Arizona
|
Arizona
|
|
(Valid beginning 2003)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 05, 5 |
Medicare |
1 |
Medicare |
| 11 |
Medicare Risk |
| 06 |
Arizona Health Care Cost Containment System (AHCCCS) Health Care Group/ Medicaid |
2 |
Medicaid |
| 01 |
Commercial (Indemnity) |
3 |
Private Insurance |
| 02 |
HMO |
| 03, 3 |
PPO |
| 04 |
Arizona Health Care Cost Containment System (AHCCCS) Health Care Group (for the self employed, small businesses (under 50 employees), and the uninsured employees of political subdivisions) |
| 00 |
Self pay |
4 |
Self pay |
| 12 |
Charity |
5 |
No charge |
| 07 |
CHAMPUS/MEDEXCEL |
6 |
Other |
| 08 |
Children's Rehab Services |
| 09 |
Worker's Compensation |
| 10 |
Indian Health Services |
| 13 |
Foreign National |
| 14 |
Other |
| 15 |
Tobacco Tax (beginning in 1998)(discontinued 2007) |
| Blank, 99 |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Arizona
|
|
(Valid July 2002 through December 2002)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| F |
Medicare |
1 |
Medicare |
| L |
Medicare Risk |
| G |
AHCCCS/Medicaid |
2 |
Medicaid |
| B |
Commercial (Indemnity) |
3 |
Private Insurance |
| C |
HMO |
| D |
PPO |
| E |
Arizona Health Care Cost Containment System (AHCCCS) Health Care Group (for the self employed, small businesses (under 50 employees), and the uninsured employees of political subdivisions) |
| A |
Self pay |
4 |
Self pay |
| M |
Charity |
5 |
No charge |
| H |
CHAMPUS/MEDEXCEL |
6 |
Other |
| I |
Children's Rehab Services |
| J |
Worker's Compensation |
| K |
Indian Health Services |
| N |
Foreign National |
| O |
Other |
| ?, Blank |
Unknown, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Arizona
|
|
(Valid 1995 to June 2002)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 05, 5 |
Medicare |
1 |
Medicare |
| 11 |
Medicare Risk |
| 04 |
Arizona Health Care Cost Containment System (AHCCCS) Health Care Group |
2 |
Medicaid |
| 06 |
AHCCCS/Medicaid |
| 01 |
Commercial (Indemnity) |
3 |
Private Insurance |
| 02 |
HMO |
| 03, 3 |
PPO |
| 00 |
Self pay |
4 |
Self pay |
| 12 |
Charity |
5 |
No charge |
| 07 |
CHAMPUS/MEDEXCEL |
6 |
Other |
| 08 |
Children's Rehab Services |
| 09 |
Worker's Compensation |
| 10 |
Indian Health Services |
| 13 |
Foreign National |
| 14 |
Other |
| 15 |
Tobacco Tax (Beginning in 1998) |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Arizona
|
|
(Valid from 1989-1994)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 3 |
Medicare |
1 |
Medicare |
| 4 |
AHCCCS/Medicaid |
2 |
Medicaid |
| 1 |
Commercial |
3 |
Private Insurance |
| 2 |
HMO/PHP/Blue Cross |
| -- |
|
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 5 |
Other (self-pay, unknown, charity, etc.) |
6 |
Other |
| Blank |
|
. |
Missing |
| Other Values |
|
.A |
Invalid |
California
|
California
|
|
(Valid beginning in 1999)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 010 |
Medicare |
1 |
Medicare |
| 011 |
Medicare (HMO) |
1 |
Medicare |
| 012 |
Medicare (Managed care - Other) |
1 |
Medicare |
| 013 |
Medicare (fee for service) |
1 |
Medicare |
| 020 |
Medi-Cal |
2 |
Medi-Cal |
| 021 |
Medi-Cal (HMO) |
2 |
Medi-Cal |
| 022 |
Medi-Cal (Managed care - Other) |
2 |
Medi-Cal |
| 023 |
Medi-Cal (fee for service) |
2 |
Medi-Cal |
| 030 |
Private Coverage |
3 |
Private insurance |
| 031 |
Private Coverage (HMO) |
3 |
Private insurance |
| 032 |
Private Coverage (Managed care - Other) |
3 |
Private insurance |
| 033 |
Private Coverage (fee for service) |
3 |
Private insurance |
| 08n, where n=0-3 |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 04n, where n=0-3 |
Worker's Compensation |
6 |
Other |
| 05n, where n=0-3 |
County Indigent Programs |
| 06n, where n=0-3 |
Other Government |
| 07n, where n=0-3 |
Other Indigent (includes charity care) |
| 09n, where n=0-3 |
Other |
| 0, 000 |
Type of coverage not considered applicable to the payer category |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
The first two digits of PAY1_X describes the payer category (e.g., Medicare (01), Medi-Cal (02), Private coverage (03), Workers' Compensation (04), County Indigent Programs (05), Other Government (06), Other Indigent (07), Self Pay (08), and Other Payer (09)).
The third digit of PAY1_X describes the type of coverage (e.g., Knox-Keene (HMO)* or Medi-Cal County Organized Health Systems (MCOHS) plan (1), Managed Care Other (PPO, IPO, POS, etc.) (2), traditional coverage (fee for service) (3), and type of coverage not considered applicable to the payer category (0).
* HMOs are regulated in California under the Knox-Keene Health Care Service Plan Act of 1975.
|
|
California
|
|
(Valid from 1995-1998)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare (Even if HMO or PPO) |
1 |
Medicare |
| 02 |
Medi-Cal (even if HMO or PPO) |
2 |
Medicaid |
| 07 |
HMO |
3 |
Private insurance |
| 08 |
PPO |
| 09 |
Private Insurance Company (not HMO, not PPO) |
| 10 |
Blue Cross/Blue Shield (not HMO, not PPO) |
| 11 |
Self-pay |
4 |
Self-pay |
| 12 |
Charity |
5 |
No charge |
| 13 |
No Charge |
| 03 |
Worker's Compensation |
6 |
Other |
| 04 |
County Indigent Programs |
| 05 |
CHAMPUS/CHAMPVA/VA |
| 06 |
Other Governmental |
| 14 |
Other Non-Governmental |
| 00, Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
California
|
|
(Valid from 1988-1994)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare |
1 |
Medicare |
| 02 |
Medi-Cal |
2 |
Medicaid |
| 06 |
Blue Cross/Blue Shield |
3 |
Private insurance |
| 07 |
Insurance Company |
| 08 |
HMO/PHP |
| 09 |
Self-pay |
4 |
Self-pay |
| 10 |
No-charge (free charity, special research, or teaching) |
5 |
No charge |
| 04 |
Title V |
6 |
Other |
| 03 |
Workers' Compensation |
| 05, 12 |
Other government; Medically indigent services under Section 17000 |
| 11 |
Other non-government |
| Blank |
Valid before 1994 |
. |
Missing |
| 00 |
Valid in 1994 |
. |
Missing |
| Other Values |
|
.A |
Invalid |
Colorado
|
Colorado
|
|
(Valid beginning in 1998)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 04 |
Medicare |
1 |
Medicare |
| 05 |
Medicaid |
2 |
Medicaid |
| 01 |
Blue Cross/Blue Shield |
3 |
Private insurance |
| 02 |
Commercial Ins/Indemnity Plans/Self Insured |
3 |
Private Insurance |
| 03 |
Other Liability Ins/No Fault/Casualty |
3 |
Private Insurance |
| 08 |
HMO-PPO/Managed Care/Discounted |
3 |
Private Insurance |
| 12 |
Self-Pay |
4 |
Self-pay |
| 13 |
No Charge/Charity Research |
5 |
No charge |
| 06 |
Worker's Comp |
6 |
Other |
| 09 |
CHAMPUS |
| 11 |
Other Government |
| 14 |
Other |
| 15 |
Colorado Medically Indigent |
| 00, Blank |
Missing |
. |
Missing |
| Any other values |
.A |
Invalid |
|
Colorado
|
|
(Valid from 1993-1997)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 04 |
Medicare |
1 |
Medicare |
| 05 |
Medicaid |
2 |
Medicaid |
| 01 |
Blue Cross/Blue Shield |
3 |
Private insurance |
| 02, 03 |
Commercial insurance/Indemnity plans/Self-insured; Other liability insurance/No fault/ Casualty |
| 08 |
HMO-PPO/Managed Care/Discounted |
| 12 |
Self-Pay |
4 |
Self-pay |
| 13 |
No Charge/Charity/Research |
5 |
No charge |
| 06 |
Workers' Comp |
6 |
Other |
| 09 |
CHAMPUS |
| 11, 15 |
Other government; Colorado Medically Indigent |
| 14 |
1993-1996: Other |
| Blank |
Unknown |
. |
Missing |
| 00 |
Starting in 1996: Missing |
. |
Missing |
| Other Values |
|
.A |
Invalid |
|
Colorado
|
|
(Valid from 1988-1992)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 3 |
Medicare |
1 |
Medicare |
| 4 |
Medicaid |
2 |
Medicaid |
| 7 |
Blue Cross/Blue Shield |
3 |
Private insurance |
| 8 |
Commercial insurance |
| B |
HMO-PPO |
| 1 |
Self-Pay |
4 |
Self-pay |
| 9 |
No Charge |
5 |
No charge |
| 5 |
Title V |
6 |
Other |
| 2 |
Workers' Compensation |
| 6 |
Other government |
| A, C |
Other; Other non-gov |
| "00", blank |
Unknown |
. |
Missing |
| Other Values |
|
.A |
Invalid |
Connecticut
|
Connecticut
|
|
(Valid beginning in 1998)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| C |
Medicare |
1 |
Medicare |
| M |
Medicare managed care |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| J |
Medicaid managed care (beginning in 1998) |
2 |
Medicaid |
| F |
Commercial Insurance |
3 |
Private insurance |
| G |
Blue Cross (Blue Cross PPOs are coded as PPOs, value "T") |
3 |
Private insurance |
| S |
HMO |
3 |
Private insurance |
| T |
PPO |
3 |
Private insurance |
| A |
Self-pay |
4 |
Self-pay |
| R |
No charge |
5 |
No charge |
| B |
Worker's Comp |
6 |
Other |
| E |
Other Federal Program |
| H |
Champus |
| I |
Other |
| Q |
Title V |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Connecticut
|
|
(Valid from 1993-1997)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| C, M (1997 only) |
Medicare |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| G |
Blue Cross |
3 |
Private Insurance |
| F, T |
Commercial Insurance: PPO |
| S |
HMO |
| A |
Self-pay |
4 |
Self-pay |
| R |
No charge |
5 |
No charge |
| Q |
Title V |
6 |
Other |
| B |
Workers' Compensation |
| H |
CHAMPUS |
| E |
Other federal programs |
| I |
Other |
| Blank |
|
. |
Missing |
| Other Values |
|
.A |
Invalid |
Florida
|
Florida
|
| (Valid beginning in 2006) |
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| A |
Medicare |
1 |
Medicare |
| B |
Medicare HMO |
| C |
Medicaid |
2 |
Medicaid |
| D |
Medicaid HMO |
| E |
Commercial Insurance |
3 |
Private Insurance |
| F |
Commercial HMO |
| G |
Commercial PPO |
| L |
Self pay/Under-insured (No third party coverage or less than 30% estimated insurance coverage) |
4 |
Self-pay |
| N |
Charity |
5 |
No charge |
| H |
Worker's Compensation |
6 |
Other |
| I |
Champus |
| J |
VA |
| K |
Other State/Local Government |
| M |
Other |
| O |
KidCare (Healthy Kids, MediKids, and Children's Medical Services - beginning 2003) |
| P |
Unknown. Reported only if information is not available, and type of service is 7QUOT;2" and patient status is "7" |
. |
Missing |
| Blank |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Florida
|
Florida
|
| (Valid beginning in 1998) |
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| A |
Medicare |
1 |
Medicare |
| B |
Medicare HMO or Medicare PPO |
| C |
Medicaid |
2 |
Medicaid |
| D |
Medicaid HMO |
| E |
Commercial Insurance |
3 |
Private Insurance |
| F |
Commercial HMO |
| G |
Commercial PPO |
| L |
Self pay/Under-insured (No third party coverage or less than 30% estimated insurance coverage) |
4 |
Self-pay |
| N |
Charity |
5 |
No charge |
| H |
Worker's Compensation |
6 |
Other |
| I |
Champus |
| J |
VA |
| K |
Other State/Local Government |
| M |
Other |
| O |
KidCare (Healthy Kids, MediKids, and Children's Medical Services - beginning 2003) |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Florida
|
| (Valid for 1997) |
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| A, B |
Medicare, Medicare HMO |
1 |
Medicare |
| C, D |
Medicaid, Medicaid HMO |
2 |
Medicaid |
| E, G |
Commercial insurance (includes self-insured and Blue Cross/Blue Shield); Commercial PPO |
3 |
Private Insurance |
| F |
Commercial HMO |
| L |
Self-pay, charity, underinsured |
4 |
Self-pay |
| N |
Charity |
5 |
No charge |
| H |
Workers' Compensation |
6 |
Other |
| I, J |
CHAMPUS; VA |
| K |
Other state/local government |
| M |
Other |
| Blank |
|
. |
Missing |
| Other values |
|
.A |
Missing |
|
Florida
|
| (Valid from 1992-1996) |
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| A, B |
Medicare, Medicare HMO |
1 |
Medicare |
| C, D |
Medicaid, Medicaid HMO |
2 |
Medicaid |
| E, G |
Commercial insurance (includes self-insured and Blue Cross/Blue Shield); Commercial PPO |
3 |
Private Insurance |
| F |
Commercial HMO |
| L |
Self-pay, charity, underinsured |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| H |
Workers' Compensation |
6 |
Other |
| I, J |
CHAMPUS; VA |
| K |
Other state/local government |
| M |
Other |
| Blank |
|
. |
Missing |
| Other values |
|
.A |
Invalid |
|
Florida
|
| (Valid from 1988-1991) |
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| A |
Medicare |
1 |
Medicare |
| C |
Medicaid |
2 |
Medicaid |
| E |
Commercial insurance (includes self-insured and Blue Cross/Blue Shield) |
3 |
Private Insurance |
| -- |
|
4 |
Self-pay |
| -- |
|
5 |
No charge |
| M |
Other |
6 |
Other |
| Blank |
|
. |
Missing |
| Other values |
|
.A |
Invalid |
Georgia
|
Georgia
|
|
PAY1_X, PAY2_X, PAY3_X
|
PAY1, PAY2, PAY3
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 11 |
