Arkansas
|
Arkansas
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| M |
Medicare |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| I |
Commercial Insurance |
3 |
Private Insurance |
| B |
Blue Cross/Blue Shield, Medi-Pak, Medi-Pak Plus |
| H |
HMO/Managed Care |
| S |
Self Insured |
| E |
County or State (ex: state or county employees) (Valid beginning in 2010) |
| P |
Self-pay |
4 |
Self pay |
| Z |
Medically Indigent/Free |
5 |
No charge |
| C |
CHAMPUS |
6 |
Other |
| E |
County or State (ex: state or county employees) (Valid prior to 2010) |
| L |
Managed Assistance |
| N |
Division of Health Services |
| O |
Other |
| V |
Other Federal Programs |
| W |
Worker's Compensation |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
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/TRICARE |
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) |
| |
|
. |
Missing |
| Blank |
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 |
| 03 |
Other Liability Ins / No Fault / Casualty |
| 08 |
HMO-PPO / Managed Care / Discounted |
| 12 |
Self-Pay |
4 |
Self-pay |
| 13 |
No Charge/Charity Research |
5 |
No charge |
| 06 |
Worker's Comp |
6 |
Other |
| 09 |
CHAMPUS/CHAMPVA |
| 11 |
Other Government |
| 14 |
Other |
| 15 |
Colorado Medically Indigent |
| 00 |
Missing |
. |
Missing |
| blank |
Missing |
| other |
Any undocumented 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 |
| U |
Charter Oak |
| 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 2010) |
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| A |
Medicare |
1 |
Medicare |
| B |
Medicare Managed Care |
| C |
Medicaid |
2 |
Medicaid |
| D |
Medicaid Managed Care |
| E |
Commercial Health Insurance |
3 |
Private Insurance |
| Q |
Commercial Liability Coverage |
| L |
Self pay |
4 |
Self-pay |
| N |
Non-payment |
5 |
No charge |
| H |
Worker's Compensation |
6 |
Other |
| I |
TriCare or Other Federal Government |
| J |
VA |
| K |
Other State/Local Government |
| M |
Other |
| O |
KidCare |
| P |
Unknown |
. |
Missing |
| Blank |
|
| Other |
Any undocumented value |
.A |
Invalid |
|
Florida
|
| (Valid 2006-2009) |
|
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 "2" and patient status is "7" |
. |
Missing |
| Blank |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
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 |
Florida
|
Florida
|
| (Valid beginning in 2010) |
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| A |
Medicare |
1 |
Medicare |
| B |
Medicare Managed Care |
| C |
Medicaid |
2 |
Medicaid |
| D |
Medicaid Managed Care |
| E |
Commercial Health Insurance |
3 |
Private Insurance |
| Q |
Commercial Liability Coverage |
| L |
Self pay |
4 |
Self-pay |
| N |
Non-payment |
5 |
No charge |
| H |
Worker's Compensation |
6 |
Other |
| I |
TriCare or Other Federal Government |
| J |
VA |
| K |
Other State/Local Government |
| M |
Other |
| O |
KidCare |
| Blank |
Missing |
. |
Missing |
| Other |
Any undocumented value |
.A |
Invalid |
|
Florida
|
| (Valid 1998-2009) |
|
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 (Prior to 2009) |
| 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 - Prior to 2009) |
| 82 |
No Charge (Begin 2009) |
5 |
No charge |
| 89 |
No Payment (Other - Begin 2009) |
| 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
In 2008, source value 24 (QUEST (Any QUEST Plan except AlohaCare, HMSA Quest, Kaiser Quest)) was mapped to Private Insurance instead of Medicaid; not too many records were affected, but they have now been fixed starting in 2009.
|
Hawaii
|
|
(Valid beginning in 2003)
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 18 |
HMSA 65C+ |
| 19 |
Kaiser 65C+ |
| 25 |
Secure Horizons Medicare Advantage - beginning 2008 |
| 26 |
AlohaCare Advantage/Advantage Plus - beginning 2008 |
| 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 |
| 27 |
Summerlin Insurance |
| 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 |
Illinois
|
Illinois
|
|
(Valid beginning in 1998)
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| A98910 |
Medicare |
1 |
Medicare |
| B98916 |
Illinois Medicaid |
2 |
Medicaid |
| B98917 |
Other Medicaid |
2 |
Medicaid |
| Cnnn, where nnn is a 3-digit number |
Blue Cross Insurance |
3 |
Private Insurance |
| Cnnnnnnnnn, where nnnnnnnnn is a 9-digit number |
Commercial Insurance (may include TPA and Worker's Compensation coverage) |
3 |
Private Insurance |
| C98920 |
Other Commercial Insurance |
3 |
Private Insurance |
| Dnnnnnnnnn, where nnnnnnnnn is a 9-digit number |
Commercial HMO |
3 |
Private Insurance |
| Ennnnnnnnn, where nnnnnnnnn is a 9-digit number |
Self-administered or Self-insured plans |
3 |
Private Insurance |
| E98930 |
Other Self-administered or Self-insured plans |
3 |
Private Insurance |
| F98918 |
Self-pay |
4 |
Self-pay |
| H98912 |
Charity |
5 |
No charge |
| H98913 |
Hill Burton Free Care |
| H98911 |
Black Lung |
6 |
Other |
| H98914 |
CHAMPUS |
| H98915 |
CHAMPVA |
| H98919 |
Miscellaneous |
| 00000 |
Other |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Primary, secondary, and tertiary expected payer information was provided in two fields: a one character payer category ("A" through "H") and detailed payer identifier of 3, 5, or 9 digits. The 3-digit identifiers refer to Blue Cross plans, but no source documentation was available to link the 3-digit identifier to a Blue Cross plan name. The 9-digit identifiers refer to commercial, HMO, and self-administered plans, but no source documentation was available to link the 9-digit identifier to a plan name. The Illinois Department of Insurance may have a list of the plan names for the 9-digit codes. All 5-digit identifiers were named. This information is included in the above table.
The one-character payer category and the detailed payer identifier were concatenated together to create the HCUP variables PAY1_X, PAY2_X, and PAY3_X.
During HCUP processing, PAY1/PAY2 and HMOPPO1/HMOPPO2 were assigned using the first character of PAY1_X/PAY2_X (e.g., "A", "B", "C", etc.) with the following exception. When PAY1_X/PAY2_X started with "H", PAY1/PAY2 and HMOPPO1/HMOPPO2 were assigned using the 6 character code.
|
|
Illinois
|
|
(Valid from 1995-1997)
|
|
PAY1_X, PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| A98910 |
Medicare |
1 |
Medicare |
| B98916 |
Illinois Medicaid |
2 |
Medicaid |
| B98917 |
Other Medicaid |
2 |
Medicaid |
| Cnnn, where nnn is a 3-digit number |
Blue Cross Insurance |
3 |
Private Insurance |
| Cnnnnnnnnn, where nnnnnnnnn is a 9-digit number |
Commercial Insurance (may include TPA and Worker's Compensation coverage) |
| C98920 |
Other Commercial Insurance |
| Dnnnnnnnnn, where nnnnnnnnn is a 9-digit number |
Commercial HMO |
| Ennnnnnnnn, where nnnnnnnnn is a 9-digit number |
Self-administered or Self-insured plans |
| E98930 |
Other Self-administered or Self-insured plans |
| F98918 |
Self-pay |
4 |
Self-pay |
| H98912 |
Charity |
5 |
No charge |
| H98913 |
Hill Burton Free Care |
| H98911 |
Black Lung |
6 |
Other |
| H98914 |
CHAMPUS |
| H98915 |
CHAMPVA |
| H98919 |
Miscellaneous |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Primary, secondary, and tertiary expected payer information was provided in two fields: a one character payer category ("A" through "H") and detailed payer identifier of 3, 5, or 9 digits. The 3-digit identifiers refer to Blue Cross plans, but no source documentation was available to link the 3-digit identifier to a Blue Cross plan name. The 9-digit identifiers refer to commercial, HMO, and self-administered plans, but no source documentation was available to link the 9-digit identifier to a plan name. The Illinois Department of Insurance may have a list of the plan names for the 9-digit codes. All 5-digit identifiers were named. This information is included in the above table.
The one-character payer category and the detailed payer identifier were concatenated together to create the HCUP variables PAY1_X, PAY2_X, and PAY3_X.
