| Level/ Type |
Code |
Display Name |
Code System |
| 0‑L |
1
|
Medicare
|
Source of Payment Typology |
| 0‑L |
2
|
Medicaid
|
Source of Payment Typology |
| 0‑L |
311
|
Tricare (CHAMPUS)
|
Source of Payment Typology |
| 0‑L |
33
|
Indian Health Service or Tribe
|
Source of Payment Typology |
| 0‑L |
62
|
BC Indemnity
|
Source of Payment Typology |
| 0‑L |
61
|
BC Managed Care
|
Source of Payment Typology |
| 0‑L |
611
|
BC Managed Care - HMO
|
Source of Payment Typology |
| 0‑L |
619
|
BC Managed Care - Other
|
Source of Payment Typology |
| 0‑L |
613
|
BC Managed Care - POS
|
Source of Payment Typology |
| 0‑L |
612
|
BC Managed Care - PPO
|
Source of Payment Typology |
| 0‑L |
35
|
Black Lung
|
Source of Payment Typology |
| 0‑L |
6
|
BLUE CROSS/BLUE SHIELD
|
Source of Payment Typology |
| 0‑L |
821
|
Charity
|
Source of Payment Typology |
| 0‑L |
3223
|
Children of Women Vietnam Veterans (CWVV)
|
Source of Payment Typology |
| 0‑L |
3221
|
Civilian Health and Medical Program for the VA (CHAMPVA)
|
Source of Payment Typology |
| 0‑L |
521
|
Commercial Indemnity
|
Source of Payment Typology |
| 0‑L |
511
|
Commercial Managed Care - HMO
|
Source of Payment Typology |
| 0‑L |
513
|
Commercial Managed Care - POS
|
Source of Payment Typology |
| 0‑L |
512
|
Commercial Managed Care - PPO
|
Source of Payment Typology |
| 0‑L |
32123
|
Contract Nursing Home/Community Nursing Home
|
Source of Payment Typology |
| 0‑L |
41
|
Corrections Federal
|
Source of Payment Typology |
| 0‑L |
43
|
Corrections Local
|
Source of Payment Typology |
| 0‑L |
42
|
Corrections State
|
Source of Payment Typology |
| 0‑L |
44
|
Corrections Unknown Level
|
Source of Payment Typology |
| 0‑L |
313
|
Dental --Stand Alone
|
Source of Payment Typology |
| 0‑L |
31
|
Department of Defense
|
Source of Payment Typology |
| 0‑L |
3119
|
Department of Defense - (other)
|
Source of Payment Typology |
| 0‑L |
32
|
Department of Veterans Affairs
|
Source of Payment Typology |
| 0‑L |
4
|
DEPARTMENTS OF CORRECTIONS
|
Source of Payment Typology |
| 0‑L |
3211
|
Direct Care--Care provided in VA facilities
|
Source of Payment Typology |
| 0‑L |
93
|
Disability Insurance
|
Source of Payment Typology |
| 0‑L |
3121
|
Enrolled Prime--HMO
|
Source of Payment Typology |
| 0‑L |
514
|
Exclusive Provider Organization
|
Source of Payment Typology |
| 0‑L |
382
|
Federal, State, Local not specified - FFS
|
Source of Payment Typology |
| 0‑L |
3811
|
Federal, State, Local not specified - HMO
|
Source of Payment Typology |
| 0‑L |
3819
|
Federal, State, Local not specified - not specified managed care
|
Source of Payment Typology |
| 0‑L |
389
|
Federal, State, Local not specified - Other
|
Source of Payment Typology |
| 0‑L |
3813
|
Federal, State, Local not specified - POS
|
Source of Payment Typology |
| 0‑L |
3812
|
Federal, State, Local not specified - PPO
|
Source of Payment Typology |
| 0‑L |
381
|
Federal, State, Local not specified managed care
|
Source of Payment Typology |
| 0‑L |
32121
|
Fee Basis
|