Medicare (Managed Care) |
| 111 |
Medicare HMO |
| 1111 |
Aetna Inc. |
| 1112 |
Coventry Health Care, Inc. |
| 1113 |
Humana Inc. |
| 1114 |
Kaiser Foundation Health Plan, Inc. |
| 1115 |
United HealthCare of Georgia, Inc. |
| 1116 |
Wellcare of Georgia |
| 1117 |
WellPoint, Inc. |
| 1118 |
Other Medicare HMO |
| 112 |
Medicare PPO |
| 113 |
Medicare POS |
| 119 |
Medicare Managed Care (Other) |
| 12 |
Medicare (Non-managed Care) |
| 121 |
Medicare FFS |
| 122 |
Medicare Drug Benefit |
| 123 |
Medicare Medical Savings Account (MSA) |
| 124 |
Medicare Drug Benefit (Part D) |
| 129 |
Medicare Non-managed Care (Other) |
| 19 |
Medicare (Other) |
| 2 |
Medicaid |
2 |
Medicaid |
| 21 |
Medicaid (Managed Care) |
| 211 |
Medicaid HMO |
| 2111 |
Amerigroup CMO |
| 2112 |
PeachState CMO |
| 2113 |
WellCare CMO |
| 212 |
Medicaid PPO |
| 213 |
Medicaid PCCM (Primary Care Case Management) |
| 219 |
Medicaid Managed Care (Other) |
| 22 |
Medicaid (Non-managed Care Plan) |
| 23 |
Medicaid/SCHIP |
| 24 |
Medicaid Applicant |
| 25 |
Medicaid (Out of State) |
| 29 |
Medicaid (Other) |
| 5 |
Private Health Insurance (other than Blue Cross/Blue Shield) |
3 |
Private Insurance |
| 51 |
Managed Care (Private) |
| 511 |
Commercial Managed Care (HMO) |
| 512 |
Commercial Managed Care (PPO) |
| 513 |
Commercial Managed Care (POS) |
| 514 |
Exclusive Provider Organization |
| 519 |
Managed Care, Other (non-HMO) |
| 52 |
Private Health Insurance (Indemnity) |
| 521 |
Indemnity (e.g. high option/low option) |
| 522 |
ERISA ASO Plan |
| 523 |
Commercial Indemnity |
| 524 |
Self-insured (ERISA) ASO Plan |
| 525 |
Medicare Supplemental Policy (as secondary payor) |
| 53 |
Commercial (Indemnity or Managed Care, unspecified) |
| 54 |
Organized Delivery System |
| 55 |
Small Employer Purchasing Group |
| 59 |
Other Private Insurance, not BC or Kaiser |
| 6 |
Blue Cross/Blue Shield |
| 61 |
BC Managed Care |
| 611 |
BC Managed Care (HMO) |
| 612 |
BC Managed Care (PPO) |
| 613 |
BC Managed Care (POS) |
| 619 |
BC Managed Care (Other) |
| 62 |
BC Indemnity |
| 63 |
BC Indemnity or Managed Care (Out of State) |
| 64 |
BC Indemnity or Managed Care (Unspecified) |
| 69 |
BC Indemnity or Managed Care (Other) |
| 7 |
Managed Care (Unspecified) |
| 71 |
HMO |
| 72 |
PPO |
| 73 |
POS |
| 79 |
Other Managed Care (Unknown if public or private) |
| 8 |
NOPAYMENT from an Organization/Agency/Program/Private Payor Listed |
4 |
Self-pay |
| 81 |
Self-pay |
| 82 |
No Charge |
| 821 |
Charity |
| 822 |
Professional Courtesy |
| 823 |
Research/Clinical Trial |
| 83 |
Refusal to Pay/Bad Debt |
| 84 |
Hill Burton Free Care |
| 85 |
Research/Donor |
| 89 |
No Payment (Other) |
| -- |
|
5 |
No charge |
| 3 |
Other Government (Federal/State/Government) |
6 |
Other |
| 31 |
Department of Defense |
| 311 |
CHAMPUS |
| 3111 |
Indemnity |
| 3112 |
TriCare |
| 312 |
CHAMPVA |
| 319 |
Department of Defense (not CHAMPUS) |
| 32 |
VA |
| 321 |
VA (Priority Veteran) |
| 322 |
VA (Enrolled Veteran with Copay) |
| 329 |
VA (Other) |
| 33 |
Indian Health Service or Tribe |
| 331 |
Indian Health Service (Regular) |
| 332 |
Indian Health Service (Contract) |
| 333 |
Indian Health Service (Managed Care) |
| 334 |
Indian Tribe (Sponsored Coverage) |
| 34 |
HRSA Program |
| 341 |
Title V (MCH Block Grant) |
| 342 |
Migrant Health Program |
| 343 |
Ryan White Act |
| 349 |
Other |
| 35 |
Black Lung |
| 36 |
State Government |
| 361 |
State SCHIP Program |
| 362 |
Specific State Programs |
| 369 |
State, not otherwise specified (other state) |
| 37 |
Local Government |
| 371 |
Local (Managed Care) |
| 3711 |
HMO |
| 3712 |
POS |
| 3713 |
PPO |
| 372 |
FFS/Indemnity |
| 379 |
Local, not otherwise specified (other local, county) |
| 38 |
Other Government (Federal, State, Local not specified) |
| 381 |
Federal, State, Local not specified (FFS) |
| 382 |
Federal, State, Local not specified (HMO) |
| 383 |
Federal, State, Local not specified (PPO) |
| 384 |
Federal, State, Local not specified (POS) |
| 389 |
Federal, State, Local not specified (Other) |
| 39 |
Other Federal |
| 4 |
Department of Corrections |
| 41 |
Corrections Federal |
| 42 |
Corrections State |
| 43 |
Corrections Local |
| 44 |
Corrections (Unknown Level) |
| 9 |
Miscellaneous/Other |
| 91 |
Foreign National |
| 92 |
Other (Non-government) |
| 93 |
Disability Insurance |
| 94 |
Long-term Care Insurance |
| 95 |
Worker's Compensation |
| 951 |
Worker's Comp (Fee-for-Service) |
| 952 |
Worker's Comp (HMO) |
| 953 |
Worker's Comp (Other Managed Care) |
| 96 |
Auto Insurance (no fault) |
| 97 |
Other (not specified) |
| 98 |
Other specified (includes Hospice - Unspecified plan) |
| 99 |
Other Unspecified |
| |
Not reported |
. |
Missing |
| - |
Invalid Code Scheme |
| ZZZ |
Missing Data |
| Any values not documented by the data source |
.A |
Invalid |
|
Georgia
|
|
(Valid for 1997)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| M |
Medicare |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| B |
Blue Cross and Blue Shield |
3 |
Private Insurance |
| I, S |
Other Insurance Companies; Self Insured |
| H |
HMO-PPO |
| P |
Self-pay |
4 |
Self-pay |
| Z |
Free |
5 |
No charge |
| W |
Workers' Comp |
6 |
Other |
| C |
CHAMPUS |
| E, N |
Other Government |
| L, O |
Other |
| 3, 5, A, F, G, J, K, Y |
Unknown |
. |
Missing |
| Other values |
|
.A |
Invalid |
Hawaii
|
Hawaii
|
|
(Valid beginning in 2003)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 18 |
HMSA 65C+ |
| 19 |
Kaiser 65C+ |
| 2 |
Medicaid |
2 |
Medicaid |
| 13 |
Hawaii QUEST (managed care) Beginning in 2006, the general QUEST category was discontinued and split into plan-specific categories |
| 15 |
AlohaCare (plan participating in QUEST) beginning in 2003 |
| 22 |
HMSA QUEST - beginning 2006 |
| 23 |
Kaiser QUEST - beginning 2006 |
| 24 |
QUEST (Any QUEST Plan except AlohaCare, HMSA Quest, Kaiser Quest) - beginning 2006 |
| 14 |
HMSA's Health Plan Hawaii beginning in 2003 |
3 |
Private Insurance |
| 16 |
Hawaii Management Alliance Association (HMAA) beginning in 2003 |
| 17 |
University Health Alliance (UHA) beginning in 2003 |
| 4 |
HMSA (any other HMSA plan) |
| 5 |
Kaiser |
| 6 |
Other Insurance |
| 8 |
No Fault |
| 7 |
Self pay |
4 |
Self pay |
| -- |
|
5 |
No charge |
| 9 |
Worker's Compensation |
6 |
Other |
| 10 |
Tricare/CHAMPUS/VA/Other Government - Discontinued in 2006 |
| 12 |
Department of Defense |
| 20 |
Veterans Administration (VA) - Beginning 2006 |
| 21 |
Tricare/CHAMPUS/Other Government - Beginning 2006 |
| 11, Blank |
Unknown, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Hawaii
|
|
(Valid 1998-2002)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 2 |
Medicaid |
2 |
Medicaid |
| 13 |
QUEST |
2 |
Medicaid |
| 4 |
HMSA (Blue Cross/Blue Shield affiliate that provides HMO, PPO and Fee for Service plans) |
3 |
Private Insurance |
| 5 |
Kaiser |
3 |
Private Insurance |
| 6 |
Other Insurance |
3 |
Private Insurance |
| 8 |
No Fault |
3 |
Private Insurance |
| 7 |
Self pay |
4 |
Self pay |
| -- |
|
5 |
No charge |
| 9 |
Worker's Compensation |
6 |
Other |
| 10 |
CHAMPUS/VA/Other Government |
| 12 |
Department of Defense |
| 11, Blank |
Unknown, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Hawaii
|
|
(Valid from 1996-1997)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| "Medicare" |
Medicare |
1 |
Medicare |
| "Medicaid", "SHIP", "Quest" |
Medicaid; SHIP; Quest |
2 |
Medicaid |
| "Other Insurance", "HMSA", "No Fault" |
Other Insurance, HMSA, No Fault |
3 |
Private Insurance |
| "Kaiser" |
Kaiser |
| "Self Pay" |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| "Workers Comp" |
Worker's Comp |
6 |
Other |
| "Champus", "DOD" |
CHAMPUS/VA/Other Government; Department of Defense |
| "Unknown", Blank |
Unknown |
. |
Missing |
| Other values |
|
.A |
Invalid |
Iowa
|
Iowa
|
|
(Valid beginning in 2003)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare (Title 18) |
1 |
Medicare |
| 2 |
Medicaid (Title 19) |
2 |
Medicaid |
| 6 |
Blue Cross |
3 |
Private Insurance |
| 7 |
Commercial (private or group plans including HMO, PPO, ODS) |
| 8 |
Self-pay (the patient has no insurance, is ineligible for governmental assistance and is not a "no charge" patient) |
4 |
Self-pay |
| 10 |
No charge |
5 |
No charge |
| 3 |
Other State (including State Papers) |
6 |
Other |
| 4 |
County |
| 5 |
CHAMPUS |
| 9 |
Workers Compensation |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Iowa
|
|
(Valid 1998-2002)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare (Title 18) |
1 |
Medicare |
| 11 |
Medicare Managed Care (Presently no predominant plans in Iowa) |
1 |
Medicare |
| 02 |
Medicaid (Title 19) |
2 |
Medicaid |
| 12 |
Medicaid Managed Care (e.g., Medipass, Heritage National, Care Choices, Principal Health Care) |
2 |
Medicaid |
| 06 |
Blue Cross (e.g., Blue Cross Alliance Select should be recorded as PPO; Blue Cross Unity Choice should be recorded as HMO) |
3 |
Private Insurance |
| 07 |
Commercial (private or group plans other than HMO, PPO, ODS) |
3 |
Private Insurance |
| 13 |
HMO (e.g., Care Choices, Medical Associates Health Plan, Inc., Principal Health Care of Iowa, Heritage National Healthplan, Inc., John Deere Family Health Plan, Principal Health Care of Nebraska, United Healthcare of the Midlands, Unity Choice) |
3 |
Private Insurance |
| 14 |
PPO (e.g., Alliance Select, Healthcare Preferred, Plaines Health Network) |
3 |
Private Insurance |
| 15 |
Organized Delivery Systems (ODS) (e.g., SecureCare of Iowa) |
3 |
Private Insurance |
| 08 |
Self-pay (the patient has no insurance, is ineligible for governmental assistance and is not a "no charge" patient) |
4 |
Self-pay |
| 10 |
No charge |
5 |
No charge |
| 03 |
Other State (including State Papers) |
6 |
Other |
| 04 |
County |
| 05 |
CHAMPUS |
| 09 |
Workers Compensation |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Iowa
|
|
(Valid from 1991-1997)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare (Title 18) |
1 |
Medicare |
| 02 |
Medicaid (Title 19) |
2 |
Medicaid |
| 06 |
Blue Cross (of Iowa, Western Iowa, or other state Blue Cross plans) |
3 |
Private Insurance |
| 08 |
Self-pay or relative |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 09 |
Workers' Compensation |
6 |
Other |
| 03, 04, 05 |
Other state; county (including state papers); Other federal government (including CHAMPUS, Veterans, Title V, Railroad, Hill-Burton, Crippled Children, etc.) |
| Blank |
|
. |
Missing |
| Other Values |
|
.A |
Invalid |
|
Iowa
|
|
(Valid from 1988-1990)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare (Title 18) |
1 |
Medicare |
| 02 |
Medicaid (Title 19) |
2 |
Medicaid |
| 06 |
Blue Cross (of Iowa, Western Iowa, or other state Blue Cross plans) |
3 |
Private Insurance |
| 07 |
Commercial (private or group) |
| 08 |
Self-pay or relative |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 09 |
Workers' Compensation |
6 |
Other |
| 03, 04, 05 |
Other state government; Other county government; Other federal government |
| 10 |
Other non-government |
| Blank |
|
. |
Missing |
| Other Values |
|
.A |
Invalid |
Kansas
|
Kansas
|
|
(Valid beginning in 2003)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 001 |
Medicare |
1 |
Medicare |
| 101 |
Medicare Managed Care |
| 002 |
Medicaid |
2 |
Medicaid |
| 102 |
Medicaid Managed Care |
| 004 |
Blue Cross/Blue Shield |
3 |
Private Insurance |
| 007 |
Commercial/Private |
| 104 |
Blue Cross/Blue Shield Managed Care |
| 107 |
All Commercial Payers Managed Care |
| 006 |
Self-pay |
4 |
Self-pay |
| 008 |
Charity/No Charge |
5 |
No charge |
| 005 |
Workers Compensation |
6 |
Other |
| 009 |
Other Government |
| 010 |
Champus |
| 011 |
Other |
| 103 |
HealthWave/ Health Connect Managed Care - Kansas' State Children's Health Insurance Program (SCHIP) |
| 105 |
Workers Compensation Managed Care |
| 109 |
Other Government Managed Care (not Champus) |
| 110 |
Champus Managed Care |
| 111 |
Other Managed Care |
| Blank, 00, 000 |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Kansas
|
|
(Valid 1993-2002)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 2 |
Medicaid |
2 |
Medicaid |
| 3 |
Blue Cross |
3 |
Private Insurance |
| 4 |
Commercial |
| 5 |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 6 |
Other |
6 |
Other |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Separate information on HMO and PPO providers is not provided.