During HCUP processing, PAY1/PAY2 were assigned using the first character of PAY1_X/PAY2_X (e.g., "A", "B", "C", etc.) with the following exception. When PAY1_X/PAY2_X started with "H", PAY1/PAY2 were assigned using the 6 character code.
|
|
Illinois
|
|
(Valid from 1993-1994)
|
|
PAY1_X, PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| A |
Medicare |
1 |
Medicare |
| B |
Medicaid |
2 |
Medicaid |
| C, E |
Commercial, PPO; Self-administered |
3 |
Private Insurance |
| D |
HMO |
| F |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| H |
Other |
6 |
Other |
| Blank |
|
. |
Missing |
| Other Values |
|
.A |
Invalid |
|
Illinois
|
|
(Valid from 1988-1992)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 98910 |
Medicare |
1 |
Medicare |
| 98916 |
Illinois Medicaid |
2 |
Medicaid |
| 98917 |
Other Medicaid |
| 3-digit codes |
Blue Cross Insurance |
3 |
Private Insurance |
| 061055955 |
HMO/PHP |
3 |
Private Insurance |
| 232312490 |
HMO/PHP |
3 |
Private Insurance |
| 237137598 |
HMO/PHP |
3 |
Private Insurance |
| 361236610 |
HMO/PHP |
3 |
Private Insurance |
| 362171705 |
HMO/PHP |
3 |
Private Insurance |
| 362302593 |
HMO/PHP |
3 |
Private Insurance |
| 362748320 |
HMO/PHP |
3 |
Private Insurance |
| 362835382 |
HMO/PHP |
3 |
Private Insurance |
| 362858588 |
HMO/PHP |
3 |
Private Insurance |
| 363050287 |
HMO/PHP |
3 |
Private Insurance |
| 363156930 |
HMO/PHP |
3 |
Private Insurance |
| 363208585 |
HMO/PHP |
3 |
Private Insurance |
| 363232147 |
HMO/PHP |
3 |
Private Insurance |
| 363242084 |
HMO/PHP |
3 |
Private Insurance |
| 363251800 |
HMO/PHP |
3 |
Private Insurance |
| 363257067 |
HMO/PHP |
3 |
Private Insurance |
| 363261533 |
HMO/PHP |
3 |
Private Insurance |
| 363280214 |
HMO/PHP |
3 |
Private Insurance |
| 363290114 |
HMO/PHP |
3 |
Private Insurance |
| 363293099 |
HMO/PHP |
3 |
Private Insurance |
| 363300107 |
HMO/PHP |
3 |
Private Insurance |
| 363303922 |
HMO/PHP |
3 |
Private Insurance |
| 363303927 |
HMO/PHP |
3 |
Private Insurance |
| 363333675 |
HMO/PHP |
3 |
Private Insurance |
| 363334929 |
HMO/PHP |
3 |
Private Insurance |
| 363346492 |
HMO/PHP |
3 |
Private Insurance |
| 363357619 |
HMO/PHP |
3 |
Private Insurance |
| 363359925 |
HMO/PHP |
3 |
Private Insurance |
| 363363036 |
HMO/PHP |
3 |
Private Insurance |
| 363379945 |
HMO/PHP |
3 |
Private Insurance |
| 363385638 |
HMO/PHP |
3 |
Private Insurance |
| 363387762 |
HMO/PHP |
3 |
Private Insurance |
| 363410844 |
HMO/PHP |
3 |
Private Insurance |
| 363426222 |
HMO/PHP |
3 |
Private Insurance |
| 363447577 |
HMO/PHP |
3 |
Private Insurance |
| 363464332 |
HMO/PHP |
3 |
Private Insurance |
| 363513970 |
HMO/PHP |
3 |
Private Insurance |
| 363576982 |
HMO/PHP |
3 |
Private Insurance |
| 36361797l |
HMO/PHP |
3 |
Private Insurance |
| 363617971 |
HMO/PHP |
3 |
Private Insurance |
| 363784962 |
HMO/PHP |
3 |
Private Insurance |
| 363807756 |
HMO/PHP |
3 |
Private Insurance |
| 363837523 |
HMO/PHP |
3 |
Private Insurance |
| 363864486 |
HMO/PHP |
3 |
Private Insurance |
| 371076964 |
HMO/PHP |
3 |
Private Insurance |
| 371105481 |
HMO/PHP |
3 |
Private Insurance |
| 371139917 |
HMO/PHP |
3 |
Private Insurance |
| 371153402 |
HMO/PHP |
3 |
Private Insurance |
| 371190216 |
HMO/PHP |
3 |
Private Insurance |
| 371192892 |
HMO/PHP |
3 |
Private Insurance |
| 371216698 |
HMO/PHP |
3 |
Private Insurance |
| 371221007 |
HMO/PHP |
3 |
Private Insurance |
| 371241037 |
HMO/PHP |
3 |
Private Insurance |
| 371260731 |
HMO/PHP |
3 |
Private Insurance |
| 376000511 |
HMO/PHP |
3 |
Private Insurance |
| 421172640 |
HMO/PHP |
3 |
Private Insurance |
| 421282065 |
HMO/PHP |
3 |
Private Insurance |
| 431131852 |
HMO/PHP |
3 |
Private Insurance |
| 431141117 |
HMO/PHP |
3 |
Private Insurance |
| 431361841 |
HMO/PHP |
3 |
Private Insurance |
| 431372307 |
HMO/PHP |
3 |
Private Insurance |
| 431386495 |
HMO/PHP |
3 |
Private Insurance |
| 541252797 |
HMO/PHP |
3 |
Private Insurance |
| 611013183 |
HMO/PHP |
3 |
Private Insurance |
| 611056884 |
HMO/PHP |
3 |
Private Insurance |
| 741844335 |
HMO/PHP |
3 |
Private Insurance |
| 953762261 |
HMO/PHP |
3 |
Private Insurance |
| 954053288 |
HMO/PHP |
3 |
Private Insurance |
| 963762261 |
HMO/PHP |
3 |
Private Insurance |
| 98920 |
Other commercial insurance |
3 |
Private Insurance |
| 98930 |
Other self-administered or self-insured plans |
3 |
Private Insurance |
| 98918 |
Self-pay |
4 |
Self-pay |
| 98912 |
Charity |
5 |
No charge |
| 98913 |
Hill Burton Free Care |
5 |
No Charge |
| 020140690 |
Workers' Compensation |
6 |
Other |
| 020172170 |
Workers' Compensation |
6 |
Other |
| 020177030 |
Workers' Compensation |
6 |
Other |
| 020304627 |
Workers' Compensation |
6 |
Other |
| 020308052 |
Workers' Compensation |
6 |
Other |
| 020311919 |
Workers' Compensation |
6 |
Other |
| 020342937 |
Workers' Compensation |
6 |
Other |
| 020349547 |
Workers' Compensation |
6 |
Other |
| 030316876 |
Workers' Compensation |
6 |
Other |
| 041027270 |
Workers' Compensation |
6 |
Other |
| 041282020 |
Workers' Compensation |
6 |
Other |
| 041288420 |
Workers' Compensation |
6 |
Other |
| 041543470 |
Workers' Compensation |
6 |
Other |
| 041590940 |
Workers' Compensation |
6 |
Other |
| 041924000 |
Workers' Compensation |
6 |
Other |
| 042177185 |
Workers' Compensation |
6 |
Other |
| 042475442 |
Workers' Compensation |
6 |
Other |
| 042656602 |
Workers' Compensation |
6 |
Other |
| 042680300 |
Workers' Compensation |
6 |
Other |
| 042739160 |
Workers' Compensation |
6 |
Other |
| 042794993 |
Workers' Compensation |
6 |
Other |
| 042974375 |
Workers' Compensation |
6 |
Other |
| 043058503 |
Workers' Compensation |
6 |
Other |
| 043058504 |
Workers' Compensation |
6 |
Other |
| 046017710 |
Workers' Compensation |
6 |
Other |
| 050303803 |
Workers' Compensation |
6 |
Other |
| 050393243 |
Workers' Compensation |
6 |
Other |
| 060237820 |
Workers' Compensation |
6 |
Other |
| 060291290 |
Workers' Compensation |
6 |
Other |
| 060294398 |
Workers' Compensation |
6 |
Other |
| 060303275 |
Workers' Compensation |
6 |
Other |
| 060303520 |
Workers' Compensation |
6 |
Other |
| 060336212 |
Workers' Compensation |
6 |
Other |
| 060383030 |
Workers' Compensation |
6 |
Other |
| 060464510 |
Workers' Compensation |
6 |
Other |
| 060480695 |
Workers' Compensation |
6 |
Other |
| 060529570 |
Workers' Compensation |
6 |
Other |
| 060566050 |
Workers' Compensation |
6 |
Other |
| 060640218 |
Workers' Compensation |
6 |
Other |
| 060732738 |
Workers' Compensation |
6 |
Other |
| 060848755 |
Workers' Compensation |
6 |
Other |
| 060876835 |
Workers' Compensation |
6 |
Other |
| 060907370 |
Workers' Compensation |
6 |
Other |
| 060949141 |
Workers' Compensation |
6 |
Other |
| 061008026 |
Workers' Compensation |
6 |
Other |
| 061008792 |
Workers' Compensation |
6 |
Other |
| 061010609 |
Workers' Compensation |
6 |
Other |
| 061024360 |
Workers' Compensation |
6 |
Other |
| 061053492 |
Workers' Compensation |
6 |
Other |
| 061055955 |
Workers' Compensation |
6 |
Other |
| 061067463 |
Workers' Compensation |
6 |
Other |
| 061092819 |
Workers' Compensation |
6 |
Other |
| 061117063 |
Workers' Compensation |
6 |
Other |
| 061182357 |
Workers' Compensation |
6 |
Other |
| 061206728 |
Workers' Compensation |
6 |
Other |
| 061222527 |
Workers' Compensation |
6 |
Other |
| 061325038 |
Workers' Compensation |
6 |
Other |
| 066032187 |
Workers' Compensation |
6 |
Other |
| 066033504 |
Workers' Compensation |
6 |
Other |
| 066033509 |
Workers' Compensation |
6 |
Other |
| 066105395 |
Workers' Compensation |
6 |
Other |
| 131675535 |
Workers' Compensation |
6 |
Other |
| 131941868 |
Workers' Compensation |
6 |
Other |
| 131941984 |
Workers' Compensation |
6 |
Other |
| 131963495 |
Workers' Compensation |
