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Health Insurance Type Value Set

Value Set Health Insurance Type Value Set - 2.16.840.1.113883.3.88.12.3221.5.2
Version 20081218
Source HITSP
Definition This value set uses the ACS X12 vocabulary for Insurance Type Code (ASC X12 Data Element 1336) and has been limited by HITSP to the value set reproduced below in Table 2-52 Health Insurance Type Value Set Definition The type of health plan covering the individual, e.g., an HMO, PPO, POS, etc.
Code Code System Print Name
12   Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan
13   Medicare Secondary End-Stage Renal Disease Beneficiary in the 12 month coordination period with an employer's group health plan
14   Medicare Secondary, No-fault Insurance including Auto is Primary
15   Medicare Secondary Worker's Compensation
16   Medicare Secondary Public Health Service (PHS)or Other Federal Agency
41   Medicare Secondary Black Lung
42   Medicare Secondary Veteran's Administration
43   Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)
47   Medicare Secondary, Other Liability Insurance is Primary
AP   Auto Insurance Policy
C1   Commercial
CO   Consolidated Omnibus Budget Reconciliation Act (COBRA)
CP   Medicare Conditionally Primary
D   Disability
DB   Disability Benefits
EP   Exclusive Provider Organization
FF   Family or Friends
GP   Group Policy
HM   Health Maintenance Organization (HMO)
HN   Health Maintenance Organization (HMO) - Medicare Risk
HS   Special Low Income Medicare Beneficiary
IN   Indemnity
IP   Individual Policy
LC   Long Term Care
LD   Long Term Policy
LI   Life Insurance
LT   Litigation
MA   Medicare Part A
MB   Medicare Part B
MC   Medicaid
MH   Medigap Part A
MI   Medigap Part B
MP   Medicare Primary
OT   Other
PE   Property Insurance - Personal
PL   Personal
PP   Personal Payment (Cash - No Insurance)
PR   Preferred Provider Organization (PPO)
PS   Point of Service (POS)
QM   Qualified Medicare Beneficiary
RP   Property Insurance - Real
SP   Supplemental Policy
TF   Tax Equity Fiscal Responsibility Act (TEFRA)
WC   Workers Compensation
WU   Wrap Up Policy