|
Kentucky
|
Kentucky
|
|
PAY1_X, PAY2_X, PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| C |
Medicare |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| P |
Passport Medicaid Managed Care (beginning with 2003 data) |
| F |
Commercial - Insurance Company |
3 |
Private insurance |
| G |
Commercial - Blue Cross/Blue Shield |
3 |
Private insurance |
| J |
Commercial - Indemnity |
3 |
Private insurance |
| K |
Commercial - Preferred Provider |
3 |
Private insurance |
| L |
Commercial - HMO |
3 |
Private insurance |
| M |
Commercial - Managed Care |
3 |
Private insurance |
| A |
Self Pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| B |
Workers' Compensation |
6 |
Other |
| E |
Other Federal programs |
| H |
Champus |
| I |
Other |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Maryland
|
Maryland
|
|
(Valid beginning in 1998)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare |
1 |
Medicare |
| 15 |
Medicare HMO (payer specified in PAYER1_X/PAYER2_X) |
1 |
Medicare |
| 02 |
Medicaid |
2 |
Medicaid |
| 14 |
Medicaid HMO (payer specified in PAYER1_X/PAYER2_X) |
2 |
Medicaid |
| 04 |
Blue Cross of MD |
3 |
Private Insurance |
| 16 |
Blue Cross of the National Capital Area (HMO) |
3 |
Private Insurance |
| 17 |
Blue Cross (other state) |
3 |
Private Insurance |
| 05 |
Commercial/PPO |
3 |
Private Insurance |
| 12 |
Managed Care (payer specified in PAYER1_X/ PAYER2_X) |
3 |
Private Insurance |
| 08 |
Self-pay |
4 |
Self-pay |
| 09 |
Charity - no charge |
5 |
No charge |
| 03 |
Title V |
6 |
Other |
| 06 |
Other government program |
| 07 |
Worker's Compensation |
| 10 |
Other |
| 11 |
Donor |
| 99 |
Unknown |
. |
Missing |
| Blank |
Missing |
| 13 |
Do not use |
.A |
Invalid |
| 27, 29, 37, 67, 77 | >
Unknown/invalid values |
| Any values not documented by the data source |
|
Maryland
|
|
(Valid from 1996-1997)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 1, 15 |
Medicare; Medicare HMO |
1 |
Medicare |
| 2,14 |
Medicaid; Medicaid HMO |
2 |
Medicaid |
| 4, 16, 17 |
Blue Cross; Blue Cross NCA; Blue Cross - other State |
3 |
Private Insurance |
| 5 |
Commercial Insurance |
| 12 |
HMO |
| 8 |
Self-pay |
4 |
Self-pay |
| 9 |
Charity |
5 |
No charge |
| 3 |
Title V |
6 |
Other |
| 7 |
Workers' Compensation |
| 6 |
Other government program |
| 10, 11 |
Other; Donor |
| 99, blank |
Primary Payer Unknown; missing |
. |
Missing |
| 99, 77, blank |
Secondary Payer Unknown; not applicable; missing |
. |
Missing |
| Other Values |
|
.A |
Invalid |
|
Maryland
|
|
(Valid from 1993-1995)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 2, 13,14 |
Medicaid; Medicaid (state only); Medicaid HMO |
2 |
Medicaid |
| 4 |
Blue Cross |
3 |
Private Insurance |
| 5 |
Commercial Insurance |
| 12 |
HMO |
| 8 |
Self-pay |
4 |
Self-pay |
| 9 |
Charity |
5 |
No charge |
| 3 |
Title V |
6 |
Other |
| 7 |
Workers' Compensation |
| 6 |
Other government program |
| 10, 11 |
Other; Donor |
| 99, blank |
Primary Payer Unknown; missing |
. |
Missing |
| 99, 77, blank |
Secondary Payer Unknown; not applicable; missing |
. |
Missing |
| Other Values |
|
.A |
Invalid |
|
Maryland
|
|
(Valid from 1990-1992)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 2, 13,14 |
Medicaid; Medicaid (state only); Medicaid HMO |
2 |
Medicaid |
| 4 |
Blue Cross |
3 |
Private Insurance |
| 5 |
Commercial Insurance |
| 12 |
HMO |
| 8 |
Self-pay |
4 |
Self-pay |
| 9 |
Charity |
5 |
No charge |
| 3 |
Title V |
6 |
Other |
| 7 |
Workers' Compensation |
| 6 |
Other government program |
| 10, 11 |
Other; Donor |
| 99, blank |
Unknown; missing |
. |
Missing |
| Other Values |
|
.A |
Invalid |
Massachusetts
|
Massachusetts
|
|
(Valid beginning in 1998)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 3 |
Medicare |
1 |
Medicare |
| F |
Medicare Managed Care |
1 |
Medicare |
| 4 |
Medicaid |
2 |
Medicaid |
| B |
Medicaid Managed Care |
2 |
Medicaid |
| 6 |
Blue Cross |
3 |
Private Insurance |
| C |
Blue Cross Managed Care |
| 7 |
Commercial Insurance |
| D |
Commercial Managed Care |
| 8 |
HMO |
| E |
PPO and Other Managed Care not listed elsewhere |
| J |
Point of Service Plan |
| K |
Exclusive Provider Plan |
| T |
Auto Insurance |
| 1 |
Self-pay |
4 |
Self-pay |
| 9 |
Free care (no charge) |
5 |
No charge |
| 2 |
Worker's Compensation |
6 |
Other |
| 5 |
Other government payment |
| 0 |
Other non-managed care plans |
| Q |
CommCare |
| N, Blank |
None, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Massachusetts
|
|
(Valid from 1996-1997)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 3, F |
Medicare; Medicare managed care |
1 |
Medicare |
| 4, B |
Medicaid; Medicaid managed care |
2 |
Medicaid |
| 6, C |
Blue Cross; Blue Cross managed care |
3 |
Private Insurance |
| 7, D, E |
Commercial Insurance; Commercial managed care; PPO and other managed care not listed elsewhere |
| 8, J |
HMO; Point of Service (added 4th Qtr 1997) |
| 1 |
Self-pay |
4 |
Self-pay |
| 9 |
Free care (no charge) |
5 |
No charge |
| 2 |
Worker's Compensation |
6 |
Other |
| 5 |
Other government payment |
| 0 |
Primary Payer: Other non-managed care |
| 0, A |
Secondary Payer: Other non-managed care; Other or principal source of payment covered in full |
| Blank |
Primary Payer:
|
. |
Missing |
| Blank |
Secondary Payer:
|
. |
Missing |
| Other values |
|
.A |
Invalid |
|
Massachusetts
|
|
(Valid from Quarter 4 1993 through 1995)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 3, F |
Medicare; Medicare managed care |
1 |
Medicare |
| 4, B |
Medicaid; Medicaid managed care |
2 |
Medicaid |
| 6, C |
Blue Cross; Blue Cross managed care |
3 |
Private Insurance |
| 7, D |
Commercial Insurance; Commercial managed care |
| 8, J |
HMO |
| 1 |
Self-pay |
4 |
Self-pay |
| 9 |
Free care (no charge) |
5 |
No charge |
| 2 |
Workers' Compensation |
6 |
Other |
| 5 |
Other government payment |
| 0, E |
Primary Payer: Other non-managed care; PPO and other managed care not listed elsewhere |
| 0, A, E |
Secondary Payer: Other non-managed care; Other or principal source of payment covered in full; PPO and other managed care not listed elsewhere |
| Blank |
Primary Payer:
|
. |
Missing |
| "N",Blank |
Secondary Payer:None |
. |
Missing |
| Other values |
|
.A |
Invalid |
|
Massachusetts
|
|
(Valid from 1988 through Quarters1-3, 1995)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 3 |
Medicare |
1 |
Medicare |
| 4 |
Medicaid |
2 |
Medicaid |
| 6 |
Blue Cross |
3 |
Private Insurance |
| 7 |
Commercial Insurance |
| 8 |
HMO |
| 1 |
Self-pay |
4 |
Self-pay |
| 9 |
Free care (no charge) |
5 |
No charge |
| 2 |
Workers' Compensation |
6 |
Other |
| 5 |
Other government payment |
| 0 |
Primary Payer: Other |
| 0, A |
Secondary Payer: Other; Other or principal source of payment covered in full |
| Blank |
Primary Payer:
|
. |
Missing |
| "N",Blank |
Secondary Payer:None |
. |
Missing |
| Other values |
|
.A |
Invalid |
Missouri
|
Missouri
|
|
(Valid beginning in 1995)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare |
1 |
Medicare |
| 02 |
Medicaid |
2 |
Medicaid |
| 04 |
Blue Cross/Blue Shield |
3 |
Private Insurance |
| 07 |
Commercial/Private Insurance |
| 06 |
Self-pay |
4 |
Self-pay |
| 08 |
No charge (charity) |
5 |
No charge |
| 03 |
Maternal and Child Health |
6 |
Other |
| 05 |
Worker's Compensation |
| 09 |
Other government (CHAMPUS) |
| 10 |
Other |
| 99, Blank |
Unknown, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Separate information on HMO and PPO providers is not provided.