Source of Payment Typology |
| 0‑L |
372
|
FFS/Indemnity
|
Source of Payment Typology |
| 0‑L |
32122
|
Foreign Fee/Foreign Medical Program(FMP)
|
Source of Payment Typology |
| 0‑L |
91
|
Foreign National
|
Source of Payment Typology |
| 0‑L |
515
|
Gatekeeper PPO (GPPO)
|
Source of Payment Typology |
| 0‑L |
84
|
Hill Burton Free Care
|
Source of Payment Typology |
| 0‑L |
71
|
HMO
|
Source of Payment Typology |
| 0‑L |
3711
|
HMO
|
Source of Payment Typology |
| 0‑L |
34
|
HRSA Program
|
Source of Payment Typology |
| 0‑L |
332
|
Indian Health Service - Contract
|
Source of Payment Typology |
| 0‑L |
333
|
Indian Health Service - Managed Care
|
Source of Payment Typology |
| 0‑L |
331
|
Indian Health Service - Regular
|
Source of Payment Typology |
| 0‑L |
33
|
Indian Health Service or Tribe
|
Source of Payment Typology |
| 0‑L |
334
|
Indian Tribe - Sponsored Coverage
|
Source of Payment Typology |
| 0‑L |
3212
|
Indirect Care--Care provided outside VA facilities
|
Source of Payment Typology |
| 0‑L |
371
|
Local - Managed care
|
Source of Payment Typology |
| 0‑L |
37
|
Local Government
|
Source of Payment Typology |
| 0‑L |
379
|
Local, not otherwise specified (other local, county)
|
Source of Payment Typology |
| 0‑L |
94
|
Long-term Care Insurance
|
Source of Payment Typology |
| 0‑L |
51
|
Managed Care (Private)
|
Source of Payment Typology |
| 0‑L |
53
|
Managed Care (private) or private health insurance (indemnity), not otherwise specified
|
Source of Payment Typology |
| 0‑L |
519
|
Managed Care, Other (non HMO)
|
Source of Payment Typology |
| 0‑L |
7
|
MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)
|
Source of Payment Typology |
| 0‑L |
2
|
MEDICAID
|
Source of Payment Typology |
| 0‑L |
25
|
Medicaid - Out of State
|
Source of Payment Typology |
| 0‑L |
21
|
Medicaid (Managed Care)
|
Source of Payment Typology |
| 0‑L |
22
|
Medicaid (Non-managed Care Plan)
|
Source of Payment Typology |
| 0‑L |
24
|
Medicaid Applicant
|
Source of Payment Typology |
| 0‑L |
211
|
Medicaid HMO
|
Source of Payment Typology |
| 0‑L |
219
|
Medicaid Managed Care Other
|
Source of Payment Typology |
| 0‑L |
29
|
Medicaid Other
|
Source of Payment Typology |
| 0‑L |
213
|
Medicaid PCCM (Primary Care Case Management)
|
Source of Payment Typology |
| 0‑L |
212
|
Medicaid PPO
|
Source of Payment Typology |
| 0‑L |
23
|
Medicaid/SCHIP
|
Source of Payment Typology |
| 0‑L |
1
|
MEDICARE
|
Source of Payment Typology |
| 0‑L |
11
|
Medicare (Managed Care)
|
Source of Payment Typology |
| 0‑L |
12
|
Medicare (Non-managed Care)
|
Source of Payment Typology |
| 0‑L |
122
|
Medicare Drug Benefit
|
Source of Payment Typology |
| 0‑L |
121
|
Medicare FFS
|
Source of Payment Typology |
| 0‑L |
111
|
Medicare HMO
|
Source of Payment Typology |
| 0‑L |
119
|
Medicare Managed Care Other
|
Source of Payment Typology |
| 0‑L |
123
|
Medicare Medical Savings Account (MSA)
|
Source of Payment Typology |
| 0‑L |
129
|
Medicare Non-managed Care Other
|
Source of Payment Typology |