6 |
Other |
| 131963496 |
Workers' Compensation |
6 |
Other |
| 131988169 |
Workers' Compensation |
6 |
Other |
| 132559805 |
Workers' Compensation |
6 |
Other |
| 132611663 |
Workers' Compensation |
6 |
Other |
| 132653231 |
Workers' Compensation |
6 |
Other |
| 132661002 |
Workers' Compensation |
6 |
Other |
| 132669000 |
Workers' Compensation |
6 |
Other |
| 132673100 |
Workers' Compensation |
6 |
Other |
| 132758523 |
Workers' Compensation |
6 |
Other |
| 132781282 |
Workers' Compensation |
6 |
Other |
| 132791458 |
Workers' Compensation |
6 |
Other |
| 132832845 |
Workers' Compensation |
6 |
Other |
| 135277930 |
Workers' Compensation |
6 |
Other |
| 135283360 |
Workers' Compensation |
6 |
Other |
| 135303710 |
Workers' Compensation |
6 |
Other |
| 135316370 |
Workers' Compensation |
6 |
Other |
| 135339725 |
Workers' Compensation |
6 |
Other |
| 135358230 |
Workers' Compensation |
6 |
Other |
| 135379820 |
Workers' Compensation |
6 |
Other |
| 135459190 |
Workers' Compensation |
6 |
Other |
| 135460208 |
Workers' Compensation |
6 |
Other |
| 135481330 |
Workers' Compensation |
6 |
Other |
| 135539046 |
Workers' Compensation |
6 |
Other |
| 135540698 |
Workers' Compensation |
6 |
Other |
| 135616275 |
Workers' Compensation |
6 |
Other |
| 135617450 |
Workers' Compensation |
6 |
Other |
| 135669461 |
Workers' Compensation |
6 |
Other |
| 136081895 |
Workers' Compensation |
6 |
Other |
| 136104845 |
Workers' Compensation |
6 |
Other |
| 136107326 |
Workers' Compensation |
6 |
Other |
| 136108722 |
Workers' Compensation |
6 |
Other |
| 150476880 |
Workers' Compensation |
6 |
Other |
| 156020948 |
Workers' Compensation |
6 |
Other |
| 160366830 |
Workers' Compensation |
6 |
Other |
| 220731810 |
Workers' Compensation |
6 |
Other |
| 221608585 |
Workers' Compensation |
6 |
Other |
| 221708002 |
Workers' Compensation |
6 |
Other |
| 221721944 |
Workers' Compensation |
6 |
Other |
| 221721950 |
Workers' Compensation |
6 |
Other |
| 221964135 |
Workers' Compensation |
6 |
Other |
| 221964136 |
Workers' Compensation |
6 |
Other |
| 222005057 |
Workers' Compensation |
6 |
Other |
| 222053189 |
Workers' Compensation |
6 |
Other |
| 222227328 |
Workers' Compensation |
6 |
Other |
| 222227331 |
Workers' Compensation |
6 |
Other |
| 222342710 |
Workers' Compensation |
6 |
Other |
| 230342560 |
Workers' Compensation |
6 |
Other |
| 230580680 |
Workers' Compensation |
6 |
Other |
| 230723970 |
Workers' Compensation |
6 |
Other |
| 230959220 |
Workers' Compensation |
6 |
Other |
| 230961349 |
Workers' Compensation |
6 |
Other |
| 231330959 |
Workers' Compensation |
6 |
Other |
| 231471444 |
Workers' Compensation |
6 |
Other |
| 231502700 |
Workers' Compensation |
6 |
Other |
| 231614367 |
Workers' Compensation |
6 |
Other |
| 231620527 |
Workers' Compensation |
6 |
Other |
| 231624911 |
Workers' Compensation |
6 |
Other |
| 231641984 |
Workers' Compensation |
6 |
Other |
| 231642962 |
Workers' Compensation |
6 |
Other |
| 231740414 |
Workers' Compensation |
6 |
Other |
| 231742051 |
Workers' Compensation |
6 |
Other |
| 231892289 |
Workers' Compensation |
6 |
Other |
| 231903575 |
Workers' Compensation |
6 |
Other |
| 232182777 |
Workers' Compensation |
6 |
Other |
| 232640501 |
Workers' Compensation |
6 |
Other |
| 232643432 |
Workers' Compensation |
6 |
Other |
| 250410420 |
Workers' Compensation |
6 |
Other |
| 250687550 |
Workers' Compensation |
6 |
Other |
| 251118791 |
Workers' Compensation |
6 |
Other |
| 310396250 |
Workers' Compensation |
6 |
Other |
| 310501234 |
Workers' Compensation |
6 |
Other |
| 310542366 |
Workers' Compensation |
6 |
Other |
| 310708754 |
Workers' Compensation |
6 |
Other |
| 310826946 |
Workers' Compensation |
6 |
Other |
| 310926059 |
Workers' Compensation |
6 |
Other |
| 310970750 |
Workers' Compensation |
6 |
Other |
| 311160863 |
Workers' Compensation |
6 |
Other |
| 311241230 |
Workers' Compensation |
6 |
Other |
| 314177100 |
Workers' Compensation |
6 |
Other |
| 314177110 |
Workers' Compensation |
6 |
Other |
| 314316080 |
Workers' Compensation |
6 |
Other |
| 314423946 |
Workers' Compensation |
6 |
Other |
| 340368340 |
Workers' Compensation |
6 |
Other |
| 340438190 |
Workers' Compensation |
6 |
Other |
| 341022544 |
Workers' Compensation |
6 |
Other |
| 341172650 |
Workers' Compensation |
6 |
Other |
| 341316396 |
Workers' Compensation |
6 |
Other |
| 341532771 |
Workers' Compensation |
6 |
Other |
| 346513736 |
Workers' Compensation |
6 |
Other |
| 346516838 |
Workers' Compensation |
6 |
Other |
| 350145400 |
Workers' Compensation |
6 |
Other |
| 350198580 |
Workers' Compensation |
6 |
Other |
| 350293728 |
Workers' Compensation |
6 |
Other |
| 350293730 |
Workers' Compensation |
6 |
Other |
| 350410010 |
Workers' Compensation |
6 |
Other |
| 350410420 |
Workers' Compensation |
6 |
Other |
| 350913391 |
Workers' Compensation |
6 |
Other |
| 350988041 |
Workers' Compensation |
6 |
Other |
| 351044900 |
Workers' Compensation |
6 |
Other |
| 351288885 |
Workers' Compensation |
6 |
Other |
| 351372324 |
Workers' Compensation |
6 |
Other |
| 351492884 |
Workers' Compensation |
6 |
Other |
| 351495207 |
Workers' Compensation |
6 |
Other |
| 351495208 |
Workers' Compensation |
6 |
Other |
| 351524574 |
Workers' Compensation |
6 |
Other |
| 356018566 |
Workers' Compensation |
6 |
Other |
| 356021485 |
Workers' Compensation |
6 |
Other |
| 360705950 |
Workers' Compensation |
6 |
Other |
| 360719665 |
Workers' Compensation |
6 |
Other |
| 360727430 |
Workers' Compensation |
6 |
Other |
| 360727470 |
Workers' Compensation |
6 |
Other |
| 360810360 |
Workers' Compensation |
6 |
Other |
| 360901240 |
Workers' Compensation |
6 |
Other |
| 361022580 |
Workers' Compensation |
6 |
Other |
| 361236610 |
Workers' Compensation |
6 |
Other |
| 361404320 |
Workers' Compensation |
6 |
Other |
| 361410470 |
Workers' Compensation |
6 |
Other |
| 361412255 |
Workers' Compensation |
6 |
Other |
| 361475332 |
Workers' Compensation |
6 |
Other |
| 361649210 |
Workers' Compensation |
6 |
Other |
| 361877247 |
Workers' Compensation |
6 |
Other |
| 361999760 |
Workers' Compensation |
6 |
Other |
| 362114545 |
Workers' Compensation |
6 |
Other |
| 362349119 |
Workers' Compensation |
6 |
Other |
| 362403971 |
Workers' Compensation |
6 |
Other |
| 362467238 |
Workers' Compensation |
6 |
Other |
| 362489372 |
Workers' Compensation |
6 |
Other |
| 362490086 |
Workers' Compensation |
6 |
Other |
| 362512064 |
Workers' Compensation |
6 |
Other |
| 362542404 |
Workers' Compensation |
6 |
Other |
| 362545393 |
Workers' Compensation |
6 |
Other |
| 362594678 |
Workers' Compensation |
6 |
Other |
| 36260579 |
Workers' Compensation |
6 |
Other |
| 362661515 |
Workers' Compensation |
6 |
Other |
| 362661954 |
Workers' Compensation |
6 |
Other |
| 362663083 |
Workers' Compensation |
6 |
Other |
| 362667627 |
Workers' Compensation |
6 |
Other |
| 362674180 |
Workers' Compensation |
6 |
Other |
| 362678778 |
Workers' Compensation |
6 |
Other |
| 362690333 |
Workers' Compensation |
6 |
Other |
| 362694846 |
Workers' Compensation |
6 |
Other |
| 362704643 |
Workers' Compensation |
6 |
Other |
| 362704802 |
Workers' Compensation |
6 |
Other |
| 362705935 |
Workers' Compensation |
6 |
Other |
| 362709121 |
Workers' Compensation |
6 |
Other |
| 362711653 |
Workers' Compensation |
6 |
Other |
| 362719165 |
Workers' Compensation |
6 |
Other |
| 362722478 |
Workers' Compensation |
6 |
Other |
| 362738349 |
Workers' Compensation |
6 |
Other |
| 362742183 |
Workers' Compensation |
6 |
Other |
| 362748320 |
Workers' Compensation |
6 |
Other |
| 362748795 |
Workers' Compensation |
6 |
Other |
| 362753986 |
Workers' Compensation |
6 |
Other |
| 362755546 |
Workers' Compensation |