|
New Jersey
| New Jersey |
| (Valid beginning in 1998) |
| PAY1_X and PAY2_X and PAY3_X |
PAY1 and PAY2 |
| Value |
Description |
Value |
Description |
| 009 |
Section 1011 Undocumented Aliens |
1 |
Medicare |
| 011 |
Title XVII (Medicare) Part A |
| 015 |
Title XVII (Medicare) Part B |
| 017 |
Title XVII (Medicare) Part B - Physician Charges |
| 082 |
Medicare HMO (Beginning in 2003) |
| 012 |
Title XIX (Medicaid) |
2 |
Medicaid |
| 083 |
Medicaid HMO (Beginning in 2003) |
| 010 |
Blue Cross Plan: Alabama |
3 |
Private Insurance |
| 018 |
New Jersey State Health Benefits Plan |
3 |
Private Insurance |
| 020 |
Blue Cross Plan: Arkansas |
3 |
Private Insurance |
| 022 |
Blue Cross Plan: New Jersey - FEP |
3 |
Private Insurance |
| 025 |
Blue Cross Plan: New Jersey - Garden State |
3 |
Private Insurance |
| 026 |
Blue Cross Plan: New Jersey - Host |
3 |
Private Insurance |
| 029 |
Blue Cross Plan: Other Blue Cross |
3 |
Private Insurance |
| 030 |
Blue Cross Plan: Arizona |
3 |
Private Insurance |
| 040 |
Blue Cross Plan: California - all other groups |
3 |
Private Insurance |
| 041 |
Blue Cross Plan: Oakland (CA) (1994 only) |
3 |
Private Insurance |
| 042 |
Blue Cross Plan: San Francisco (CA) (1994 only) |
3 |
Private Insurance |
| 050 |
Blue Cross Plan: Colorado |
3 |
Private Insurance |
| 060 |
Blue Cross Plan: Connecticut |
3 |
Private Insurance |
| 070 |
Blue Cross Plan: Delaware |
3 |
Private Insurance |
| 080 |
Blue Cross Plan: District of Columbia |
3 |
Private Insurance |
| 090 |
Blue Cross Plan: Florida |
3 |
Private Insurance |
| 100 |
Blue Cross Plan: Columbus (GA) (1994 only) |
3 |
Private Insurance |
| 101 |
Blue Cross Plan: Georgia - all other groups |
3 |
Private Insurance |
| 110 |
Blue Cross Plan: Idaho |
3 |
Private Insurance |
| 121 |
Blue Cross Plan: Illinois |
3 |
Private Insurance |
| 130 |
Blue Cross Plan: Indiana |
3 |
Private Insurance |
| 140 |
Blue Cross Plan: Iowa - all other groups |
3 |
Private Insurance |
| 141 |
Blue Cross Plan: Sioux City (IA) (1994 only) |
3 |
Private Insurance |
| 150 |
Blue Cross Plan: Kansas |
3 |
Private Insurance |
| 160 |
Blue Cross Plan: Kentucky |
3 |
Private Insurance |
| 170 |
Blue Cross Plan: Louisiana |
3 |
Private Insurance |
| 180 |
Blue Cross Plan: Maine |
3 |
Private Insurance |
| 190 |
Blue Cross Plan: Maryland |
3 |
Private Insurance |
| 200 |
Blue Cross Plan: Massachusetts |
3 |
Private Insurance |
| 210 |
Blue Cross Plan: Michigan |
3 |
Private Insurance |
| 220 |
Blue Cross Plan: Minnesota |
3 |
Private Insurance |
| 230 |
Blue Cross Plan: Mississippi |
3 |
Private Insurance |
| 240 |
Blue Cross Plan: Missouri - Kansas City |
3 |
Private Insurance |
| 241 |
Blue Cross Plan: Missouri - St. Louis |
3 |
Private Insurance |
| 250 |
Blue Cross Plan: Montana |
3 |
Private Insurance |
| 260 |
Blue Cross Plan: Nebraska |
3 |
Private Insurance |
| 265 |
Blue Cross Plan: Nevada |
3 |
Private Insurance |
| 270 |
Blue Cross Plan: New Hampshire |
3 |
Private Insurance |
| 280 |
Blue Cross Plan: New Jersey - all other groups |
3 |
Private Insurance |
| 281 |
Blue Cross Plan: New Jersey - Non-Group Line of Business |
3 |
Private Insurance |
| 290 |
Blue Cross Plan: New Mexico |
3 |
Private Insurance |
| 300 |
Blue Cross Plan: Albany (NY) (1994 only) |
3 |
Private Insurance |
| 301 |
Blue Cross Plan: New York - Buffalo |
3 |
Private Insurance |
| 303 |
Blue Cross Plan: New York - New York |
3 |
Private Insurance |
| 304 |
Blue Cross Plan: New York - Rochester |
3 |
Private Insurance |
| 305 |
Blue Cross Plan: New York - Syracuse |
3 |
Private Insurance |
| 306 |
Blue Cross Plan: New York - Utica |
3 |
Private Insurance |
| 307 |
Blue Cross Plan: Watertown (NY) (1994 only) |
3 |
Private Insurance |
| 308 |
Blue Cross Plan: Part A only (NY) (1994 only) |
3 |
Private Insurance |
| 310 |
Blue Cross Plan: North Carolina |
3 |
Private Insurance |
| 320 |
Blue Cross Plan: North Dakota |
3 |
Private Insurance |
| 331 |
Blue Cross Plan: Canton (OH) (1994 only) |
3 |
Private Insurance |
| 332 |
Blue Cross Plan: Ohio - Cincinnati |
3 |
Private Insurance |
| 333 |
Blue Cross Plan: Ohio - Cleveland |
3 |
Private Insurance |
| 334 |
Blue Cross Plan: Columbus (OH) (1994 only) |
3 |
Private Insurance |
| 335 |
Blue Cross Plan: Lima (OH) (1994 only) |
3 |
Private Insurance |
| 337 |
Blue Cross Plan: Toledo (OH) (1994 only) |
3 |
Private Insurance |
| 338 |
Blue Cross Plan: Youngstown (OH) (1994 only) |
3 |
Private Insurance |
| 340 |
Blue Cross Plan: Oklahoma |
3 |
Private Insurance |
| 350 |
Blue Cross Plan: Oregon |
3 |
Private Insurance |
| 351 |
Blue Cross Plan: Portland |
3 |
Private Insurance |
| 360 |
Blue Cross Plan: Allentown (PA) (1994 only) |
3 |
Private Insurance |
| 361 |
Blue Cross plan: Pennsylvania - Harrisburg |
3 |
Private Insurance |
| 362 |
Blue Cross Plan: Pennsylvania - Philadelphia |
3 |
Private Insurance |
| 363 |
Blue Cross plan: Pennsylvania - Pittsburgh |
3 |
Private Insurance |
| 364 |
Blue Cross plan: Pennsylvania - Wilkes-Barre |
3 |
Private Insurance |
| 370 |
Blue Cross plan: Rhode Island |
3 |
Private Insurance |
| 380 |
Blue Cross plan: South Carolina |
3 |
Private Insurance |
| 390 |
Blue Cross Plan: Tennessee - Chattanooga |
3 |
Private Insurance |
| 392 |
Blue Cross Plan: Tennessee - Memphis |
3 |
Private Insurance |
| 400 |
Blue Cross plan: Texas |
3 |
Private Insurance |
| 410 |
Blue Cross plan: Utah |
3 |
Private Insurance |
| 415 |
Blue Cross plan: Vermont |
3 |
Private Insurance |
| 423 |
Blue Cross plan: Virginia - all other groups |
3 |
Private Insurance |
| 424 |
Blue Cross Plan: Roanoke (VA) (1994 only) |
3 |
Private Insurance |
| 430 |
Blue Cross Plan: Alaska/Washington |
3 |
Private Insurance |
| 441 |
Blue Cross Plan: Charleston (WV) (1994 only) |
3 |
Private Insurance |
| 443 |
Blue Cross Plan: West Virginia - all other groups |
3 |
Private Insurance |
| 444 |
Blue Cross Plan: Wheeling (WV) (1994 only) |
3 |
Private Insurance |
| 450 |
Blue Cross Plan: Wisconsin |
3 |
Private Insurance |
| 460 |
Blue Cross Plan: Wyoming |
3 |
Private Insurance |
| 470 |
Blue Cross Plan: Puerto Rico |
3 |
Private Insurance |
| 471 |
Blue Cross Plan: Hawaii - all other groups |
3 |
Private Insurance |
| 865 |
Blue Cross Plan: Pennsylvania - Camp Hill (effective 1/95) |
3 |
Private Insurance |
| 932 |
Blue Cross Plan: Seattle (WA/AK) (1994 only) |
3 |
Private Insurance |
| 936 |
Blue Cross Plan: Spokane (WA/AK) (1994 only) |
3 |
Private Insurance |
| 971 |
Blue Cross Plan: Blue Shield (HI) (1994 only) |
3 |
Private Insurance |
| 105 |
Commercial: Aetna |
3 |
Private Insurance |
| 106 |
Commercial: NJ Carpenter's Health Fund |
3 |
Private Insurance |
| 107 |
Commercial: AARP (effective 4/95) |
3 |
Private Insurance |
| 115 |
Commercial: Connecticut General |
3 |
Private Insurance |
| 120 |
Commercial: Continental Assurance |
3 |
Private Insurance |
| 125 |
Commercial: Equitable |
3 |
Private Insurance |
| 131 |
Commercial: Guardian Life |
3 |
Private Insurance |
| 135 |
Commercial: Intercontinental |
3 |
Private Insurance |
| 142 |
Commercial: John Hancock |
3 |
Private Insurance |
| 145 |
Commercial: Massachusetts Mutual |
3 |
Private Insurance |
| 151 |
Commercial: Metropolitan Life |
3 |
Private Insurance |
| 155 |
Commercial: Mutual of Omaha |
3 |
Private Insurance |
| 161 |
Commercial: New York Life |
3 |
Private Insurance |
| 165 |
Commercial: Provident Alliance |
3 |
Private Insurance |
| 171 |
Commercial: Prudential |
3 |
Private Insurance |
| 175 |
Commercial: Travelers |
3 |
Private Insurance |
| 181 |
Commercial: Washington National Insurance |
3 |
Private Insurance |
| 185 |
Commercial: New Jersey Auto Dealers Association |
3 |
Private Insurance |
| 186 |
Commercial: Allstate |
3 |
Private Insurance |
| 187 |
Commercial: Mutual Life of New York |
3 |
Private Insurance |
| 188 |
Commercial: National Association of Letter Carriers |
3 |
Private Insurance |
| 189 |
Commercial: Local Union Insurance |
3 |
Private Insurance |
| 191 |
Commercial: Lincoln National |
3 |
Private Insurance |
| 192 |
Commercial: New Jersey Turnpike Authority |
3 |
Private Insurance |
| 193 |
Commercial: Rasmussen |
3 |
Private Insurance |
| 194 |
Commercial: Inter County Health Plan |
3 |
Private Insurance |
| 195 |
Commercial: American Postal Workers |
3 |
Private Insurance |
| 196 |
Commercial: Leader Administrators |
3 |
Private Insurance |
| 197 |
Commercial: Fred S. James (James Benefit) |
3 |
Private Insurance |
| 198 |
Commercial: Mail Handlers Benefit Plan |
3 |
Private Insurance |
| 199 |
Commercial: Other Commercial Insurance |
3 |
Private Insurance |
| 032 |
HMO: Americaid Inc. (effective 11/96) |
3 |
Private Insurance |
| 033 |
HMO: American Preferred Provider Plan, Inc. (effective 11/96) |
3 |
Private Insurance |
| 034 |
HMO: United Health Care (Effective 8/96) |
3 |
Private Insurance |
| 035 |
HMO: MEDI-Group, Inc. (HMO Blue) (effective 11/95) |
3 |
Private Insurance |
| 036 |
HMO: Principal HMO (Effective 8/97) |
3 |
Private Insurance |
| 037 |
HMO: Mission Health Plans (effective 8/97) |
3 |
Private Insurance |
| 043 |
HMO: Crossroads Health Plan (1994 only) |
3 |
Private Insurance |
| 044 |
HMO: Cumberland Regional Health Plan (1994 only) |
3 |
Private Insurance |
| 045 |
HMO: HIP of NJ |
3 |
Private Insurance |
| 046 |
HMO: HIP of Greater NJ (1994 only) |
3 |
Private Insurance |
| 047 |
HMO: HMO Blue (Medigroup Central) |
3 |
Private Insurance |
| 048 |
HMO: HMO of PA-NJ (US Healthcare) & (AETNA Health Plans of NJ, Inc.) |
3 |
Private Insurance |
| 049 |
HMO: Rutgers Community Health Plan (1994 only) |
3 |
Private Insurance |
| 051 |
HMO: Southern Inter-County Med Assn (1994 only) |
3 |
Private Insurance |
| 052 |
HMO: Valley Health Plan (1994 only) |
3 |
Private Insurance |
| 053 |
HMO: AETNA Health Plans of New Jersey, Inc. (discontinued 6/98) |
3 |
Private Insurance |
| 054 |
HMO: HMO of NJ (1994 only) |
3 |
Private Insurance |
| 055 |
HMO: Omni Care (1994 only) |
3 |
Private Insurance |
| 056 |
HMO: CIGNA HealthCare of Northern NJ, Inc. |
3 |
Private Insurance |
| 057 |
HMO: Bergen County IPA (1994 only) |
3 |
Private Insurance |
| 058 |
HMO: PruCare of NJ |
3 |
Private Insurance |
| 059 |
HMO: Other HMO |
3 |
Private Insurance |
| 061 |
HMO: MetraHealth Care Plan of Upstate New York (discontinued 6/98) |
3 |
Private Insurance |
| 062 |
HMO: Garden State Health Plan (discontinued 6/98) |
3 |
Private Insurance |
| 063 |
HMO: HMO of PA (1994 only) |
3 |
Private Insurance |
| 064 |
HMO: PruCare (1994 only) |
3 |
Private Insurance |
| 065 |
HMO: MAXICARE (1994 only) |
3 |
Private Insurance |
| 066 |
HMO: HMO Blue (Medigroup Metro) (discontinued 6/98) |
3 |
Private Insurance |
| 067 |
HMO: HMO Blue (Medigroup North) (discontinued 6/98) |
3 |
Private Insurance |
| 068 |
HMO: HMO Blue (Medigroup South) (discontinued 6/98) |
3 |
Private Insurance |
| 069 |
HMO: HMO Blue (Medigroup Shoreline) (discontinued 6/98) |
3 |
Private Insurance |
| 071 |
HMO: MetraHealth Care Plan of NJ (discontinued 6/98) |
3 |
Private Insurance |
| 072 |
HMO: Oxford Health Plan |
3 |
Private Insurance |
| 073 |
HMO: NYL Care Health Plans of NJ, Inc. |
3 |
Private Insurance |
| 074 |
HMO: CIGNA Health Care of NJ., Inc. South |
3 |
Private Insurance |
| 075 |
HMO: Corporate Health Administrators (1994 only) |
3 |
Private Insurance |
| 077 |
HMO: QUALMED/Greater Atlantic Health Services |
3 |
Private Insurance |
| 078 |
HMO: Amerihealth HMO, Inc. |
3 |
Private Insurance |
| 081 |
HMO: Atlanticare Health Plan (effective 11/96) |
3 |
Private Insurance |
| 082 |
HMO: ChubbHealth Plan (discontinued 6/98) |
3 |
Private Insurance |
| 083 |
HMO: Community Health Care and Development Corp (discontinued 6/98) |
3 |
Private Insurance |
| 084 |
HMO: First Option Health Plan (effective 11/96) |
3 |
Private Insurance |
| 085 |
