The code (used as the code in the resource instance) |
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
Definition | An explanation of the meaning of the concept |
Comments | Additional notes about how to use the code |