| 0‑L |
19
|
Medicare Other
|
Source of Payment Typology |
| 0‑L |
113
|
Medicare POS
|
Source of Payment Typology |
| 0‑L |
112
|
Medicare PPO
|
Source of Payment Typology |
| 0‑L |
523
|
Medicare supplemental policy (as second payer)
|
Source of Payment Typology |
| 0‑L |
342
|
Migrant Health Program
|
Source of Payment Typology |
| 0‑L |
312
|
Military Treatment Facility
|
Source of Payment Typology |
| 0‑L |
9
|
MISCELLANEOUS/OTHER
|
Source of Payment Typology |
| 0‑L |
82
|
No Charge
|
Source of Payment Typology |
| 0‑L |
8
|
NO PAYMENT from an Organization/Agency/Program/Private Payer Listed
|
Source of Payment Typology |
| 0‑L |
89
|
No Payment, Other
|
Source of Payment Typology |
| 0‑L |
99
|
No Typology Code available for payment source
|
Source of Payment Typology |
| 0‑L |
3122
|
Non-enrolled Space Available
|
Source of Payment Typology |
| 0‑L |
322
|
Non-veteran care
|
Source of Payment Typology |
| 0‑L |
54
|
Organized Delivery System
|
Source of Payment Typology |
| 0‑L |
349
|
Other
|
Source of Payment Typology |
| 0‑L |
92
|
Other (Non-government)
|
Source of Payment Typology |
| 0‑L |
39
|
Other Federal
|
Source of Payment Typology |
| 0‑L |
32126
|
Other Federal Agency
|
Source of Payment Typology |
| 0‑L |
38
|
Other Government (Federal, State, Local not specified)
|
Source of Payment Typology |
| 0‑L |
3
|
OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)
|
Source of Payment Typology |
| 0‑L |
79
|
Other Managed Care, Unknown if public or private
|
Source of Payment Typology |
| 0‑L |
3229
|
Other non-veteran care
|
Source of Payment Typology |
| 0‑L |
59
|
Other Private Insurance
|
Source of Payment Typology |
| 0‑L |
98
|
Other specified (includes Hospice - Unspecified plan)
|
Source of Payment Typology |
| 0‑L |
73
|
POS
|
Source of Payment Typology |
| 0‑L |
3713
|
POS
|
Source of Payment Typology |
| 0‑L |
72
|
PPO
|
Source of Payment Typology |
| 0‑L |
3712
|
PPO
|
Source of Payment Typology |
| 0‑L |
5
|
PRIVATE HEALTH INSURANCE
|
Source of Payment Typology |
| 0‑L |
52
|
Private Health Insurance - Indemnity
|
Source of Payment Typology |
| 0‑L |
529
|
Private health insurance-other commercial Indemnity
|
Source of Payment Typology |
| 0‑L |
822
|
Professional Courtesy
|
Source of Payment Typology |
| 0‑L |
83
|
Refusal to Pay/Bad Debt
|
Source of Payment Typology |
| 0‑L |
823
|
Research/Clinical Trial
|
Source of Payment Typology |
| 0‑L |
85
|
Research/Donor
|
Source of Payment Typology |
| 0‑L |
343
|
Ryan White Act
|
Source of Payment Typology |
| 0‑L |
522
|
Self-insured (ERISA) Administrative Services Only (ASO) plan
|
Source of Payment Typology |
| 0‑L |
81
|
Self-pay
|
Source of Payment Typology |
| 0‑L |
32125
|
Sharing Agreements
|
Source of Payment Typology |
| 0‑L |
55
|
Small Employer Purchasing Group
|
Source of Payment Typology |
| 0‑L |
362
|
Specific state programs (list/ local code)
|
Source of Payment Typology |
| 0‑L |
3222
|
Spina Bifida Health Care Program (SB)
|
Source of Payment Typology |
| 0‑L |
36
|