HMO: Harmony Health Plan (discontinued 6/98) |
3 |
Private Insurance |
| 086 |
HMO: HMO Blue (Blue Cross/Blue Shield of New Jersey) (discontinued 6/98) |
3 |
Private Insurance |
| 087 |
HMO: Liberty Health Plan (effective 11/96) |
3 |
Private Insurance |
| 088 |
HMO: Managed Health Care Systems of New Jersey, Inc. (effective 11/96) |
3 |
Private Insurance |
| 089 |
HMO: Physician Health Care Plan of New Jersey (discontinued 6/98) |
3 |
Private Insurance |
| 094 |
HMO: Physician Health Services of New Jersey, Inc. (effective 11/96) |
3 |
Private Insurance |
| 097 |
HMO: University Health Plans, Inc. (effective 11/96) |
3 |
Private Insurance |
| 076 |
Miscellaneous: Premier Preferred Care of New Jersey |
3 |
Private Insurance |
| 091 |
Miscellaneous: Union Insurance |
3 |
Private Insurance |
| 093 |
Miscellaneous: MAGNET (Magna Care) (effective 1/95) |
3 |
Private Insurance |
| 096 |
Miscellaneous: QualCare (effective 1/95) |
3 |
Private Insurance |
| 309 |
No Fault: Allstate |
3 |
Private Insurance |
| 311 |
No Fault: New Jersey Manufacturers |
3 |
Private Insurance |
| 315 |
No Fault: State Farm |
3 |
Private Insurance |
| 399 |
No Fault: Other |
3 |
Private Insurance |
| 095 |
Miscellaneous: Indigent |
4 |
Self-pay |
| 031 |
Patient: Direct |
| 039 |
Patient: Other Source of Patient Pay |
| 098 |
Miscellaneous: Hospital Responsibility |
5 |
No charge |
| 014 |
Champus |
6 |
Other |
| 016 |
Department of Vocational Rehabilitation |
| 092 |
Miscellaneous: Personnel Health Program |
| 099 |
Miscellaneous: Other |
| 019 |
Other Government |
| 013 |
Title V (Material and Child Health) |
| 205 |
Worker's Compensation: Aetna |
| 211 |
Worker's Compensation: Insurance Company of North America |
| 215 |
Worker's Compensation: Liberty Mutual |
| 221 |
Worker's Compensation: Employers Mutual |
| 225 |
Worker's Compensation: New Jersey Manufacturers |
| 231 |
Worker's Compensation: Travelers |
| 299 |
Worker's Compensation: Other |
| 000, Blank |
Not Available, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
New Jersey
|
|
(Valid from 1988-1997)
|
|
PAY1_X and PAY2_X and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 011 |
Title XVII (Medicare) Part A |
1 |
Medicare |
| 015 |
Title XVII (Medicare) Part B |
1 |
Medicare |
| 017 |
Title XVII (Medicare) Part B - Physician Charges |
1 |
Medicare |
| 012 |
Title XIX (Medicaid) |
2 |
Medicaid |
| 010 |
Blue Cross: Alabama |
3 |
Private Insurance |
| 020 |
Blue Cross: Arkansas |
3 |
Private Insurance |
| 022 |
Blue Cross: New Jersey, FEP |
3 |
Private Insurance |
| 025 |
Blue Cross: New Jersey; Garden State |
3 |
Private Insurance |
| 026 |
Blue Cross: New Jersey, Host |
3 |
Private Insurance |
| 029 |
Blue Cross: Other Blue Cross |
3 |
Private Insurance |
| 030 |
Blue Cross: Arizona |
3 |
Private Insurance |
| 040 |
Blue Cross: California |
3 |
Private Insurance |
| 040 |
Blue Cross: California, all other groups (1994 only) |
| 040 |
Blue Cross: California, Woodland Hills (1988-1993 only) |
| 041 |
Blue Cross: California, Oakland (1994 only) |
3 |
Private Insurance |
| 042 |
Blue Cross: California, San Francisco (1994 only) |
3 |
Private Insurance |
| 050 |
Blue Cross: Colorado |
3 |
Private Insurance |
| 060 |
Blue Cross: Connecticut |
3 |
Private Insurance |
| 070 |
Blue Cross: Delaware |
3 |
Private Insurance |
| 080 |
Blue Cross: District of Columbia |
3 |
Private Insurance |
| 090 |
Blue Cross: Florida |
3 |
Private Insurance |
| 100 |
Blue Cross: Georgia |
3 |
Private Insurance |
| 100 |
Blue Cross: Georgia, all other groups (1994 only) |
| 100 |
Blue Cross: Georgia, Atlanta (1988-1993 only) |
| 101 |
Blue Cross: Georgia, Columbus (1994 only) |
3 |
Private Insurance |
| 110 |
Blue Cross: Idaho |
3 |
Private Insurance |
| 121 |
Blue Cross: Illinois |
3 |
Private Insurance |
| 130 |
Blue Cross: Indiana |
3 |
Private Insurance |
| 140 |
Blue Cross: Iowa |
3 |
Private Insurance |
| 140 |
Blue Cross: Iowa, all other groups (1994 only) |
| 140 |
Blue Cross: Iowa, not Sioux City (1988-1993 only) |
| 141 |
Blue Cross: Iowa, Sioux City (1994 only) |
3 |
Private Insurance |
| 141 |
Blue Cross: Iowa, Sioux city South Dakota (1988-1993 only) |
| 150 |
Blue Cross: Kansas |
3 |
Private Insurance |
| 160 |
Blue Cross: Kentucky |
3 |
Private Insurance |
| 170 |
Blue Cross: Louisiana |
3 |
Private Insurance |
| 180 |
Blue Cross: Maine |
3 |
Private Insurance |
| 190 |
Blue Cross: Maryland |
3 |
Private Insurance |
| 200 |
Blue Cross: Massachusetts |
3 |
Private Insurance |
| 210 |
Blue Cross: Michigan |
3 |
Private Insurance |
| 220 |
Blue Cross: Minnesota |
3 |
Private Insurance |
| 230 |
Blue Cross: Mississippi |
3 |
Private Insurance |
| 240 |
Blue Cross: Missouri, Kansas City |
3 |
Private Insurance |
| 241 |
Blue Cross: Missouri, St. Louis |
3 |
Private Insurance |
| 250 |
Blue Cross: Montana |
3 |
Private Insurance |
| 260 |
Blue Cross: Nebraska |
3 |
Private Insurance |
| 265 |
Blue Cross: Nevada |
3 |
Private Insurance |
| 270 |
Blue Cross: New Hampshire |
3 |
Private Insurance |
| 280 |
Blue Cross: New Jersey, All Other Groups |
3 |
Private Insurance |
| 281 |
Blue Cross: New Jersey, Non-Group Line of Business (valid beginning 1/93) |
3 |
Private Insurance |
| 290 |
Blue Cross: New Mexico |
3 |
Private Insurance |
| 300 |
Blue Cross: New York, Albany (1994 only) |
3 |
Private Insurance |
| 301 |
Blue Cross: New York, Buffalo |
3 |
Private Insurance |
| 303 |
Blue Cross: New York, New York |
3 |
Private Insurance |
| 304 |
Blue Cross: New York, Rochester |
3 |
Private Insurance |
| 305 |
Blue Cross: New York, Syracuse |
3 |
Private Insurance |
| 306 |
Blue Cross: New York, Utica |
3 |
Private Insurance |
| 307 |
Blue Cross: New York, Watertown (1994 only) |
3 |
Private Insurance |
| 308 |
Blue Cross: New York, Part A Only (1994 only) |
3 |
Private Insurance |
| 310 |
Blue Cross: North Carolina |
3 |
Private Insurance |
| 320 |
Blue Cross: North Dakota |
3 |
Private Insurance |
| 331 |
Blue Cross: Ohio, Canton (1994 only) |
3 |
Private Insurance |
| 332 |
Blue Cross: Ohio, Cincinnati |
3 |
Private Insurance |
| 333 |
Blue Cross: Ohio, Cleveland |
3 |
Private Insurance |
| 334 |
Blue Cross: Ohio, Columbus (1994 only) |
3 |
Private Insurance |
| 335 |
Blue Cross: Ohio, Lima (1994 only) |
3 |
Private Insurance |
| 337 |
Blue Cross: Ohio, Toledo (1994 only) |
3 |
Private Insurance |
| 338 |
Blue Cross: Ohio, Youngstown (1994 only) |
3 |
Private Insurance |
| 340 |
Blue Cross: Oklahoma |
3 |
Private Insurance |
| 350 |
Blue Cross: Oregon |
3 |
Private Insurance |
| 360 |
Blue Cross: Pennsylvania, Allentown (1994 only) |
3 |
Private Insurance |
| 361 |
Blue Cross: Pennsylvania, Harrisburg |
3 |
Private Insurance |
| 362 |
Blue Cross: Pennsylvania, Philadelphia |
3 |
Private Insurance |
| 363 |
Blue Cross: Pennsylvania, Pittsburgh |
3 |
Private Insurance |
| 364 |
Blue Cross: Pennsylvania, Wilkes-Barre |
3 |
Private Insurance |
| 370 |
Blue Cross: Rhode Island |
3 |
Private Insurance |
| 380 |
Blue Cross: South Carolina |
3 |
Private Insurance |
| 390 |
Blue Cross: Tennessee, Chattanooga |
3 |
Private Insurance |
| 392 |
Blue Cross: Tennessee, Memphis |
3 |
Private Insurance |
| 400 |
Blue Cross: Texas |
3 |
Private Insurance |
| 410 |
Blue Cross: Utah |
3 |
Private Insurance |
| 415 |
Blue Cross: Vermont |
3 |
Private Insurance |
| 423 |
Blue Cross: Virginia, all other groups (formerly Blue Cross: Virginia, Richmond) |
3 |
Private Insurance |
| 424 |
Blue Cross: Virginia, Roanoke (1994 only) |
3 |
Private Insurance |
| 430 |
Blue Cross: Alaska/Washington (formerly, Alaska/Washington, all other groups) |
3 |
Private Insurance |
| 441 |
Blue Cross: West Virginia, Charleston (1994 only) |
3 |
Private Insurance |
| 443 |
Blue Cross: West Virginia, Parksburg |
3 |
Private Insurance |
| 444 |
Blue Cross: West Virginia, Wheeling (1994 only) |
3 |
Private Insurance |
| 450 |
Blue Cross: Wisconsin |
3 |
Private Insurance |
| 460 |
Blue Cross: Wyoming |
3 |
Private Insurance |
| 470 |
Blue Cross: Puerto Rico |
3 |
Private Insurance |
| 471 |
Blue Cross: Hawaii, all other groups (effective beginning 1/93) |
3 |
Private Insurance |
| 865 |
Blue Cross: Camp Hill (effective beginning 1/95) |
3 |
Private Insurance |
| 932 |
Blue Cross: Washington, Seattle (1994 only) |
3 |
Private Insurance |
| 936 |
Blue Cross: Washington, Spokane (1994 only) |
3 |
Private Insurance |
| 971 |
Blue Shield: Hawaii (1994 only) |
3 |
Private Insurance |
| 105 |
Commercial: Aetna |
3 |
Private Insurance |
| 106 |
Commercial: New Jersey Carpenters' Health Fund |
3 |
Private Insurance |
| 107 |
AARP (effective beginning 4/1/95) |
3 |
Private Insurance |
| 115 |
Commercial: Connecticut General |
3 |
Private Insurance |
| 120 |
Commercial: Continental Assurance |
3 |
Private Insurance |
| 125 |
Commercial: Equitable |
3 |
Private Insurance |
| 131 |
Commercial: Guardian Life |
3 |
Private Insurance |
| 135 |
Commercial: Intercontinental |
3 |
Private Insurance |
| 142 |
Commercial: John Hancock |
3 |
Private Insurance |
| 145 |
Commercial: Massachusetts Mutual |
3 |
Private Insurance |
| 151 |
Commercial: Metropolitan Life |
3 |
Private Insurance |
| 155 |
Commercial: Mutual of Omaha |
3 |
Private Insurance |
| 161 |
Commercial: New York Life |
3 |
Private Insurance |
| 165 |
Commercial: Provident Alliance |
3 |
Private Insurance |
| 171 |
Commercial: Prudential |
3 |
Private Insurance |
| 175 |
Commercial: Travelers |
3 |
Private Insurance |
| 181 |
Commercial: Washington National Insurance |
3 |
Private Insurance |
| 185 |
Commercial: New Jersey Auto Dealers Association |
3 |
Private Insurance |
| 186 |
Commercial: Allstate (Formerly Companion Life) |
3 |
Private Insurance |
| 187 |
Commercial: Mutual Life of New York |
3 |
Private Insurance |
| 188 |
Commercial: National Association of Letter Carriers |
3 |
Private Insurance |
| 189 |
Commercial: Local Union Insurance |
3 |
Private Insurance |
| 191 |
Commercial: Lincoln National |
3 |
Private Insurance |
| 192 |
Commercial: New Jersey Turnpike Authority |
3 |
Private Insurance |
| 193 |
Commercial: Rasmussen |
3 |
Private Insurance |
| 194 |
Commercial: InterCounty Health Plan |
3 |
Private Insurance |
| 195 |
Commercial: American Postal Workers |
3 |
Private Insurance |
| 196 |
Commercial: Leader Administrators |
3 |
Private Insurance |
| 197 |
Commercial: Fred S. James (James Benefit) |
3 |
Private Insurance |
| 198 |
Commercial: Mail Handlers Benefit Plan |
3 |
Private Insurance |
| 199 |
Commercial: Other Commercial Insurance |
3 |
Private Insurance |
| 032 |
HMO: Americaid Inc. (effective beginning 11/8/96) |
3 |
Private Insurance |
| 033 |
HMO: Americaid Preferred Provider Plan, Inc. (effective beginning 11/8/96) |
3 |
Private Insurance |
| 034 |
HMO: United Healthcare (Effective beginning 1/1/97) |
3 |
Private Insurance |
| 035 |
HMO: MediGroup, Inc. (effective beginning 1/1/97) |
3 |
Private Insurance |
| 043 |
HMO: Crossroads Health Plan (1994 only) |
3 |
Private Insurance |
| 044 |
HMO: Cumberland Regional Health Plan (1994 only) |
3 |
Private Insurance |
| 045 |
HMO: HIP/RHP of New Jersey (formerly Health Care Plan of New Jersey) |
3 |
Private Insurance |
| 046 |
HMO: HIP of Greater New Jersey (1994 only) |
3 |
Private Insurance |
| 047 |
HMO: HMO Blue (Medigroup-Central) (Formerly Mercer Regional Medical Group) |
3 |
Private Insurance |
| 048 |
HMO: HMO of PA/NJ (US Healthcare) |
3 |
Private Insurance |
| 049 |
HMO: Rutgers Community Health Plan (1994 only) |
3 |
Private Insurance |
| 051 |
HMO: Southern Inter-County Med Association (1994 only) |
3 |
Private Insurance |
| 052 |
HMO: Valley Health Plan (1994 only) |
3 |
Private Insurance |
| 053 |
HMO: Aetna Health Plans of New Jersey |
3 |
Private Insurance |
| 054 |
HMO: HMO of New Jersey (1994 only) |
3 |
Private Insurance |
| 055 |
HMO: OmniCare (1994 only) |