6 |
Other |
| 362756532 |
Workers' Compensation |
6 |
Other |
| 362759195 |
Workers' Compensation |
6 |
Other |
| 362760101 |
Workers' Compensation |
6 |
Other |
| 362763106 |
Workers' Compensation |
6 |
Other |
| 362781080 |
Workers' Compensation |
6 |
Other |
| 362789296 |
Workers' Compensation |
6 |
Other |
| 362797073 |
Workers' Compensation |
6 |
Other |
| 362797074 |
Workers' Compensation |
6 |
Other |
| 362811124 |
Workers' Compensation |
6 |
Other |
| 362857399 |
Workers' Compensation |
6 |
Other |
| 362874262 |
Workers' Compensation |
6 |
Other |
| 362930605 |
Workers' Compensation |
6 |
Other |
| 362944577 |
Workers' Compensation |
6 |
Other |
| 362950161 |
Workers' Compensation |
6 |
Other |
| 362994662 |
Workers' Compensation |
6 |
Other |
| 362999368 |
Workers' Compensation |
6 |
Other |
| 362999370 |
Workers' Compensation |
6 |
Other |
| 363027848 |
Workers' Compensation |
6 |
Other |
| 363028761 |
Workers' Compensation |
6 |
Other |
| 363030511 |
Workers' Compensation |
6 |
Other |
| 363040078 |
Workers' Compensation |
6 |
Other |
| 363051031 |
Workers' Compensation |
6 |
Other |
| 363078103 |
Workers' Compensation |
6 |
Other |
| 363101262 |
Workers' Compensation |
6 |
Other |
| 363105508 |
Workers' Compensation |
6 |
Other |
| 363105737 |
Workers' Compensation |
6 |
Other |
| 363141762 |
Workers' Compensation |
6 |
Other |
| 363155373 |
Workers' Compensation |
6 |
Other |
| 363186541 |
Workers' Compensation |
6 |
Other |
| 363230348 |
Workers' Compensation |
6 |
Other |
| 363312218 |
Workers' Compensation |
6 |
Other |
| 363316692 |
Workers' Compensation |
6 |
Other |
| 363341779 |
Workers' Compensation |
6 |
Other |
| 363423817 |
Workers' Compensation |
6 |
Other |
| 363426425 |
Workers' Compensation |
6 |
Other |
| 363432551 |
Workers' Compensation |
6 |
Other |
| 363441652 |
Workers' Compensation |
6 |
Other |
| 363468793 |
Workers' Compensation |
6 |
Other |
| 363492700 |
Workers' Compensation |
6 |
Other |
| 363510294 |
Workers' Compensation |
6 |
Other |
| 363522250 |
Workers' Compensation |
6 |
Other |
| 363529298 |
Workers' Compensation |
6 |
Other |
| 363530161 |
Workers' Compensation |
6 |
Other |
| 363579407 |
Workers' Compensation |
6 |
Other |
| 363585968 |
Workers' Compensation |
6 |
Other |
| 363586255 |
Workers' Compensation |
6 |
Other |
| 363614264 |
Workers' Compensation |
6 |
Other |
| 363649555 |
Workers' Compensation |
6 |
Other |
| 363672824 |
Workers' Compensation |
6 |
Other |
| 363714287 |
Workers' Compensation |
6 |
Other |
| 363715387 |
Workers' Compensation |
6 |
Other |
| 363765116 |
Workers' Compensation |
6 |
Other |
| 363774557 |
Workers' Compensation |
6 |
Other |
| 363789786 |
Workers' Compensation |
6 |
Other |
| 363789787 |
Workers' Compensation |
6 |
Other |
| 363806723 |
Workers' Compensation |
6 |
Other |
| 366033855 |
Workers' Compensation |
6 |
Other |
| 366033921 |
Workers' Compensation |
6 |
Other |
| 366042949 |
Workers' Compensation |
6 |
Other |
| 366043106 |
Workers' Compensation |
6 |
Other |
| 366049887 |
Workers' Compensation |
6 |
Other |
| 366054328 |
Workers' Compensation |
6 |
Other |
| 366064756 |
Workers' Compensation |
6 |
Other |
| 366067575 |
Workers' Compensation |
6 |
Other |
| 366071400 |
Workers' Compensation |
6 |
Other |
| 366077839 |
Workers' Compensation |
6 |
Other |
| 366084669 |
Workers' Compensation |
6 |
Other |
| 366115679 |
Workers' Compensation |
6 |
Other |
| 370268670 |
Workers' Compensation |
6 |
Other |
| 370277830 |
Workers' Compensation |
6 |
Other |
| 370301640 |
Workers' Compensation |
6 |
Other |
| 370344310 |
Workers' Compensation |
6 |
Other |
| 370396180 |
Workers' Compensation |
6 |
Other |
| 370420520 |
Workers' Compensation |
6 |
Other |
| 370530080 |
Workers' Compensation |
6 |
Other |
| 370533080 |
Workers' Compensation |
6 |
Other |
| 370533100 |
Workers' Compensation |
6 |
Other |
| 370558630 |
Workers' Compensation |
6 |
Other |
| 370637646 |
Workers' Compensation |
6 |
Other |
| 370807507 |
Workers' Compensation |
6 |
Other |
| 370815476 |
Workers' Compensation |
6 |
Other |
| 370855395 |
Workers' Compensation |
6 |
Other |
| 370915434 |
Workers' Compensation |
6 |
Other |
| 371054042 |
Workers' Compensation |
6 |
Other |
| 371111076 |
Workers' Compensation |
6 |
Other |
| 371184187 |
Workers' Compensation |
6 |
Other |
| 371277771 |
Workers' Compensation |
6 |
Other |
| 376028411 |
Workers' Compensation |
6 |
Other |
| 380315280 |
Workers' Compensation |
6 |
Other |
| 380828980 |
Workers' Compensation |
6 |
Other |
| 380829210 |
Workers' Compensation |
6 |
Other |
| 380865250 |
Workers' Compensation |
6 |
Other |
| 381184490 |
Workers' Compensation |
6 |
Other |
| 381630841 |
Workers' Compensation |
6 |
Other |
| 381869912 |
Workers' Compensation |
6 |
Other |
| 382145898 |
Workers' Compensation |
6 |
Other |
| 382312731 |
Workers' Compensation |
6 |
Other |
| 382430150 |
Workers' Compensation |
6 |
Other |
| 390264050 |
Workers' Compensation |
6 |
Other |
| 390273710 |
Workers' Compensation |
6 |
Other |
| 390301590 |
Workers' Compensation |
6 |
Other |
| 390333950 |
Workers' Compensation |
6 |
Other |
| 390475300 |
Workers' Compensation |
6 |
Other |
| 390712210 |
Workers' Compensation |
6 |
Other |
| 390941450 |
Workers' Compensation |
6 |
Other |
| 390972608 |
Workers' Compensation |
6 |
Other |
| 391190263 |
Workers' Compensation |
6 |
Other |
| 391338397 |
Workers' Compensation |
6 |
Other |
| 391341459 |
Workers' Compensation |
6 |
Other |
| 391401314 |
Workers' Compensation |
6 |
Other |
| 396058596 |
Workers' Compensation |
6 |
Other |
| 396062860 |
Workers' Compensation |
6 |
Other |
| 410299900 |
Workers' Compensation |
6 |
Other |
| 410406690 |
Workers' Compensation |
6 |
Other |
| 410417460 |
Workers' Compensation |
6 |
Other |
| 410729473 |
Workers' Compensation |
6 |
Other |
| 410881659 |
Workers' Compensation |
6 |
Other |
| 410963301 |
Workers' Compensation |
6 |
Other |
| 410986076 |
Workers' Compensation |
6 |
Other |
| 411232071 |
Workers' Compensation |
6 |
Other |
| 411353943 |
Workers' Compensation |
6 |
Other |
| 520976199 |
Workers' Compensation |
6 |
Other |
| 521050076 |
Workers' Compensation |
6 |
Other |
| 420111280 |
Workers' Compensation |
6 |
Other |
| 420223390 |
Workers' Compensation |
6 |
Other |
| 420234980 |
Workers' Compensation |
6 |
Other |
| 420245990 |
Workers' Compensation |
6 |
Other |
| 420301440 |
Workers' Compensation |
6 |
Other |
| 420594770 |
Workers' Compensation |
6 |
Other |
| 420618271 |
Workers' Compensation |
6 |
Other |
| 420645088 |
Workers' Compensation |
6 |
Other |
| 420645088 |
Workers' Compensation |
6 |
Other |
| 421015537 |
Workers' Compensation |
6 |
Other |
| 421019055 |
Workers' Compensation |
6 |
Other |
| 421234898 |
Workers' Compensation |
6 |
Other |
| 426054959 |
Workers' Compensation |
6 |
Other |
| 430613000 |
Workers' Compensation |
6 |
Other |
| 431037123 |
Workers' Compensation |
6 |
Other |
| 431139865 |
Workers' Compensation |
6 |
Other |
| 431245798 |
Workers' Compensation |
6 |
Other |
| 431249228 |
Workers' Compensation |
6 |
Other |
| 436028696 |
Workers' Compensation |
6 |
Other |
| 440194612 |
Workers' Compensation |
6 |
Other |
| 440237557 |
Workers' Compensation |
6 |
Other |
| 440307890 |
Workers' Compensation |
6 |
Other |
| 440648645 |
Workers' Compensation |
6 |
Other |
| 440652707 |
Workers' Compensation |
6 |
Other |
| 440666926 |
Workers' Compensation |
6 |
Other |
| 460368854 |
Workers' Compensation |
6 |
Other |
| 470159155 |
Workers' Compensation |
6 |
Other |
| 470355979 |
Workers' Compensation |
6 |
Other |
| 470360368 |
Workers' Compensation |
6 |
Other |
| 470444314 |
Workers' Compensation |
6 |
Other |
| 470490411 |
Workers' Compensation |