State Government
|
Source of Payment Typology |
| 0‑L |
361
|
State SCHIP program (codes for individual states)
|
Source of Payment Typology |
| 0‑L |
32124
|
State Veterans Home
|
Source of Payment Typology |
| 0‑L |
369
|
State, not otherwise specified (other state)
|
Source of Payment Typology |
| 0‑L |
341
|
Title V (MCH Block Grant)
|
Source of Payment Typology |
| 0‑L |
311
|
TRICARE (CHAMPUS)
|
Source of Payment Typology |
| 0‑L |
3112
|
TRICARE Extra--PPO
|
Source of Payment Typology |
| 0‑L |
3123
|
TRICARE For Life (TFL)
|
Source of Payment Typology |
| 0‑L |
3114
|
TRICARE For Life--Medicare Supplement
|
Source of Payment Typology |
| 0‑L |
3111
|
TRICARE Prime--HMO
|
Source of Payment Typology |
| 0‑L |
3115
|
TRICARE Reserve Select
|
Source of Payment Typology |
| 0‑L |
3113
|
TRICARE Standard - Fee For Service
|
Source of Payment Typology |
| 0‑L |
9999
|
Unavailable / Unknown
|
Source of Payment Typology |
| 0‑L |
3116
|
Uniformed Services Family Health Plan (USFHP) -- HMO
|
Source of Payment Typology |
| 0‑L |
321
|
Veteran care--Care provided to Veterans
|
Source of Payment Typology |
| 0‑L |
953
|
Worker's Comp Fee-for-Service
|
Source of Payment Typology |
| 0‑L |
951
|
Worker's Comp HMO
|
Source of Payment Typology |
| 0‑L |
954
|
Worker's Comp Other Managed Care
|
Source of Payment Typology |
| 0‑L |
959
|
Worker's Comp, Other unspecified
|
Source of Payment Typology |
| 0‑L |
95
|
Worker's Compensation
|
Source of Payment Typology |
| 0‑L |
1
|
MEDICARE
|
Source of Payment Typology |
| 0‑L |
11
|
Medicare (Managed Care)
|
Source of Payment Typology |
| 0‑L |
111
|
Medicare HMO
|
Source of Payment Typology |
| 0‑L |
112
|
Medicare PPO
|
Source of Payment Typology |
| 0‑L |
113
|
Medicare POS
|
Source of Payment Typology |
| 0‑L |
119
|
Medicare Managed Care Other
|
Source of Payment Typology |
| 0‑L |
12
|
Medicare (Non-managed Care)
|
Source of Payment Typology |
| 0‑L |
121
|
Medicare FFS
|
Source of Payment Typology |
| 0‑L |
122
|
Medicare Drug Benefit
|
Source of Payment Typology |
| 0‑L |
123
|
Medicare Medical Savings Account (MSA)
|
Source of Payment Typology |
| 0‑L |
129
|
Medicare Non-managed Care Other
|
Source of Payment Typology |
| 0‑L |
19
|
Medicare Other
|
Source of Payment Typology |
| 0‑L |
2
|
MEDICAID
|
Source of Payment Typology |
| 0‑L |
21
|
Medicaid (Managed Care)
|
Source of Payment Typology |
| 0‑L |
211
|
Medicaid HMO
|
Source of Payment Typology |
| 0‑L |
212
|
Medicaid PPO
|
Source of Payment Typology |
| 0‑L |
213
|
Medicaid PCCM (Primary Care Case Management)
|
Source of Payment Typology |
| 0‑L |
219
|
Medicaid Managed Care Other
|
Source of Payment Typology |
| 0‑L |
22
|
Medicaid (Non-managed Care Plan)
|
Source of Payment Typology |
| 0‑L |
23
|
Medicaid/SCHIP
|
Source of Payment Typology |
| 0‑L |
24
|
Medicaid Applicant
|
Source of Payment Typology |
| 0‑L |
25
|
Medicaid - Out of State
|
Source of Payment Typology |
| 0‑L |
29
|
Medicaid Other
|
Source of Payment Typology |
| 0‑L |
3
|
OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)
|
Source of Payment Typology |
| 0‑L |
31
|
Department of Defense
|
Source of Payment Typology |
| 0‑L |
311
|
TRICARE (CHAMPUS)
|
Source of Payment Typology |
| 0‑L |
3111
|
TRICARE Prime-HMO
|
Source of Payment Typology |
| 0‑L |
3112
|
TRICARE Extra-PPO
|
Source of Payment Typology |
| 0‑L |
3113
|
TRICARE Standard - Fee For Service
|
Source of Payment Typology |
| 0‑L |
3114
|
TRICARE For Life--Medicare Supplement
|
Source of Payment Typology |
| 0‑L |
3115
|
TRICARE Reserve Select
|
Source of Payment Typology |
| 0‑L |
3116
|
Uniformed Services Family Health Plan (USFHP) -- HMO
|
Source of Payment Typology |
| 0‑L |
3119
|
Department of Defense - (other)
|
Source of Payment Typology |
| 0‑L |
312
|
Military Treatment Facility
|
Source of Payment Typology |
| 0‑L |
3121
|
Enrolled Prime-HMO
|
Source of Payment Typology |
| 0‑L |
3122
|
Non-enrolled Space Available
|
Source of Payment Typology |
| 0‑L |
3123
|
TRICARE For Life (TFL)
|
Source of Payment Typology |
| 0‑L |
313
|
Dental --Stand Alone
|
Source of Payment Typology |
| 0‑L |
32
|
Department of Veterans Affairs
|
Source of Payment Typology |
| 0‑L |
321
|
Veteran care--Care provided to Veterans
|
Source of Payment Typology |
| 0‑L |
3211
|
Direct Care--Care provided in VA facilities
|
Source of Payment Typology |
| 0‑L |
3212
|
Indirect Care--Care provided outside VA facilities
|
Source of Payment Typology |
| 0‑L |
32121
|
Fee Basis
|
Source of Payment Typology |
| 0‑L |
32122
|
Foreign Fee/Foreign Medical Program(FMP)
|
Source of Payment Typology |
| 0‑L |
32123
|
Contract Nursing Home/Community Nursing Home
|
Source of Payment Typology |
| 0‑L |
32124
|
State Veterans Home
|
Source of Payment Typology |
| 0‑L |
32125
|
Sharing Agreements
|
Source of Payment Typology |
| 0‑L |
32126
|
Other Federal Agency
|
Source of Payment Typology |
| 0‑L |
322
|
Non-veteran care
|
Source of Payment Typology |
| 0‑L |
3221
|
Civilian Health and Medical Program for the VA (CHAMPVA)
|
Source of Payment Typology |
| 0‑L |
3222
|
Spina Bifida Health Care Program (SB)
|
Source of Payment Typology |
| 0‑L |
3223
|
Children of Women Vietnam Veterans (CWVV)
|
Source of Payment Typology |
| 0‑L |
3229
|
Other non-veteran care
|
Source of Payment Typology |
| 0‑L |
33
|
Indian Health Service or Tribe
|
Source of Payment Typology |
| 0‑L |
331
|
Indian Health Service - Regular
|
Source of Payment Typology |
| 0‑L |
332
|
Indian Health Service - Contract
|
Source of Payment Typology |
| 0‑L |
333
|
Indian Health Service - Managed Care
|
Source of Payment Typology |
| 0‑L |
334
|
Indian Tribe - Sponsored Coverage
|
Source of Payment Typology |
| 0‑L |
34
|
HRSA Program
|
Source of Payment Typology |
| 0‑L |
341
|
Title V (MCH Block Grant)
|
Source of Payment Typology |
| 0‑L |
342
|
Migrant Health Program
|
Source of Payment Typology |
| 0‑L |
343
|
Ryan White Act
|
Source of Payment Typology |
| 0‑L |
349
|
Other
|
Source of Payment Typology |
| 0‑L |
35
|
Black Lung
|
Source of Payment Typology |