3 |
Private Insurance |
| 056 |
HMO: CIGNA Health Plan of New Jersey (Formerly Co. Med., Inc.) |
3 |
Private Insurance |
| 057 |
HMO: Bergen County IPA (1994 only) |
3 |
Private Insurance |
| 058 |
HMO: South Shore Health Plan |
3 |
Private Insurance |
| 059 |
HMO: Other HMO |
3 |
Private Insurance |
| 061 |
HMO: Travelers Health Plan |
3 |
Private Insurance |
| 062 |
HMO: Garden State Health Plan |
3 |
Private Insurance |
| 063 |
HMO: HMO of Pennsylvania (1994 only) |
3 |
Private Insurance |
| 064 |
HMO: PruCare (1994 only) |
3 |
Private Insurance |
| 065 |
HMO: Maxicare (1994 only) |
3 |
Private Insurance |
| 066 |
HMO: HMO Blue Medigroup - Metro, Inc. |
3 |
Private Insurance |
| 067 |
HMO: HMO Blue Medigroup - North, Inc. |
3 |
Private Insurance |
| 068 |
HMO: HMO Blue Medigroup - South, Inc. |
3 |
Private Insurance |
| 069 |
HMO: HMO Blue Medigroup - Shoreline, Inc. |
3 |
Private Insurance |
| 071 |
HMO: Metlife Health Care Network |
3 |
Private Insurance |
| 072 |
HMO: Oxford Health Plan |
3 |
Private Insurance |
| 073 |
HMO: Sanus of New Jersey |
3 |
Private Insurance |
| 074 |
HMO: CIGNA Health Plan of Southern New Jersey (Formerly CIGNA Health Plan) |
3 |
Private Insurance |
| 075 |
HMO: Corporate Health Administrators (1994 only) |
3 |
Private Insurance |
| 076 |
HMO: Premier Preferred Care of New Jersey (effective beginning 1/93) |
3 |
Private Insurance |
| 077 |
HMO: Greater Atlantic Health Services (effective beginning 1/95) |
3 |
Private Insurance |
| 078 |
HMO: Delaware Valley HMO (effective beginning 1/95) |
3 |
Private Insurance |
| 081 |
HMO: Atlanticare Health Plan (effective beginning 11/8/96) |
3 |
Private Insurance |
| 082 |
HMO: ChubbHealth Plan (effective beginning 11/8/96) |
3 |
Private Insurance |
| 083 |
HMO: Community Health Care and Development Corp (effective beginning 11/8/96) |
3 |
Private Insurance |
| 084 |
HMO: First Option Health Plan (effective beginning 11/8/96) |
3 |
Private Insurance |
| 085 |
HMO: Harmony Health Plan (effective beginning 11/8/96) |
3 |
Private Insurance |
| 086 |
HMO: HMO Blue (Blue Cross/Blue Shield of New Jersey) (effective beginning 11/8/96)) |
3 |
Private Insurance |
| 087 |
HMO: Liberty Health Plan (effective beginning 11/8/96) |
3 |
Private Insurance |
| 088 |
HMO: Managed Health Care Systems of New Jersey, Inc. (effective beginning 11/8/96) |
3 |
Private Insurance |
| 089 |
HMO: Physician Health Care Plan of New Jersey (effective beginning 11/8/96) |
3 |
Private Insurance |
| 093 |
Misc: Magnet (Magna Care) (effective beginning 1/95) |
3 |
Private Insurance |
| 094 |
HMO: Physician Health Services of New Jersey, Inc. (effective beginning 11/8/96) |
3 |
Private Insurance |
| 096 |
Misc: Qual Care (effective beginning 11/8/96) |
3 |
Private Insurance |
| 097 |
HMO: University Health Plans, Inc. (effective beginning 11/8/96) |
3 |
Private Insurance |
| 091 |
Misc: Union Insurance |
3 |
Private Insurance |
| 309 |
No Fault: Allstate |
3 |
Private Insurance |
| 311 |
No Fault: New Jersey Manufacturers |
3 |
Private Insurance |
| 315 |
No Fault: State Farm |
3 |
Private Insurance |
| 399 |
No Fault: Other No Fault |
3 |
Private Insurance |
| 095 |
Miscellaneous: Indigent (effective beginning 1/93) |
4 |
Self-pay |
| 031 |
Patient: Direct |
| 039 |
Patient: Other Source of Patient Pay |
| 098 |
Misc: Hospital Responsibility |
5 |
No charge |
| 014 |
CHAMPUS |
6 |
Other |
| 016 |
Department of Vocational Rehabilitation |
| 092 |
Misc: Personnel Health Program |
| 099 |
Misc: Other |
| 018 |
New Jersey State Health Benefits Plan |
| 019 |
Other Government |
| 013 |
Title V (Material and Child Health) |
| 205 |
Workers' Comp: Aetna |
| 211 |
Workers' Comp: Insurance Company of North America |
| 215 |
Workers' Comp: Liberty Mutual |
| 221 |
Workers' Comp: Employers Mutual |
| 225 |
Workers' Comp: New Jersey Manufacturers |
| 231 |
Workers' Comp: Travelers |
| 299 |
Workers' Comp: Other Workers' Compensation |
| 095 |
Misc: Indigent (effective from 1988-1992) |
| 000, Blank |
Not Available, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
New York
|
New York
|
|
(Valid beginning in 1993)
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 03 |
Medicare |
1 |
Medicare |
| 16 |
Medicare HMO |
| 04 |
Medicaid |
2 |
Medicaid |
| 17 |
Medicaid HMO |
| 06 |
Blue Cross |
3 |
Private Insurance |
| 08 |
Commercial Insurance Company |
| 11 |
HMO (Other) |
| 13 |
No-fault |
| 15 |
Self-insured, Self-administered plans |
| 01 |
Self-pay |
4 |
Self-pay |
| 09 |
No charge |
5 |
No charge |
| 02 |
Worker's Compensation |
6 |
Other |
| 07 |
Other Government |
| 10 |
Other |
| 12 |
CHAMPUS/VA |
| 14 |
Corrections (federal, state, or local) (1993-1995 only) |
| 18 |
Corrections Federal (beginning in 1996) |
| 19 |
Corrections State (beginning in 1996) |
| 20 |
Corrections Local (beginning in 1996) |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
New York
|
|
(Valid for 1992)
|
|
PAY1_X, PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 03 |
Medicare |
1 |
Medicare |
| 04 |
Medicaid |
2 |
Medicaid |
| 06 |
Blue Cross |
3 |
Private Insurance |
| 08, 13, 15 |
Commercial Insurance; no-fault; self-insured, self-administered plan |
| 11 |
Other HMO |
| 01 |
Self-pay |
4 |
Self-pay |
| 09 |
No charge |
5 |
No charge |
| 02 |
Workers' Compensation |
6 |
Other |
| 12 |
CHAMPUS/VA |
| 07, 14 |
Other government; Corrections (state, county, or city) |
| 10 |
Other |
| Blank |
Primary |
. |
Missing |
| Blank, 00 |
Secondary |
. |
Missing |
| Other Values |
|
.A |
Invalid |
|
New York
|
|
(Valid from 1988-1991)
|
|
PAY1_X, PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 03 |
Medicare |
1 |
Medicare |
| 04 |
Medicaid |
2 |
Medicaid |
| 06 |
Blue Cross |
3 |
Private Insurance |
| 08 |
Commercial Insurance |
| 11 |
Other HMO |
| 01 |
Self-pay |
4 |
Self-pay |
| 09 |
No charge |
5 |
No charge |
| 02 |
Workers' Compensation |
6 |
Other |
| 07 |
Other government; Corrections (state, county, or city) |
| 10 |
Other |
| Blank |
Primary:
|
. |
Missing |
| Blank, 00 |
Secondary:
|
. |
Missing |
| Other Values |
|
.A |
Invalid |
North Carolina
|
North Carolina
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| M |
Medicare |
1 |
Medicare |
| T |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| B |
Blue Cross |
3 |
Private insurance |
| H |
HMO - PPO |
| I |
Other Insurance Companies |
| A |
Automobile Medical |
| J |
Exclusive Provider Org |
| K |
Health Maintenance Org |
| L |
Indemnity Insurance |
| Q |
Liability |
| R |
Liability Medical |
| Y |
Point of Service |
| Z |
Preferred Provider Org |
| P |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| C |
Champus |
6 |
Other |
| O |
Other |
| G |
Disability |
| V |
Other Federal Program |
| X |
Other Non-Federal Program |
| 1 |
Title V |
| 2 |
Veteran Administration Plan |
| W |
Workers' Compensation |
| U, Blank |
Documented by source as unknown values |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
other
Due to an error in processing, 4,616 (0.89%) Workers Compensation records were coded to missing. These records can be identified by PAY1_X = 5.
|
Oklahoma
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 2 |
Medicare, including HMO and insurance managed Medicare |
1 |
Medicare |
| 3 |
Medicaid, including Medicaid pending |
2 |
Medicaid |
| 1 |
Commercial (include HMO, PPO, POS, Indemnity) |
3 |
Private Insurance |
| 6 |
Uninsured / Self Pay |
4 |
Self pay |
| -- |
|
5 |
No charge |
| 4 |
Veterans affairs / Military |
6 |
Other |
| 5 |
Workers Compensation |
| 7 |
Others - All payers not in any of the above groups and including charity, Indian Health, hospice, auto liability, DOC or correctional institution |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Oregon
|
Oregon
|
|
(Valid beginning in 1998)
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| M |
Medicare |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| X |
HMO/Oregon Health Plan (Medicaid) |
| B |
Blue Cross/Blue Shield |
3 |
Private Insurance |
| I |
Commercial Insurance |
| S |
Self-Insured |
| H |
HMO/Managed Care |
| K |
Kaiser Permanente |
| Y |
PPO |
| P |
Self Pay |
4 |
Self-pay |
| Z |
Medically Indigent, Free, Research |
5 |
No charge |
| W |
Workers Compensation |
6 |
Other |
| C |
CHAMPUS |
| E |
County or State |
| L |
Managed Assistance |
| N |
Division of Health Services |
| O |
Other |
| T |
Title V |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Oregon
|
|
(Valid from 1995-1997)
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| M |
Medicare |
1 |
Medicare |
| D, X |
Medicaid: HMO/Oregon Health Plan (Medicaid) |
2 |
Medicaid |
| B |
Blue Cross/Blue Shield |
3 |
Private Insurance |
| I, Y, S |
Commercial Insurance; PPO; Self-insured |
| H, K |
HMO/Managed Care; Kaiser Permanente |
| P |
Self Pay |
4 |
Self-pay |
| Z |
Medically Indigent/Free/Research |
5 |
No charge |
| T |
Title V |
6 |
Other |
| W |
Workers' Compensation |
| C |
CHAMPUS |
| E, L, N |
County of State; Managed Assistance; Division of Health Services |
| O |
Other |
| Blank |
Missing |
. |
Missing |
| Other Values |
|
.A |
Invalid |
|
Oregon
|
|
(Valid from 1993-1994)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 2 |
Medicaid |
2 |
Medicaid |
| 6 |
Blue Cross |
3 |
Private Insurance |
| 7 |
Other commercial insurance |
| 8 |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 3 |
Title V |
6 |
Other |
| 5 |
Workers' Compensation |
| 4 |
Other government |
| 9 |
Other |
| 0, blank |
Missing |
. |
Missing |
| Other Values |
|
.A |
Invalid |
other
|
Pennsylvania
|
(Valid beginning in 1998)
|
|
PAY1_X, PAY2_X and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 10 |
Medicare - Other (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
1 |
Medicare |
| 12 |
Medicare - PPO (Beginning in 7/99) |
1 |
Medicare |
| 13 |
Medicare - POS (Beginning in 1/00) |
1 |
Medicare |
| 14 |
Medicare Part A or B - Fee for Service (Beginning in 7/99) |
1 |
Medicare |
| 15 |
Medicare - HMO (Beginning 1/00) |
1 |
Medicare |
| 20 |
Medicaid - Other (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
2 |
Medicaid |
| 22 |
Medicaid - PPO (Beginning in 7/99) |
2 |
Medicaid |
| 24 |
Medicaid - Fee for Service (Beginning in 7/99) |
2 |
Medicaid |
| 25 |
Medicaid - HMO (Beginning in 1/00) |
2 |
Medicaid |
| 30 |
Blue Cross - Other (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
3 |
Private Insurance |
| 32 |
Blue Cross - PPO (Beginning in 7/99) |
3 |
Private Insurance |
| 33 |
Blue Cross - POS (Beginning in 7/99) |
3 |
Private Insurance |
| 34 |
Blue Cross - Fee for Service (Beginning in 7/99) |
3 |
Private Insurance |
| 35 |
Blue Cross - HMO (Beginning in 1/00) |
3 |
Private Insurance |
| 38 |
Blue Cross - United Health & Welfare Fund (Source documentation states that this code was discontinued in 1998, but because it was still used, HCUP allowed the value in the 1999-2000 data) |
3 |
Private Insurance |
| 39 |
Blue Cross - Association (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
3 |
Private Insurance |
| 39 |
Blue Cross - Unknown/Not Listed (beginning in 2002) |
3 |
Private Insurance |
| 40 |
Commercial - Other (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
3 |
Private Insurance |
| 42 |
Commercial - PPO (Beginning in 7/99) |
3 |
Private Insurance |
| 43 |
Commercial - POS (Beginning in 7/99) |
3 |
Private Insurance |
| 44 |
Commercial - Fee for Service (Beginning in 7/99) |
3 |
Private Insurance |
| 45 |
Commercial - HMO (Beginning in 1/00) |
3 |
Private Insurance |
| 46 |
Commercial - Union Health & Welfare Fund (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
3 |
Private Insurance |
| 48 |
Commercial - Automobile |
3 |
Private Insurance |
| 49 |
Commercial - Unknown (Beginning in 1/00) |
3 |
Private Insurance |
| 50 |