6 |
Other |
| 470498866 |
Workers' Compensation |
6 |
Other |
| 470574325 |
Workers' Compensation |
6 |
Other |
| 470698507 |
Workers' Compensation |
6 |
Other |
| 476022701 |
Workers' Compensation |
6 |
Other |
| 476024508 |
Workers' Compensation |
6 |
Other |
| 480470690 |
Workers' Compensation |
6 |
Other |
| 480921045 |
Workers' Compensation |
6 |
Other |
| 510098159 |
Workers' Compensation |
6 |
Other |
| 520266645 |
Workers' Compensation |
6 |
Other |
| 520403120 |
Workers' Compensation |
6 |
Other |
| 520515280 |
Workers' Compensation |
6 |
Other |
| 520616768 |
Workers' Compensation |
6 |
Other |
| 521137203 |
Workers' Compensation |
6 |
Other |
| 586020487 |
Workers' Compensation |
6 |
Other |
| 590733942 |
Workers' Compensation |
6 |
Other |
| 591027412 |
Workers' Compensation |
6 |
Other |
| 591320184 |
Workers' Compensation |
6 |
Other |
| 591847174 |
Workers' Compensation |
6 |
Other |
| 610904881 |
Workers' Compensation |
6 |
Other |
| 621101490 |
Workers' Compensation |
6 |
Other |
| 630598629 |
Workers' Compensation |
6 |
Other |
| 741280541 |
Workers' Compensation |
6 |
Other |
| 741296673 |
Workers' Compensation |
6 |
Other |
| 750620550 |
Workers' Compensation |
6 |
Other |
| 751444207 |
Workers' Compensation |
6 |
Other |
| 751670124 |
Workers' Compensation |
6 |
Other |
| 756013587 |
Workers' Compensation |
6 |
Other |
| 756013697 |
Workers' Compensation |
6 |
Other |
| 756017952 |
Workers' Compensation |
6 |
Other |
| 756020448 |
Workers' Compensation |
6 |
Other |
| 760154296 |
Workers' Compensation |
6 |
Other |
| 840513811 |
Workers' Compensation |
6 |
Other |
| 840583213 |
Workers' Compensation |
6 |
Other |
| 840982643 |
Workers' Compensation |
6 |
Other |
| 850165753 |
Workers' Compensation |
6 |
Other |
| 850277191 |
Workers' Compensation |
6 |
Other |
| 850282785 |
Workers' Compensation |
6 |
Other |
| 860274508 |
Workers' Compensation |
6 |
Other |
| 880119246 |
Workers' Compensation |
6 |
Other |
| 910341780 |
Workers' Compensation |
6 |
Other |
| 910449750 |
Workers' Compensation |
6 |
Other |
| 910895822 |
Workers' Compensation |
6 |
Other |
| 911115311 |
Workers' Compensation |
6 |
Other |
| 920040526 |
Workers' Compensation |
6 |
Other |
| 940781581 |
Workers' Compensation |
6 |
Other |
| 941032958 |
Workers' Compensation |
6 |
Other |
| 941390273 |
Workers' Compensation |
6 |
Other |
| 941517098 |
Workers' Compensation |
6 |
Other |
| 941610280 |
Workers' Compensation |
6 |
Other |
| 942532388 |
Workers' Compensation |
6 |
Other |
| 946078058 |
Workers' Compensation |
6 |
Other |
| 951077060 |
Workers' Compensation |
6 |
Other |
| 951078160 |
Workers' Compensation |
6 |
Other |
| 951429618 |
Workers' Compensation |
6 |
Other |
| 951479095 |
Workers' Compensation |
6 |
Other |
| 951542353 |
Workers' Compensation |
6 |
Other |
| 952371728 |
Workers' Compensation |
6 |
Other |
| 952575892 |
Workers' Compensation |
6 |
Other |
| 956016640 |
Workers' Compensation |
6 |
Other |
| 980032627 |
Workers' Compensation |
6 |
Other |
| 980033230 |
Workers' Compensation |
6 |
Other |
| 990041610 |
Workers' Compensation |
6 |
Other |
| 98914 |
CHAMPUS |
6 |
Other |
| 98915 |
CHAMPVA |
6 |
Other |
| 98911 |
Black Lung |
6 |
Other |
| 98919 |
Miscellaneous |
6 |
Other |
| Blank, "000000000" |
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 |
| 11 |
Medicare Managed Care beginning 2008 |
| 2 |
Medicaid (Title 19) |
2 |
Medicaid |
| 12 |
Medicaid Managed Care beginning 2008 |
| 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 |
Other Federal Government |
| 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 |
Indiana
|
Indiana
|
|
(Valid beginning in 2008)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 2 |
Medicaid |
2 |
Medicaid |
| 4 |
Commercial Insurance |
3 |
Private Insurance |
| 5 |
Self-pay |
4 |
Self-pay |
| 6 |
Other/Unknown |
6 |
Other |
| 3 |
Other/Government |
| Blank |
Missing |
. |
Missing |
| Other |
|
.A |
Invalid |
Indiana
|
Indiana
|
|
(Valid 2003 - 2007)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 1 |
Medicare |
1 |
Medicare |
| 2 |
Medicaid |
2 |
Medicaid |
| 4 |
Commercial Insurance |
3 |
Private Insurance |
| 5 |
Managed Care |
| 6 |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 3 |
Other/Government |
6 |
Other |
| 7 |
Other/Unknown |
| Blank (PAY1_X only), Blank; 0 (PAY2_X only) |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Kansas
|
Kansas
|
|
(Valid beginning in 2003)
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 001, 1, 01 |
Medicare |
1 |
Medicare |
| 101 |
Medicare Managed Care |
| 002, 2, 02 |
Medicaid |
2 |
Medicaid |
| 102 |
Medicaid Managed Care |
| 004, 4, 04 |
Blue Cross/Blue Shield |
3 |
Private Insurance |
| 007, 7, 07 |
Commercial/Private |
| 104 |
Blue Cross/Blue Shield Managed Care |
| 107 |
All Commercial Payers Managed Care |
| 006, 6, 06 |
Self-pay |
4 |
Self-pay |
| 008, 8 |
Charity/No Charge |
5 |
No charge |
| 005, 5,05 |
Workers Compensation |
6 |
Other |
| 009, 9, 09 |
Other Government |
| 010, 10 |
Champus |
| 011, 11 |
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
|
|
(Valid beginning in 2010)
|
|
PAY1_X, PAY2_X, PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| C |
Medicare |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| R |
Medicaid Managed Care |
| P |
Passport Medicaid Managed Care (beginning with 2003 data) |
| F |
Commercial - Unknown |
3 |
Private insurance |
| G |
Commercial - Unknown |
| J |
Commercial - Indemnity |
| K |
Commercial - Preferred Provider |
| L |
Commercial - HMO |
| M |
Commercial - Other Managed Care |
| N |
Commercial - Mix |
| A |
Self Pay |
4 |
Self-pay |
| S |
Charity |
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 |
|
Kentucky
|
|
(Valid beginning in 2009)
|
|
PAY1_X, PAY2_X, PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 98910 |
Medicare (Excluding Medicare Managed Care) |
1 |
Medicare |
| 98945 |
Medicare Managed Care |
| 98916 |
In State Medicaid (Excluding Passport) |
2 |
Medicaid |
| 98917 |
Out of State Medicaid |
| 98940 |
Passport Medicaid Managed Care |
| 98921 |
Commercial - Indemnity |
3 |
Private insurance |
| 98923 |
Commercial - PPO |
| 98922 |
Commercial - HMO |
| 98924 |
Commercial - Other |
| 98930 |
Other Self Administered Plan |
| 98918 |
Self Pay |
4 |
Self-pay |
| 98912 |
Charity |
5 |
No charge |
| 98913 |
Hill Burton Free Care |
| 98911 |
Black Lung |
6 |
Other |
| 98950 |
Workers' Compensation |
| 98914 |
Champus |
| 98915 |
Champva |
| 00000 |
Other |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
Kentucky
|
|
(Valid prior to 2009)
|
|
PAY1_X, PAY2_X, PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| C |
Medicare |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| R |
Medicaid Managed Care |
| P |
Passport Medicaid Managed Care (beginning with 2003 data) |
| F |
Commercial - Unknown |
3 |
Private insurance |
| G |
Commercial - Unknown |
| J |
Commercial - Indemnity |
| K |
Commercial - Preferred Provider |
| L |
Commercial - HMO |
| M |
Commercial - Managed Care |
| N |
Commercial - Mix |
| A |
Self Pay |
4 |
Self-pay |
| S |
Charity |
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 |
Louisiana
|
Louisiana
|
|
PAY1_X, PAY2_X, PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| M |
Medicare |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| B |
Blue Cross/Blue Shield |
3 |
Private insurance |
| H |
HMO |
| I |
Other Health Insurance Company |
| S |
Self insured (Beginning in 2010) |
| P |
Self Pay |
4 |
Self-pay |
| Z |
No Charge (Free, Charity, Sp. Research, Teaching) |
5 |
No charge |
| C |
CHAMPUS |
6 |
Other |
| O |
Other, unknown |
| S |
Self insured (Prior to 2010) |
| W |
Workers/StateCompensation |
| ?, blank |