| 0‑L |
36
|
State Government
|
Source of Payment Typology |
| 0‑L |
361
|
State SCHIP program (codes for individual states)
|
Source of Payment Typology |
| 0‑L |
362
|
Specific state programs (list/ local code)
|
Source of Payment Typology |
| 0‑L |
369
|
State, not otherwise specified (other state)
|
Source of Payment Typology |
| 0‑L |
37
|
Local Government
|
Source of Payment Typology |
| 0‑L |
371
|
Local - Managed care
|
Source of Payment Typology |
| 0‑L |
3711
|
HMO
|
Source of Payment Typology |
| 0‑L |
3712
|
PPO
|
Source of Payment Typology |
| 0‑L |
3713
|
POS
|
Source of Payment Typology |
| 0‑L |
372
|
FFS/Indemnity
|
Source of Payment Typology |
| 0‑L |
379
|
Local, not otherwise specified (other local, county)
|
Source of Payment Typology |
| 0‑L |
38
|
Other Government (Federal, State, Local not specified)
|
Source of Payment Typology |
| 0‑L |
381
|
Federal, State, Local not specified managed care
|
Source of Payment Typology |
| 0‑L |
3811
|
Federal, State, Local not specified - HMO
|
Source of Payment Typology |
| 0‑L |
3812
|
Federal, State, Local not specified - PPO
|
Source of Payment Typology |
| 0‑L |
3813
|
Federal, State, Local not specified - POS
|
Source of Payment Typology |
| 0‑L |
3819
|
Federal, State, Local not specified - not specified managed care
|
Source of Payment Typology |
| 0‑L |
382
|
Federal, State, Local not specified - FFS
|
Source of Payment Typology |
| 0‑L |
389
|
Federal, State, Local not specified - Other
|
Source of Payment Typology |
| 0‑L |
39
|
Other Federal
|
Source of Payment Typology |
| 0‑L |
4
|
DEPARTMENTS OF CORRECTIONS
|
Source of Payment Typology |
| 0‑L |
41
|
Corrections Federal
|
Source of Payment Typology |
| 0‑L |
42
|
Corrections State
|
Source of Payment Typology |
| 0‑L |
43
|
Corrections Local
|
Source of Payment Typology |
| 0‑L |
44
|
Corrections Unknown Level
|
Source of Payment Typology |
| 0‑L |
5
|
PRIVATE HEALTH INSURANCE
|
Source of Payment Typology |
| 0‑L |
51
|
Managed Care (Private)
|
Source of Payment Typology |
| 0‑L |
511
|
Commercial Managed Care - HMO
|
Source of Payment Typology |
| 0‑L |
512
|
Commercial Managed Care - PPO
|
Source of Payment Typology |
| 0‑L |
513
|
Commercial Managed Care - POS
|
Source of Payment Typology |
| 0‑L |
514
|
Exclusive Provider Organization
|
Source of Payment Typology |
| 0‑L |
515
|
Gatekeeper PPO (GPPO)
|
Source of Payment Typology |
| 0‑L |
519
|
Managed Care, Other (non HMO)
|
Source of Payment Typology |
| 0‑L |
52
|
Private Health Insurance - Indemnity
|
Source of Payment Typology |
| 0‑L |
521
|
Commercial Indemnity
|
Source of Payment Typology |
| 0‑L |
522
|
Self-insured (ERISA) Administrative Services Only (ASO) plan
|
Source of Payment Typology |
| 0‑L |
523
|
Medicare supplemental policy (as second payer)
|
Source of Payment Typology |
| 0‑L |
529
|
Private health insurance-other commercial Indemnity
|
Source of Payment Typology |
| 0‑L |
53
|
Managed Care (private) or private health insurance (indemnity), not otherwise specified