Employer Funded Plans - Other (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
3 |
Private Insurance |
| 55 |
Employer Funded Plans - HMO/PPO (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
3 |
Private Insurance |
| 56 |
Employer Funded Plans - Union Health & Welfare Fund (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
3 |
Private Insurance |
| 59 |
Employer Funded Plans - Association Group (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
3 |
Private Insurance |
| 00 |
Patient Direct Bill (Discontinued 12/99) Uninsured - Self Pay or Charity/Indigent Care (Beginning in 7/99) |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 47 |
Commercial - Workers' Compensation |
6 |
Other |
| 57 |
Employer Funded Plans - Workers' Compensation (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
| 80 |
Other government - Other/Unknown (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
| 82 |
Government - PPO (Beginning in 7/99) |
| 84 |
Government - Fee for Service (Beginning in 7/99) |
| 85 |
Government - HMO (Beginning in 7/99) |
| 87 |
Other Government - State Workers Insurance Fund (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
| 88 |
Other Government - Catastrophic Loss Fund (Source documentation states that this code was discontinued in 1999, but because it was still used, HCUP allowed the value in the 2000 data) |
| 89 |
Government - Unknown/Not Listed (Beginning in 7/99) |
| 90, 99, Blank |
Unknown, Not Listed, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Pennsylvania
|
(Valid from 1994-1997)
|
|
PAY1_X, PAY2_X and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 10 |
Medicare - Other |
1 |
Medicare |
| 15 |
Medicare - HMO/PPO |
| 20 |
Medicaid - Other |
2 |
Medicaid |
| 25 |
Medicaid - HMO/PPO |
| 30 |
Blue Cross - Other |
3 |
Private Insurance |
| 35 |
Blue Cross - HMO/PPO |
| 36 |
BC - union health & welfare fund (1994-1997 only) |
| 38 |
Blue Cross - United Health & Welfare Fund |
| 39 |
Blue Cross - Association |
| 40 |
Commercial - Other |
| 45 |
Commercial - HMO/PPO |
| 46 |
Commercial - Union Health & Welfare Fund |
| 48 |
Commercial - Automobile |
| 49 |
Commercial - Association |
| 50 |
Employer Funded Plans - Other |
| 55 |
Employer Funded Plans - HMO/PPO |
| 56 |
Employer Funded Plans - Union Health & Welfare Fund |
| 59 |
Employer Funded Plans - Association Group |
| 05 |
Patient direct bill - HMO/PPO (1994-1997 only) |
| 00 |
Patient Direct Bill; Uninsured - Self Pay or Charity/Indigent Care |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 47 |
Commercial - Workers' Compensation |
6 |
Other |
| 57 |
Employer Funded Plans - Workers' Compensation |
| 80 |
Other government - Other/Unknown |
| 87 |
Other Government - State Workers Insurance Fund |
| 88 |
Other Government - Catastrophic Loss Fund |
| 90, 99, Blank |
Unknown, Not Listed, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Pennsylvania
|
(Valid from 1990-1993)
|
|
PAY1_X, PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 02 |
Medicare |
1 |
Medicare |
| 01 |
Medicaid |
2 |
Medicaid |
| 03 |
Blue on Blue |
3 |
Private Insurance |
| 04,10, 11, 12 |
Commercial; Employers; Associations; Auto Insurance |
| 05 |
HMO/PPO |
| 00 (not "0") |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 07 |
Workers' Compensation |
6 |
Other |
| 06, 08, 09 |
Health and Welfare; CAT fund; Other government programs |
| 99, blank |
Unknown |
. |
Missing |
| (includes "0") |
Other values |
.A |
Invalid |
South Carolina
|
South Carolina
|
|
(Valid beginning in 2002)
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 2 |
Medicaid |
2 |
Medicaid |
| 4 |
Commercial (including Blue Cross) |
3 |
Private insurance |
| 5 |
HMO |
| 6 |
Self-Pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 9 |
Workers' Compensation |
6 |
Other |
| 10 |
Tricare, CHAMPUS, CHAMPVA |
| 12 |
Other Agency, Charity (i.e. Medical Indigent Assistance Program (MAIP), Hill Burton, County Government, etc.) |
| 13 |
Other |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
South Carolina
|
South Carolina
|
|
(Valid 2000-2001)
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 13 |
Medicare managed care |
| 2 |
Medicaid |
2 |
Medicaid |
| 14 |
Medicaid managed care |
| 4 |
Commercial, PPO |
3 |
Private insurance |
| 5 |
HMO |
| 6 |
Self-Pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 9 |
Workers' Compensation |
6 |
Other |
| 10 |
CHAMPUS, CHAMPVA |
| 12 |
Other |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
South Carolina
|
|
(Valid from 1998-1999)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 6 |
Medicare |
1 |
Medicare |
| 7 |
Medicaid |
2 |
Medicaid |
| 12 |
Commercial, unspecified |
3 |
Private insurance |
| 13 |
Commercial, unspecified |
3 |
Private insurance |
| 14 |
Commercial, unspecified |
3 |
Private insurance |
| 16 |
HMO |
3 |
Private Insurance |
| 1 |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 2 |
State or county indigent program, unspecified |
6 |
Other |
| 3 |
State or county indigent program, unspecified |
| 4 |
State or county indigent program, unspecified |
| 5 |
Champus |
| 8 |
State or county indigent program, unspecified |
| 9 |
Worker's Compensation |
| 10 |
State or county indigent program, unspecified |
| 11 |
State or county indigent program, unspecified |
| 15, Blank |
Not Stated, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
South Carolina
|
|
(Valid from 1993-1997)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 02 |
Medicare |
1 |
Medicare |
| 03 |
Medicaid |
2 |
Medicaid |
| 04, 16 |
Blue Cross/Commercial; HMO |
3 |
Private insurance |
| 01 |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 05, 06, 07 |
Workers' Comp; Indigent/Charity; Other government |
6 |
Other |
| 08, Blank |
Missing |
. |
Missing |
| -- |
Other |
.A |
Invalid |
Tennessee
|
Tennessee
|
(Valid beginning in 1998)
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| M |
Medicare |
1 |
Medicare |
| 1 |
Medicare Managed Care (discontinued in 2000) |
1 |
Medicare |
| K |
Medicare HMO/PSO (beginning in 2000) |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| T |
TennCare Plan: Unspecified |
2 |
Medicaid |
| 2 |
TennCare Plan: Access-Med Plus |
| 3 |
TennCare Plan: Blue Cross |
| 4 |
TennCare Plan: Advantage Care/Phoenix |
| 5 |
TennCare Plan: Omni Care |
| 6 |
TennCare Plan: Health Net |
| 7 |
TennCare Plan: Unspecified |
| 8 |
TennCare Plan: John Deere/Heritage |
| 9 |
TennCare Plan: Preferred Health Partnership |
| A |
TennCare Plan: Prudential Community Care |
| F |
TennCare Plan: TLC Family Care Healthplan |
| G |
TennCare Plan: Tennsource |
| J |
TennCare Plan: Blue Care |
| Q |
TennCare Plan: TennCare Select |
| R |
TennCare Plan: Better Health Plans, Inc. |
| V |
TennCare Plan: Universal Care of Tennessee |
| U |
TennCare Behavioral: Tennessee Behavioral Health, Inc. |
| E |
TennCare Behavioral: BHO - plan unspecified (beginning in 2000) |
| X |
TennCare Behavioral: Premier Behavioral Systems of TN |
| B |
Blue Cross/Blue Shield |
3 |
Private Insurance |
| H |
Blue Cross - Managed Care - HMO/PPO/Other Managed Care (beginning in 2000) |
3 |
Private Insurance |
| I |
Commerical Insurance (Indemnity Carrier) |
3 |
Private Insurance |
| L |
Commerical/Managed Care - HMO/PPO/Other Managed Care (beginning in 2000) |
3 |
Private Insurance |
| S |
Self Insured |
3 |
Private Insurance |
| H |
HMO/Managed Care (redefined in 2000) |
3 |
Private Insurance |
| P |
Self-pay |
4 |
Self-pay |
| Z |
Medically Indigent/Free |
5 |
No charge |
| W |
Workers/State Compensation |
6 |
Other |
| C |
Federal, Champus (Military) |
| E |
County or state employee (redefined in 2000) |
| L |
Managed Assistance (redefined in 2000) |
| N |
Division of Health Services (Voc. Rehab.) |
| O |
Other, Unknown |
. |
Missing |
| Blank |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Texas
|
Texas
|
|
(Beginning in 2004)
|
|
PAY1_X, PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| MA |
Medicare Part A |
1 |
Medicare |
| MB |
Medicare Part B |
| MC |
Medicaid |
2 |
Medicaid |
| 12 |
Preferred Provider Organization (PPO) |
3 |
Private insurance |
| 13 |
Point of Service (POS) |
| 14 |
Exclusive Provider Organization (EPO) |
| 15 |
Indemnity Insurance |
| 16 |
Health Maintenance Organization (HMO) Medicare Risk |
| AM |
Automobile Medical |
| BL |
Blue Cross/Blue Shield |
| CI |
Commercial Insurance |
| HM |
Health Maintenance Organization |
| LI |
Liability |
| LM |
Liability Medical |
| LM |
Liability Medical |
| 09 |
Self-Pay |
4 |
Self-pay |
| ZZ |
Charity, Indigent, or Unknown (codes 90 and ZZ combined for 2004) |
5 |
No charge |
| 10 |
Central Certification (Beginning in 2004) |
6 |
Other |
| 11 |
Other Non-Federal Programs |
| CH |
CHAMPUS |
| DS |
Disability Insurance |
| TV |
Title V |
| OF |
Other Federal Program |
| VA |
Veteran Administration Plan |
| WC |
Worker's Compensation Health Claim |
| Blank |
Missing |
. |
Missing |
| *, Any values not documented by the data source |
.A |
Invalid |
|
Texas
|
|
(Prior to 2004)
|
|
PAY1_X, PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| "C", "C$", where $ is not equal to V |
Medicare |
1 |
Medicare |
| "CV" |
Medicare Managed Care |
1 |
Medicare |
| "D", "D$", where $ is not equal to X |
Medicaid |
2 |
Medicaid |
| "DX" |
Medicaid Managed Care |
2 |
Medicaid |
| "F", "F$", where $ is not equal to Y or U |
Commercial |
3 |
Private insurance |
| "FY" |
Commercial HMO |
3 |
Private insurance |
| "FU" |
Commercial PPO |
3 |
Private insurance |
| "G", "G$", where $ is not equal to Y or U |
Blue Cross |
3 |
Private insurance |
| "GY" |
Blue Cross - HMO |
3 |
Private insurance |
| "GU" |
Blue Cross - PPO |
3 |
Private insurance |
| "A", "A$" |
Self-pay |
4 |
Self-pay |
| "IZ" |
Charity care |
5 |
No charge |
| "B", "Ba" |
Worker's Compensation |
6 |
Other |
| "E", "E$" |
Other federal program, - including VA |
| "H", "H$" |
CHAMPUS |
| "I", "I$", where $ is not equal to Z |
Other |
| Blank |
Missing |
. |
Missing |
| " * ", " ** ", "$" (value that is missing the standard source or payment), or any values not documented by the data source |
.A |
Invalid |
|
PAY1_X/PAY2_X are created from two data elements provided by the data source:
- the first digit of PAY1_X/PAY2_X is the reported standard source of payment and
- the second digit is the reported non-standard source of payment
Documented values for the standard source of payment (the first digit of PAY1_X/PAY2_X) include:
| A = |
Self-pay |
| B = |
Workers' Compensation |
| C = |
Medicare |
| D = |
Medicaid |
| E = |
Other federal programs |
| F = |
Commercial |
| G = |
Blue Cross |
| H = |
CHAMPUS |
| I = |
Other |
Documented values for the non-standard source of payment (the second digit of PAY1_X/PAY2_X) include:
| T = |
State or local government programs |
| U = |
Commercial PPO |
| V = |
Medicare managed care |
| X = |
Medicaid managed care |
| Y = |
Commercial HMO |
| Z = |
Charity Care |
As the table above indicates, the coding PAY1/PAY2 from PAY1_X/PAY2_X is primarily based on the standard source of payment code (first digit of PAY1_X/PAY2_X) because it is from the UB-92 and may be required for payment.
|
Utah
In Utah, hospitals report plan-specific expected payer codes. The data organization that provides the Utah source files to HCUP (the Office of Health Care Statistics, Utah of Department of Health) maps the plan-specific payer codes into grouped payer categories. The data source reports that self-pay/uninsured are not identified very effectively since the original data are mostly based on billing information and they do not have any way to determine whether the payer declined to pay. There is a field for "patient as payer" on the source file, but it is not reliable coded and is only submitted by a small number of hospitals. HCUP receives only the grouped payer code.