Missing |
. |
Missing |
| !, other |
|
.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 |
| H |
Health Safety Net |
| 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 |
Maine
|
Maine
|
|
(Valid beginning in 1999)
|
|
PAY1_X, PAY2_X, PAY3_X
|
PAY1, PAY 2
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare |
1 |
Medicare |
| 02 |
Medicaid |
2 |
Medicaid |
| 05 |
Blue Cross |
3 |
Private insurance |
| 06 |
Other commercial carriers |
3 |
Private insurance |
| 10 |
HMO/PPO |
3 |
Private insurance |
| 08 |
Self-pay |
4 |
Self-pay |
| 07 |
Charity |
5 |
No charge |
| 03 |
U.S. Title V |
6 |
Other |
| 04 |
CHAMPUS/USVA |
| 09 |
Worker's Compensation |
| 11 |
Unknown |
| blank |
Missing |
. |
Missing |
| other |
|
.A |
Invalid |
Michigan
|
Michigan
|
|
PAY1_X and PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 01 |
Medicare Fee for Service |
1 |
Medicare |
| 30 |
Medicare Managed Care Plans |
| 31 |
Medicare Type of Plan Unknown |
| 02 |
Medicaid Fee for Service |
2 |
Medicaid |
| 40 |
Medicaid Managed Care Plans |
| 41 |
Medicaid Type of Plan Unknown |
| 22 |
HMSA QUEST - valid 2006 -2007 |
| 06 |
Blue Cross/Blue Shield |
3 |
Private insurance |
| 07 |
Other commercial insurance company |
| 09 |
Managed care or other |
| 11 |
Blue Cross/Blue Shield HMO |
| 12 |
Other HMO |
| 17 |
Blue Cross/Blue Shield PPO/PPA |
| 18 |
Other PPO/PPA |
| 08 |
Self-pay |
4 |
Self-pay |
| 10 |
No charge |
5 |
No charge |
| 03 |
Title V |
6 |
Other |
| 04 |
Other government source |
| 05 |
Worker's Compensation |
| 23 |
Mental Health Contract |
| 25 |
Corrections Contract |
| 99 |
Other |
| 00, Blank |
Missing or invalid |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Minnesota
|
Minnesota
|
|
(Valid beginning in 1995)
|
|
PAY1_X, PAY2_X and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 2000000 |
Medicare |
1 |
Medicare |
| 6000003 |
Blue Cross, Medicare |
| 6000103 |
Blue Cross, MN, Medicare |
| 6009903 |
Blue Cross, Other, Medicare |
| 7000102 |
Medica - Choice, Medicare |
| 7000202 |
Group Health, Medicare |
| 7000402 |
Medica - Primary, Medicare |
| 7000502 |
MedCenters, Medicare |
| 7000602 |
UCare, Medicare |
| 7000702 |
Blue Plus, Medicare |
| 7000802 |
Metro. Health Plan, Medicare |
| 7001002 |
Health Partners, Medicare |
| 7001302 |
First Plan HMO, Medicare |
| 7001402 |
Discharged/Transferred to a Federal Hospital |
| 7001502 |
Sioux Valley, Medicare |
| 7000902 |
Blue Cross HMO, Medicare |
| 7009902 |
Other HMO, Medicare |
| 8000302 |
SelectCare, Medicare |
| 8000402 |
Preferred One, Medicare |
| 8000502 |
America's PPO, Medicare |
| 8000602 |
Aetna PPO, Medicare |
| 8000902 |
Discharged/transferred to a psychiatric hospital or psychiatric distinct unit of a hospital |
| 8001502 |
Discharged/transferred to a Critical Access Hospital (CAH) (1/1/06 discharges) |
| 8009902 |
Other PPO, Medicare |
| 3000000 |
Medicaid |
2 |
Medicaid |
| 3000001 |
Medicaid Pending |
| 3000100 |
Medicaid, Minnesota |
| 3000101 |
Pending, MN, Medicaid |
| 3000200 |
Medicaid, Wisconsin |
| 3000201 |
Medicaid, Wisconsin, Pending |
| 7000301 |
Ramsey Care, Medicaid |
| 3000900 |
Medicaid, South Dakota |
| 3001000 |
Medicaid, North Dakota |
| 3001100 |
Medicaid, Iowa |
| 3009900 |
Medicaid, Other |
| 3009901 |
Medicaid, Other, Pending Eligible |
| 7000101 |
Medica - Choice, Medicaid |
| 7000201 |
Group Health, Medicaid |
| 7000401 |
Medica - Primary, Medicaid |
| 7000501 |
MedCenters, Medicaid |
| 7000601 |
Ucare, Medicaid |
| 7000701 |
Blue Plus, Medicaid |
| 7000801 |
Metro. Health Plan, Medicaid |
| 7000901 |
Blue Cross HMO, Medicaid |
| 7001001 |
Health Partners, Medicaid |
| 7001201 |
Northwest National Life (NWNL) Health Network, Medicaid |
| 7001301 |
First Plan HMO, Medicaid |
| 7001401 |
Altru Health Plan, Medicaid |
| 7001501 |
Sioux Valley, Medicaid |
| 7009901 |
Other HMO, Medicaid |
| 8000301 |
SelectCare, Medicaid |
| 8000401 |
Preferred One, Medicaid |
| 8000901 |
Blue Cross PPO, Medicaid |
| 8001001 |
Medica Choice PPO, Medicaid |
| 8001501 |
LaborCare PPO, Medicaid |
| 8009901 |
Other PPO, Medicaid |
| 5000000 |
Commercial |
3 |
Private insurance |
| 5009900 |
Commercial |
| 5009901 |
Commercial (Regina) |
| 6000000 |
Blue Cross |
| 6000001 |
Blue Cross, Aware |
| 6000100 |
Blue Cross, MN |
| 6000101 |
Blue Cross, MN, Aware |
| 6000102 |
Blue Cross, Preferred Gold |
| 6000200 |
Blue Cross, North Dakota |
| 6009900 |
Blue Cross, Non-MN |
| 6009901 |
Blue Cross, Non-MN Aware |
| 7000000 |
Other HMO |
| 7000100 |
Medica - Choice |
| 7000200 |
Group Health |
| 7000300 |
Ramsey Health |
| 7000400 |
Medica - Primary |
| 7000500 |
MedCenters |
| 7000600 |
Ucare |
| 7000700 |
Blue Plus |
| 7000800 |
Metro. Health Plan |
| 7000900 |
Blue Cross HMO |
| 7001000 |
Health Partners |
| 7001200 |
Northwest National Life (NWNL) Health Network |
| 7001300 |
First Plan HMO |
| 7001400 |
Altru Health Plan |
| 7001500 |
Sioux Valley |
| 7009900 |
Other HMO |
| 8000000 |
Other PPO |
| 8000300 |
SelectCare |
| 8000320 |
SelectCare, Union |
| 8000400 |
Preferred One |
| 8000500 |
ARAZ, Union (formerly, Ethix Midwest; also known as America's PPO) |
| 8000520 |
ARAZ (formerly Ethix Midwest; also known as America's PPO) |
| 8000600 |
Aetna PPO |
| 8000700 |
Group Health PPO |
| 8000800 |
HealthEast Care, Inc. |
| 8000900 |
Blue Cross PPO |
| 8001000 |
Medica Choice PPO |
| 8001020 |
Medica, Union |
| 8001200 |
Northwest National LIfe (NWNL) PPO |
| 8002300 |
Private Health Care System |
| 8001400 |
Prudential Plus |
| 8001500 |
LaborCare PPO |
| 8001520 |
LaborCare PPO, Union |
| 8500100 |
Self Insured, Choice Plus |
| 8509900 |
Other Self Insured |
| 8009900 |
Other PPO |
| 8009920 |
Other PPO, union |
| 9001000 |
Other, Self-Insured Co. |
| 9002000 |
Other, Unions |
| 1000000 |
Self-Pay |
4 |
Self-Pay |
| 1000100 |
Self-Pay |
| 1000200 |
Self-Pay, No Charge |
| -- |
-- |
5 |
No charge |
| 3060000 |
Minnesota Care |
6 |
Other |
| 3060100 |
Minnesota Care |
| 4000000 |
Other Government |
| 4000100 |
Title V |
| 4000200 |
Worker's Comp |
| 4000300 |
TRICARE/CHAMPUS |
| 4000400 |
MN Comp. Health Care |
| 4000500 |
General Assistance Medical Care (GAMC)/GA/Welfare |
| 4000600 |
Aid to Families with Dependent Children (AFDC) |
| 4000700 |
Children's Health Plan |
| 4000800 |
PrimeWest, Cty Based Purchased |
| 4000900 |
Itasca Medical Care, CBP |
| 4001000 |
So. Country Hlth Alliance, CBP |
| 4009900 |
Other Govt., Other |
| 7000103 |
Medica - Choice, GAMC |
| 7000104 |
Medica-Choice, MNCare |
| 7000303 |
Ramsey Care, GAMC, etc. |
| 7000404 |
Medica-Primary, MNCare |
| 7000603 |
Ucare, GAMC, etc. |
| 7000604 |
U-Care, MNCare |
| 7000703 |
Blue Plus, GAMC, etc. |
| 7000704 |
Blue Plus, MNCare |
| 7000803 |
Metro. Health Plan, GAMC, etc. |
| 7000804 |
Metro. Health Plan, MNCare |
| 7000904 |
Blue Cross HMO, MNCare |
| 7001003 |
Health Partners, GAMC, etc. |
| 7001004 |
Health Partners, MNCare |
| 7001304 |
First Plan HMO, MNCare |
| 7001404 |
Altru Health Plan, MNCare |
| 7001504 |
Sioux Valley, MNCare |
| 7009903 |
Other HMO, GAMC/GA/Welfare |
| 7009904 |
Other HMO, MNCare |
| 8000404 |
Preferred One, MNCare |
| 8000504 |
America's PPO, MNCare |
| 8000604 |
Aetna PPO, MNCare |
| 8000804 |
HealthEast Care, Inc. MNCare |
| 8000904 |
Blue Cross PPO, MNCare |
| 8001304 |
Private Hlth Care Sys MNCare |
| 8001404 |
Prudential Plus, MNCare |
| 8001504 |
LaborCare PPO MNCare |
| 8009904 |
Other PPO, MNCare |
| 9000000 |
Other |
| 9009900 |
Other |
| Blank |
Missing |
. |
Missing |
| 8888888 |
Missing/Unknown (or insurance master) |
| 9999999 |
Missing/Unknown (not on insurance master) |
| Any values not documented by the data source |
.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.