|
Source of Payment Typology |
| 0‑L |
54
|
Organized Delivery System
|
Source of Payment Typology |
| 0‑L |
55
|
Small Employer Purchasing Group
|
Source of Payment Typology |
| 0‑L |
59
|
Other Private Insurance
|
Source of Payment Typology |
| 0‑L |
6
|
BLUE CROSS/BLUE SHIELD
|
Source of Payment Typology |
| 0‑L |
61
|
BC Managed Care
|
Source of Payment Typology |
| 0‑L |
611
|
BC Managed Care - HMO
|
Source of Payment Typology |
| 0‑L |
612
|
BC Managed Care - PPO
|
Source of Payment Typology |
| 0‑L |
613
|
BC Managed Care - POS
|
Source of Payment Typology |
| 0‑L |
619
|
BC Managed Care - Other
|
Source of Payment Typology |
| 0‑L |
62
|
BC Indemnity
|
Source of Payment Typology |
| 0‑L |
63
|
BC (Indemnity or Managed Care) - Out of State
|
Source of Payment Typology |
| 0‑L |
64
|
BC (Indemnity or Managed Care) - Unspecified
|
Source of Payment Typology |
| 0‑L |
69
|
BC (Indemnity or Managed Care) - Other
|
Source of Payment Typology |
| 0‑L |
7
|
MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)
|
Source of Payment Typology |
| 0‑L |
71
|
HMO
|
Source of Payment Typology |
| 0‑L |
72
|
PPO
|
Source of Payment Typology |
| 0‑L |
73
|
POS
|
Source of Payment Typology |
| 0‑L |
79
|
Other Managed Care, Unknown if public or private
|
Source of Payment Typology |
| 0‑L |
8
|
NO PAYMENT from an Organization/Agency/Program/Private Payer Listed
|
Source of Payment Typology |
| 0‑L |
81
|
Self-pay
|
Source of Payment Typology |
| 0‑L |
82
|
No Charge
|
Source of Payment Typology |
| 0‑L |
821
|
Charity
|
Source of Payment Typology |
| 0‑L |
822
|
Professional Courtesy
|
Source of Payment Typology |
| 0‑L |
823
|
Research/Clinical Trial
|
Source of Payment Typology |
| 0‑L |
83
|
Refusal to Pay/Bad Debt
|
Source of Payment Typology |
| 0‑L |
84
|
Hill Burton Free Care
|
Source of Payment Typology |
| 0‑L |
85
|
Research/Donor
|
Source of Payment Typology |
| 0‑L |
89
|
No Payment, Other
|
Source of Payment Typology |
| 0‑L |
9
|
MISCELLANEOUS/OTHER
|
Source of Payment Typology |
| 0‑L |
91
|
Foreign National
|
Source of Payment Typology |
| 0‑L |
92
|
Other (Non-government)
|
Source of Payment Typology |
| 0‑L |
93
|
Disability Insurance
|
Source of Payment Typology |
| 0‑L |
94
|
Long-term Care Insurance
|
Source of Payment Typology |
| 0‑L |
95
|
Worker's Compensation
|
Source of Payment Typology |
| 0‑L |
951
|
Worker's Comp HMO
|
Source of Payment Typology |
| 0‑L |
953
|
Worker's Comp Fee-for-Service
|
Source of Payment Typology |
| 0‑L |
954
|
Worker's Comp Other Managed Care
|
Source of Payment Typology |
| 0‑L |
959
|
Worker's Comp, Other unspecified
|
Source of Payment Typology |
| 0‑L |
96
|
Auto Insurance (no fault)
|
Source of Payment Typology |
| 0‑L |
98
|
Other specified (includes Hospice - Unspecified plan)
|
Source of Payment Typology |
| 0‑L |
99
|
No Typology Code available for payment source
|
Source of Payment Typology |
| 0‑L |
9999
|
Unavailable / Unknown
|
Source of Payment Typology |
|
Value Set Payer 2014‑06‑09