|
Utah
|
|
(Valid beginning in 1998)
|
|
PAY1_X, PAY2_X and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare |
1 |
Medicare |
| 02 |
Medicaid |
2 |
Medicaid |
| 04 |
Blue Cross/Blue Shield |
3 |
Private Insurance |
| 05 |
Other commercial |
3 |
Private Insurance |
| 06 |
Managed care (HMO and PPO) |
3 |
Private Insurance |
| 07 |
Self pay |
4 |
Self-pay |
| 09 |
Charity/Unclassified |
5 |
No charge |
| 03 |
Other government |
6 |
Other |
| 08 |
Industrial and Worker's compensation |
| 09 |
Unclassified (Valid prior to 2006) |
| 12 |
Other (Valid prior to 2006) |
| 13 |
Children's Health Insurance Plan (CHIP) |
| 10, 99, Blank |
Unknown, Not reported, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Utah
|
|
(Valid for 1997)
|
|
PAY1_X, PAY2_X and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare |
1 |
Medicare |
| 02 |
Medicaid |
2 |
Medicaid |
| 04 |
Blue Cross/Blue Shield |
3 |
Private Insurance |
| 05 |
Other commercial |
| 06 |
Managed care (HMO and PPO) |
| 07 |
Self pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 03 |
Other government |
6 |
Other |
| 08 |
Industrial and Worker's compensation |
| 09 |
Unclassified |
| 12 |
Other |
| 10, 99, Blank |
Unknown, Not reported, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Virginia
|
Virginia
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 2 |
Medicaid |
2 |
Medicaid |
| 31 |
Medicaid - Out of State |
2 |
Medicaid |
| 3 |
Anthem/Trigon/BC/BS |
3 |
Private insurance |
| 6 |
Aetna/US Healthcare |
3 |
Private insurance |
| 7 |
United Healthcare |
3 |
Private Insurance |
| 8 |
Cigna |
3 |
Private Insurance |
| 9 |
Other Commercial |
3 |
Private Insurance |
| 13 |
Prudential |
3 |
Private Insurance |
| 14 |
State Farm |
3 |
Private Insurance |
| 24 |
All State |
3 |
Private Insurance |
| 28 |
John Hancock |
3 |
Private Insurance |
| 29 |
HMO/PPO - Unspecified |
3 |
Private Insurance |
| 32 |
BC/BS Out of State |
3 |
Private Insurance |
| 33 |
GWU Health Plan |
3 |
Private Insurance |
| 34 |
Kaiser Permanente |
3 |
Private Insurance |
| 35 |
MAMSI |
3 |
Private Insurance |
| 36 |
NYLcare (New York Life) |
3 |
Private Insurance |
| 37 |
Qualchoice |
3 |
Private Insurance |
| 38 |
Sentara |
3 |
Private Insurance |
| 39 |
Southern Health |
3 |
Private Insurance |
| 5 |
Self Pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 4 |
Tricare/Champus |
6 |
Other |
| 10 |
Indigent/Charity |
| 11 |
Worker's Comp |
| 16 |
Local Government |
| 17 |
State Government |
| 18 |
Other Government |
| 19 |
Government Assistance |
| 20 |
Jail/Detention |
| 21 |
Black Lung |
| 25 |
Research/Donor |
| 26 |
Foreign |
| 27 |
Hospice - Unspecified |
| 99, Blank |
Unknown, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Washington
|
Washington
|
|
(Valid beginning in 1998)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 001 |
Medicare |
1 |
Medicare |
| 002 |
Medicaid (DSHS) |
2 |
Medicaid |
| 004 |
Health Maintenance Organization (HMO) (e.g., Group Health, Kaiser Foundation, Good Health) |
3 |
Private Insurance |
| 006 |
Commercial insurance (e.g., AETNA, Mutual of Omaha, Safeco) |
3 |
Private Insurance |
| 610 |
Health Care Service Contractors (e.g., Blue Cross, county medical bureaus, Washington Physicians Service) |
3 |
Private Insurance |
| 009 |
Self-pay |
4 |
Self-pay |
| 630 |
Charity Care as defined in WAC 246-453-010 |
5 |
No charge |
| 008 |
Workers Compensation (includes state fund, self insured employers, and Labor and Industries crime victims claims) |
6 |
Other |
| 625 |
Other Sponsored Patients (e.g., CHAMPUS, Indian Health) |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Washington
|
|
(Valid from 1988-1997)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 001 |
Medicare |
1 |
Medicare |
| 002 |
Medicaid (DSHS) |
2 |
Medicaid |
| 004 |
Health Maintenance Organization (HMO) (e.g., Group Health, Kaiser Foundation, Good Health) |
3 |
Private Insurance |
| 006 |
Commercial insurance (e.g., AETNA, Mutual of Omaha, Safeco) |
| 610 |
Health Care Service Contractors (e.g., Blue Cross, county medical bureaus, Washington Physicians Service) (Beginning in 1994) |
| 009 |
Self-pay |
4 |
Self-pay |
| 630 |
Charity Care as defined in WAC 246-453-010 |
5 |
No charge |
| 008 |
Workers Compensation (includes state fund, self insured employers, and Labor and Industries crime victims claims) |
6 |
Other |
| 610 |
Health Care Service Contractors (e.g., Blue Cross, county medical bureaus, Washington Physicians Service) (Prior to 1994) |
| 625 |
Other Sponsored Patients (e.g., CHAMPUS, Indian Health) |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
West Virginia
Beginning in 2007, West Virginia used new payer coding scheme.
|
West Virginia
|
|
(Beginning in 2007)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 11 |
Medicare |
1 |
Medicare |
| 21 |
WV Medicaid |
2 |
Medicaid |
| 31 |
Other States Medicaid |
| 41 |
ACORDIA |
3 |
Private Insurance |
| 42 |
Advantage |
| 43 |
Aetna |
| 44 |
Health Plan of the Upper Ohio Valley |
| 45 |
Prudential |
| 49 |
Commercial NEC (Not Elsewhere Classified) |
| 51 |
AARP |
| 52 |
Blue Cross of VA |
| 53 |
Mountain State Blue Cross |
| 54 |
Other Blues |
| 55 |
ACCESSWV |
| 56 |
West Virginia Small Business Plan |
| 59 |
Non-Profit NEC (Not Elsewhere Classified) |
| 61 |
CAMCare |
| 62 |
National Association Letter Carriers |
| 63 |
Teamsters |
| 64 |
UMWA |
| 14 |
UMWA Trusts |
| 24 |
WV PEIA |
| 69 |
EMPLOYER/ERISA/UNION NEC (Not Elsewhere Classified) |
| 71 |
SELF-PA |
4 |
Self-Pay |
| 72 |
Charity |
5 |
No charge |
| 12 |
DOL-BLACK LUNG |
6 |
Other |
| 13 |
Railroad Workers |
| 15 |
Veterans Administration |
| 16 |
Federal BUR Corrections |
| 17 |
CHAMPUS |
| 19 |
Federal NEC (Not Elsewhere Classified) |
| 22 |
WV Workersâ Comp |
| 23 |
WV Vocational Rehabilitation |
| 25 |
WV Maternal & Child Health |
| 26 |
WV Department of Corrections |
| 27 |
WV County/Local Corrections |
| 28 |
WV Children's Health Insurance Program (CHIP) |
| 29 |
WV Government NEC (Not Elsewhere Classified) |
| 32 |
Other Statesâ Workersâ Comp |
| 39 |
Other Statesâ Government NEC (Not Elsewhere Classified) |
| 99 |
NEC (Not Elsewhere Classified) |
| 88, Blank |
Unknown, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Wisconsin
|
Wisconsin
|
|
(Valid beginning in 1998)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| MED01 |
Medicare - Fee for service, non-HMO Medicare, or non-HMO Medicaid |
1 |
Medicare |
| MED02 |
Medicare - Alternative health care insurance plans (HMO, PPO, PPA, etc.) |
| MED09 |
Medicare - Unable to determine insurance type |
| T1801 |
Medicare - Fee for service |
| T1802 |
Medicare - Alternative health care insurance plans (HMO, PPO, PPA, etc.) |
| T1809 |
Medicare - Unable to determine insurance type |
| T1901 |
Wisconsin Medicaid - Fee for service |
2 |
Medicaid |
| T1902 |
Wisconsin Medicaid - Alternative health care insurance plans |
| T1909 |
Wisconsin Medicaid - type unknown |
| OTH51 |
Non-Wisconsin Medicaid |
| WPS01 |
Wisconsin Physicians Service - Fee for service |
3 |
Private Insurance |
| WPS02 |
Wisconsin Physicians Service - Alternative health care insurance plans |
| WPS09 |
Wisconsin Physicians Service - type unknown |
| OTH11 |
Commercial or private insurance - Fee for service |
| OTH12 |
Commercial or private insurance - Alternative health care insurance plans |
| OTH19 |
Commercial or private insurance - type unknown |
| OTH21 |
Employer self-funded - Fee for service |
| OTH22 |
Employer self-funded - Alternative health care insurance plans |
| OTH29 |
Employer self-funded - type unknown |
| OTH31 |
Other organization self-funded - Fee for service |
| OTH32 |
Other organization self-funded - Alternative health care insurance plans |
| OTH39 |
Other organization self-funded - type unknown |
| nnn01, where nnn is a 3-digit code |
Blue Cross - Fee for service |
| nnn02, where nnn is a 3-digit code |
Blue Cross - Alternative health care insurance plans |
| nnn09, where nnn is a 3-digit code |
Blue Cross - type unknown |
| BCS01 |
Blue Cross - Fee for service |
| BCS02 |
Blue Cross - Alternative health care insurance plans |
| BCS09 |
Blue Cross - type unknown |
| OTH61 |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| BGR01 |
Badger Care - Fee for service |
6 |
Other |
| BGR02 |
Badger Care - Alternative health care insurance plans (HMO, PPO, PPA, etc.) |
| BGR09 |
Badger Care - type unknown |
| CHA01 |
CHAMPUS, CHAMPVA (effective beginning in 1994) |
| CHA02 |
CHAMPUS, CHAMPVA (effective beginning in 1994) |
| CHA03 |
CHAMPUS, CHAMPVA (effective beginning in 1994) |
| OTH41 |
Worker's Compensation |
| OTH52 |
51.42 / 51.437 / 46.23 Board |
| OTH53 |
General Relief |
| OTH54 |
WisconsinCare |
| OTH55 |
CHAMPUS Supplement |
| OTH56 |
HIRSP |
| OTH59 |
Other government (Not in the 2004 data but documented) |
| OTH71 |
Research Grant |
| OTH98 |
Other |
| bbb01, where b is a blank |
Other - Fee for service (beginning in 1998) |
| OTH01 |
Other - Fee for service (effective from 1989-1997) |
| OTH99 |
Unknown |
. |
Missing |
| bbb00, where b is a blank |
Unknown |
| Blank |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Prior to 2006: PAYn_X is created by concatenating the source variables PAYID and PAYCAT (i.e. PAY1_X = PAYID || PAYCAT).
Beginning 2006: PAYn_X is created by concatenating the source variables PAYID and PAYTYPE (i.e. PAY1_X = PAYID || PAYTYPE). |
|
Wisconsin
|
|
(Valid from 1989-1997)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| MED01 |
Medicare - Fee for service, non-HMO Medicare, or non-HMO Medicaid |
1 |
Medicare |
| MED02 |
Medicare - Alternative health care insurance plans (HMO, PPO, PPA, etc.) |
| MED09 |
Medicare - Unable to determine insurance type |
| T1901 |
Wisconsin Medicaid - Fee for service |
2 |
Medicaid |
| T1902 |
Wisconsin Medicaid - Alternative health care insurance plans |
| T1909 |
Wisconsin Medicaid - type unknown |
| OTH51 |
Non-Wisconsin Medicaid |
| WPS01 |
Wisconsin Physicians Service - Fee for service |
3 |
Private Insurance |
| WPS02 |
Wisconsin Physicians Service - Alternative health care insurance plans |
3 |
Private Insurance |
| WPS09 |
Wisconsin Physicians Service - type unknown |
3 |
Private Insurance |
| OTH11 |
Commercial or private insurance - Fee for service |
3 |
Private Insurance |
| OTH12 |
Commercial or private insurance - Alternative health care insurance plans |
3 |
Private Insurance |
| OTH19 |
Commercial or private insurance - type unknown |
3 |
Private Insurance |
| OTH21 |
Employer self-funded - Fee for service |
3 |
Private Insurance |
| OTH22 |
Employer self-funded - Alternative health care insurance plans |
3 |
Private Insurance |
| OTH29 |
Employer self-funded - type unknown |
3 |
Private Insurance |
| OTH31 |
Other organization self-funded - Fee for service |
3 |
Private Insurance |
| OTH32 |
Other organization self-funded - Alternative health care insurance plans |
3 |
Private Insurance |
| OTH39 |
Other organization self-funded - type unknown |
3 |
Private Insurance |
| nnn01, where nnn is a 3-digit code |
Blue Cross - Fee for service |
3 |
Private Insurance |
| nnn02, where nnn is a 3-digit code |
Blue Cross - Alternative health care insurance plans |
3 |
Private Insurance |
| nnn09, where nnn is a 3-digit code |
Blue Cross - type unknown |
3 |
Private Insurance |
| OTH61 |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| CHA01 |
CHAMPUS, CHAMPVA (effective beginning in 1994) |
6 |
Other |
| CHA02 |
CHAMPUS, CHAMPVA (effective beginning in 1994) |
| CHA03 |
CHAMPUS, CHAMPVA (effective beginning in 1994) |
| OTH41 |
Worker's Compensation |
| OTH52 |
51.42 / 51.437 / 46.23 Board |
| OTH53 |
General Relief |
| OTH54 |
WisconsinCare |
| OTH55 |
CHAMPUS Supplement |
| OTH56 |
HIRSP |
| OTH59 |
Other government |
| OTH98 |
Other |
| OTH01 |
Other - Fee for service (effective from 1989-1997) |
| OTH99 |
Unknown |
. |
Missing |
| bbb00, where b is a blank |
Unknown |
| Blank |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|