|
Nebraska
|
Nebraska
|
|
PAY1_X, PAY2_X and PAY3_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 02 |
Medicare |
1 |
Medicare |
| 04 |
Medicaid |
2 |
Medicaid |
| 12 |
Medicaid |
| 01 |
Commercial Insurance |
3 |
Private Insurance |
| 03 |
Commercial Insurance |
| 08 |
Commercial Insurance |
| 11 |
Commercial Insurance |
| 13 |
Commercial Insurance |
| 14 |
Commercial Insurance |
| 09, 9 |
Self-pay |
4 |
Self-pay |
| -- |
-- |
5 |
No charge |
| 05 |
Worker's Compensation |
6 |
Other |
| 06 |
Champus/Champva |
| 07 |
Other Federal and State Programs |
| 10 |
Other |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Nevada
|
Nevada
|
|
(Valid Beginning in 2008)
|
|
PAY1_X and PAY2_X and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 10 |
Medicare |
1 |
Medicare |
| 27 |
Medicare HMO |
| 16 |
Nevada Medicaid |
2 |
Medicaid |
| 17 |
Other Medicaid |
| 28 |
Nevada Medicaid HMO |
| 20 |
Commercial Insurer |
3 |
Private insurance |
| 21 |
Negotiated Discounts e.g. Preferred Provider Organization (PPO) |
| 22 |
Health Maintenance Organization (HMO) |
| 24 |
All Worker's Compensation Cases |
| 25 |
Nevada Blue Cross / Blue Shield |
| 26 |
Other Blue Cross / Blue Shield |
| 18 |
Self Pay |
4 |
Self-pay |
| 12 |
Charity |
5 |
No charge |
| 11 |
Black Lung (beginning in 2006, Black Lung was coded as 11 instead of 6) |
6 |
Other |
| 13 |
Hill-Burton Free Care (HBFC) |
| 14 |
CHAMPUS / CHAMPVA |
| 19 |
Miscellaneous - does not fit any of the other categories. This field covers insurers that are not licensed to sell insurance in Nevada |
| 23 |
County Indigent Referral (Patient has already been approved for County Coverage) |
| 29 |
Section 1011 undocumented Aliens/unknown |
| 99, Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Expected payer information from two hospitals in the 2006 Nevada source data was unreliable; consequently, PAY1 was set to "Invalid" (.A) for these two hospitals.
|
Nevada
|
|
(Valid Prior to 2008)
|
|
PAY1_X and PAY2_X and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 10 |
Medicare |
1 |
Medicare |
| 27 |
Medicare HMO |
| 16 |
Nevada Medicaid |
2 |
Medicaid |
| 17 |
Other Medicaid |
| 28 |
Medicaid HMO |
| 20 |
Commercial Insurer |
3 |
Private insurance |
| 21 |
Negotiated Discounts e.g. Preferred Provider Organization (PPO) |
| 22 |
Health Maintenance Organization (HMO) |
| 24 |
State Industrial Insurance System (SIIS) (beginning in 2005) |
| 25 |
Nevada Blue Cross/Blue Shield (BC) |
| 26 |
Other Blue Cross/Blue Shield (BS) |
| 18 |
Self Pay |
4 |
Self-pay |
| 12 |
Charity |
5 |
No charge |
| 11 |
Black Lung (beginning in 2006, Black Lung was coded as 11 instead of 6) |
6 |
Other |
| 13 |
Hill-Burton Free Care (HBFC) |
| 14 |
CHAMPUS (or successor) |
| 15 |
CHAMPVA (or successor) |
| 19 |
Miscellaneous - does not fit any of the other categories. This field covers insurers that are not licensed to sell insurance in Nevada |
| 23 |
County Indigent Referral (those already qualified for, or being referred to, the County Indigent program) |
| 29 |
Section 1011 undocumented Aliens/unknown |
| 99, Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
New Hampshire
|
New Hampshire
|
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 3 |
Medicare |
1 |
Medicare |
| 10 |
Medicare Managed Care |
| 4 |
Medicaid |
2 |
Medicaid |
| 11 |
Medicaid Managed Care |
| 5 |
HMO |
3 |
Private Insurance |
| 7 |
Blue Cross |
| 8 |
Commercial insurance |
| 1 |
Self-Pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| 2 |
Worker's Compensation |
6 |
Other |
| 6 |
Other government |
| 9 |
Other |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
New Jersey
| New Jersey |
| PAY1_X and PAY2_X and PAY3_X |
PAY1 and PAY2 |
| Value |
Description |
Value |
Description |
| 009 |
Medicare: Other |
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 |
3 |
Private Insurance |
| 018 |
Other Government (Beginning in 1998) |
| 020 |
Blue Cross Plan |
| 022 |
Blue Cross Plan |
| 025 |
Blue Cross Plan |
| 026 |
Blue Cross Plan |
| 029 |
Blue Cross Plan |
| 030 |
Blue Cross Plan |
| 040 |
Blue Cross Plan |
| 041 |
Blue Cross Plan (1994 only) |
| 042 |
Blue Cross Plan (1994 only) |
| 050 |
Blue Cross Plan |
| 060 |
Blue Cross Plan |
| 070 |
Blue Cross Plan |
| 080 |
Blue Cross Plan |
| 090 |
Blue Cross Plan |
| 100 |
Blue Cross Plan (1994 only) |
| 101 |
Blue Cross Plan |
| 110 |
Blue Cross Plan |
| 121 |
Blue Cross Plan |
| 130 |
Blue Cross Plan |
| 140 |
Blue Cross Plan |
| 141 |
Blue Cross Plan |
| 150 |
Blue Cross Plan |
| 160 |
Blue Cross Plan |
| 170 |
Blue Cross Plan |
| 180 |
Blue Cross Plan |
| 190 |
Blue Cross Plan |
| 200 |
Blue Cross Plan |
| 210 |
Blue Cross Plan |
| 220 |
Blue Cross Plan |
| 230 |
Blue Cross Plan |
| 240 |
Blue Cross Plan |
| 241 |
Blue Cross Plan |
| 250 |
Blue Cross Plan |
| 260 |
Blue Cross Plan |
| 265 |
Blue Cross Plan |
| 270 |
Blue Cross Plan |
| 280 |
Blue Cross Plan |
| 281 |
Blue Cross Plan (valid beginning 1/93) |
| 290 |
Blue Cross Plan |
| 300 |
Blue Cross Plan (1994 only) |
| 301 |
Blue Cross Plan |
| 303 |
Blue Cross Plan |
| 304 |
Blue Cross Plan |
| 305 |
Blue Cross Plan |
| 306 |
Blue Cross Plan |
| 307 |
Blue Cross Plan (1994 only) |
| 308 |
Blue Cross Plan (1994 only) |
| 310 |
Blue Cross Plan |
| 320 |
Blue Cross Plan |
| 331 |
Blue Cross Plan (1994 only) |
| 332 |
Blue Cross Plan |
| 333 |
Blue Cross Plan |
| 334 |
Blue Cross Plan (1994 only) |
| 335 |
Blue Cross Plan (1994 only) |
| 337 |
Blue Cross Plan (1994 only) |
| 338 |
Blue Cross Plan (1994 only) |
| 340 |
Blue Cross Plan |
| 350 |
Blue Cross Plan |
| 351 |
Blue Cross Plan |
| 360 |
Blue Cross Plan (1994 only) |
| 361 |
Blue Cross plan |
| 362 |
Blue Cross Plan |
| 363 |
Blue Cross plan |
| 364 |
Blue Cross plan |
| 370 |
Blue Cross plan |
| 380 |
Blue Cross plan |
| 390 |
Blue Cross Plan |
| 392 |
Blue Cross Plan |
| 400 |
Blue Cross plan |
| 410 |
Blue Cross plan |
| 415 |
Blue Cross plan |
| 423 |
Blue Cross plan |
| 424 |
Blue Cross Plan (1994 only) |
| 430 |
Blue Cross Plan |
| 441 |
Blue Cross Plan (1994 only) |
| 443 |
Blue Cross Plan |
| 444 |
Blue Cross Plan (1994 only) |
| 450 |
Blue Cross Plan |
| 460 |
Blue Cross Plan |
| 470 |
Blue Cross Plan |
| 471 |
Blue Cross Plan (effective beginning 1/93) |
| 865 |
Blue Cross Plan (effective beginning 1/95) |
| 932 |
Blue Cross Plan (1994 only) |
| 936 |
Blue Cross Plan (1994 only) |
| 971 |
Blue Cross Plan (1994 only) |
| 105 |
Commercial |
| 106 |
Commercial |
| 107 |
Commercial (effective beginning 4/1/95) |
| 115 |
Commercial |
| 120 |
Commercial |
| 125 |
Commercial |
| 131 |
Commercial |
| 135 |
Commercial |
| 142 |
Commercial |
| 145 |
Commercial |
| 151 |
Commercial |
| 155 |
Commercial |
| 161 |
Commercial |
| 165 |
Commercial |
| 171 |
Commercial |
| 175 |
Commercial |
| 181 |
Commercial |
| 185 |
Commercial |
| 186 |
Commercial |
| 187 |
Commercial |
| 188 |
Commercial |
| 189 |
Commercial |
| 191 |
Commercial |
| 192 |
Commercial |
| 193 |
Commercial |
| 194 |
Commercial |
| 195 |
Commercial |
| 196 |
Commercial |
| 197 |
Commercial |
| 198 |
Commercial |
| 199 |
Commercial |
| 032 |
HMO (effective 11/96) |
| 033 |
HMO (effective 11/96) |
| 034 |
HMO (effective 8/96) |
| 035 |
HMO (effective 11/95) |
| 036 |
HMO (effective 8/97) |
| 037 |
HMO (effective 8/97) |
| 043 |
HMO (1994 only) |
| 044 |
HMO (1994 only) |
| 045 |
HMO |
| 046 |
HMO (1994 only) |
| 047 |
HMO |
| 048 |
HMO |
| 049 |
HMO (1994 only) |
| 051 |
HMO (1994 only) |
| 052 |
HMO (1994 only) |
| 053 |
HMO (discontinued 6/98) |
| 054 |
HMO (1994 only) |
| 055 |
HMO (1994 only) |
| 056 |
HMO |
| 057 |
HMO (1994 only) |
| 058 |
HMO |
| 059 |
HMO |
| 061 |
HMO (discontinued 6/98) |
| 062 |
HMO (discontinued 6/98) |
| 063 |
HMO (1994 only) |
| 064 |
HMO (1994 only) |
| 065 |
HMO (1994 only) |
| 066 |
HMO (discontinued 6/98) |
| 067 |
HMO (discontinued 6/98) |
| 068 |
HMO (discontinued 6/98) |
| 069 |
HMO (discontinued 6/98) |
| 071 |
HMO (discontinued 6/98) |
| 072 |
HMO |
| 073 |
HMO |
| 074 |
HMO |
| 075 |
HMO (1994 only) |
| 077 |
HMO |
| 078 |
HMO |
| 081 |
HMO (effective 11/96) |
| 082 |
HMO (discontinued 6/98) |
| 083 |
HMO (discontinued 6/98) |
| 084 |
HMO (effective 11/96) |
| 085 |
HMO (discontinued 6/98) |
| 086 |
HMO (discontinued 6/98) |
| 087 |
HMO (effective 11/96) |
| 088 |
HMO (effective 11/96) |
| 089 |
HMO (discontinued 6/98) |
| 094 |
HMO (effective 11/96) |
| 097 |
HMO (effective 11/96) |
| 076 |
Miscellaneous |
| 091 |
Miscellaneous |
| 093 |
Miscellaneous (effective 1/95) |
| 096 |
Miscellaneous (effective 1/95) |
| 309 |
No Fault |
| 311 |
No Fault |
| 315 |
No Fault |
| 399 |
No Fault |
| 095 |
Miscellaneous |
4 |
Self-pay |
| 031 |
Patient |
| 039 |
Patient |
| 098 |
Miscellaneous |
5 |
No charge |
| 014 |
Champus |
6 |
Other |
| 016 |
Other Government |
| 092 |
Miscellaneous |
| 099 |
Miscellaneous |
| 018 |
Other Government (effective between 1988 and 1997) |
| 019 |
Other Government |
| 013 |
Title V (Material and Child Health) |
| 205 |
Worker's Compensation |
| 211 |
Worker's Compensation |
| 215 |
Worker's Compensation |
| 221 |
Worker's Compensation |
| 225 |
Worker's Compensation |
| 231 |
Worker's Compensation |
| 299 |
Worker's Compensation |
| 000, Blank |
Not Available, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
New York
|
New York
|
|
(Valid Beginning in 2005)
|
|
PAY1_X, PAY2_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| C |
Medicare |
1 |
Medicare |
| D |
Medicaid |
2 |
Medicaid |
| F |
Insurance Company, HMO, PHSP |
3 |
Private Insurance* |
| G |
Blue Cross |
| A |
Self-pay |
4 |
Self-pay |
| B |
Workers' Compensation |
6 |
Other* |
| E |
Other Federal Program |
| H |
CHAMPUS |
| I |
Other Non-Federal Program |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
New York Note: New York reports source of payment on their ED records instead of expected payer. The coding scheme uses alphabetic characters A through I defined in the recode table. New York reports expected payer for ambulatory surgery data (coding scheme is numeric). If an ambulatory surgery record has evidence of ED services (either ED charge or an admission source), then the record is also included in the HCUP SEDD.
New York
|
New York
|
(Valid Beginning in 2005)
(PAY1 applies to IP/AS/ED; PAY2 applies to IP only)
|
|
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 |
| 18 |
Corrections Federal |
| 19 |
Corrections State |
| 20 |
Corrections Local |
| Blank |
Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
New York
|
New York
|
|
(Valid for 1993-2004)
|
|
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
Beginning in Q4 2010, the payer data element was modified to two characters in length and the values changed.
|
North Carolina
|
|
Valid from October - December 2010
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| MA |
Medicare |
1 |
Medicare |
| MB |
Medicare Part B |
| MC |
Medicaid |
2 |
Medicaid |
| BL |
Blue Cross |
3 |
Private insurance |
| HM |
HMO - PPO |
| CI |
Other Insurance Companies |
| A |
Automobile Medical |
| 14 |
Exclusive Provider Org |
| 16 |
Health Maintenance Org |
| 15 |
Indemnity Insurance |
| LI |
Liability |
| LM |
Liability Medical |
| 13 |
Point of Service |
| 12 |
Preferred Provider Org |
| 09 |
Self-pay |
4 |
Self-pay |
| -- |
|
5 |
No charge |
| CH |
Champus |
6 |
Other |
| O |
Other |
| DS |
Disability |
| OF |
Other Federal Program |
| 11 |
Other Non-Federal Program |
| TV |
Title V |
| VA |
Veteran Administration Plan |
| WC |
Workers' Compensation |
| ZZ, Blank |
Documented by source as unknown values |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
|
North Carolina
|
|
Valid from January - September 2010
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| M |
Medicare |
1 |
Medicare |
| T |
Medicare Part B |
| 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 |
Ohio
| Ohio |
| (Beginning in 2006) |
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| C |
Medicare |
1 |
Medicare |
| O |
Medicare HMO |
| D |
Medicaid |
2 |
Medicaid |
| M |
Medicaid HMO |
| F |
Commercial Insurance |
3 |
Private insurance |
| G |
Blue Cross Crossover |
| J |
Blue Cross |
| K |
HMO |
| L |
PPO |
| N |
Blue Cross HMO |
| A |
Self Pay |
4 |
Self-pay |
| P |
Bad Debt - beginning with 2003 |
5 |
No charge |
| Q |
Charity - beginning with 2003 |
| B |
Workers Compensation |
6 |
Other |
| E |
Other Government |
| H |
Champus |
| I |
Other |
| R |
Hospital Care Assurance Program (HCAP) - beginning with 2003 |
| Z |
International Payor |
| 00, Blank |
Unknown, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Ohio
|
Ohio
|
|
(Prior to 2006) |
|
PAY1_X
|
PAY1
|
|
Value
|
Description
|
Value
|
Description
|
| 03 |
Medicare |
1 |
Medicare |
| 15 |
Medicare HMO |
| 04 |
Medicaid |
2 |
Medicaid |
| 13 |
Medicaid HMO |
| 06 |
Commercial Insurance |
3 |
Private insurance |
| 07 |
Blue Cross Crossover |
| 10 |
Blue Cross Primary |
| 11 |
HMO |
| 12 |
PPO |
| 14 |
Blue Cross HMO |
| 01 |
Self Pay |
4 |
Self-pay |
| 16 |
Bad Debt - beginning with 2003 |
5 |
No charge |
| 17 |
Charity - beginning with 2003 |
| 02 |
Workers Compensation |
6 |
Other |
| 05 |
Other Federal |
| 08 |
Champus |
| 09 |
Other |
| 18 |
Hospital Care Assurance Program (HCAP) - beginning with 2003 |
| 00, Blank |
Unknown, Missing |
. |
Missing |
| Any values not documented by the data source |
.A |
Invalid |
Oklahoma
|
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 |
Oklahoma
Due to an error in processing, 4,616 (0.89%) Workers Compensation records were coded to missing in the 2005 data file. These records can be identified by PAY1_X = 5.
Oregon
|
Oregon
|
(Valid Beginning in 2008 - SID only)
(Valid Beginning in 2010 - SASD only)
|
|
PAY1_X, PAY2_X, and PAY3_X
|
PAY1 and PAY2
|
|
Value
|
Description
|
Value
|
Description
|
| 11 |
Medicare (Managed Care) |
1 |
Medicare |
| 12 |
Medicare (Fee-For-Service) |
| 21 |
Medicaid (Managed Care) |
2 |
Medicaid |
| 22 |
Medicaid (Fee-For-Service) |
| 25 |
Medicaid - Out Of State |
| 51 |
HMO/Managed Care |
3 |
Private Insurance |
| 511 | |