Get documents about "86853000_C154__DE_5_02_1_
Document Sample
Constraint Details
C154-[DE-5.02-1]
Identifying and Definitional Attributes
Name C154-[DE-5.02-1]
Abbreviation
Alternative Name
Definition The Health Insurance Type SHALL be coded as specified in HITSP/C80 Secti
Context C154 HITSP Data Dictionary Component
Registration Authority Health Information Technology Standards Panel
USHIK Constraint ID HITSP.86853v.1
OID
URI
Effective Date 2010-02-23
Until Date
Status Received
Type Constraint
Comment C80 Value Sets V2.0
Change Description
Administrative Note
Value Domain Health Insurance Type Value Set
Value Domain Definition This value set uses the ACS X12 vocabulary for Insurance Type Code (ASC X
Permissible Values Permissible Value
12
13
14
15
16
41
42
43
47
AP
C1
CO
CP
D
DB
EP
FF
GP
HM
HN
HS
IN
IP
LC
LD
LI
LT
MA
MB
MC
MH
MI
MP
OT
PE
PL
PP
PR
PS
QM
RP
SP
TF
WC
WU
Administrative Attributes
Date of Submission 2010-02-23
Submitting Organization Health Information Technology Standards Panel
Respnsible Organization Health Information Technology Standards Panel
Contexts related to C154-[DE-5.02-1] (1)
Relationship Item
is referenced by C154 HITSP Data Dictionary
Component
Data Elements related to C154-[DE-5.02-1] (1)
Relationship Item
constrains 5.02 Health Insurance Type
Value Domains related to C154-[DE-5.02-1] (1)
Relationship Item
constrains Health Insurance Type Value Set
Constraint Details
C154-[DE-5.02-1]
e SHALL be coded as specified in HITSP/C80 Section 2.2.2.1 Health Insurance Type
ary Component
ology Standards Panel
lue Set
CS X12 vocabulary for Insurance Type Code (ASC X12 Data Element 1336) and has been limited by HITSP to the value set reproduced
Domain Meaning Name Domain Meaning Definition Text Begin Date
Medicare Secondary Working Aged 2010-01-25
Beneficiary or Spouse with Employer
Group Health Plan
Medicare Secondary End-Stage 2010-01-25
Renal Disease Beneficiary in the 12
month coordination period with an
employer’s group health plan
Medicare Secondary, No-fault 2010-01-25
Insurance including Auto is Primary
Medicare Secondary Worker’s 2010-01-25
Compensation
Medicare Secondary Public Health 2010-01-25
Service (PHS)or Other Federal
Agency
Medicare Secondary Black Lung 2010-01-25
Medicare Secondary Veteran’s 2010-01-25
Administration
Medicare Secondary Disabled 2010-01-25
Beneficiary Under Age 65 with Large
Group Health Plan (LGHP)
Medicare Secondary, Other Liability 2010-01-25
Insurance is Primary
Auto Insurance Policy 2010-01-25
Commercial 2010-01-25
Consolidated Omnibus Budget 2010-01-25
Reconciliation Act (COBRA)
Medicare Conditionally Primary 2010-01-25
Disability 2010-01-25
Disability Benefits 2010-01-25
Exclusive Provider Organization 2010-01-25
Family or Friends 2010-01-25
Group Policy 2010-01-25
Health Maintenance Organization 2010-01-25
(HMO)
Health Maintenance Organization 2010-01-25
(HMO) - Medicare Risk
Special Low Income Medicare 2010-01-25
Beneficiary
Indemnity 2010-01-25
Individual Policy 2010-01-25
Long Term Care 2010-01-25
Long Term Policy 2010-01-25
Life Insurance 2010-01-25
Litigation 2010-01-25
Medicare Part A 2010-01-25
Medicare Part B 2010-01-25
Medicaid 2010-01-25
Medigap Part A 2010-01-25
Medigap Part B 2010-01-25
Medicare Primary 2010-01-25
Other 2010-01-25
Property Insurance - Personal 2010-01-25
Personal 2010-01-25
Personal Payment (Cash - No 2010-01-25
Insurance)
Preferred Provider Organization 2010-01-25
(PPO)
Point of Service (POS) 2010-01-25
Qualified Medicare Beneficiary 2010-01-25
Property Insurance - Real 2010-01-25
Supplemental Policy 2010-01-25
Tax Equity Fiscal Responsibility Act 2010-01-25
(TEFRA)
Workers Compensation 2010-01-25
Wrap Up Policy 2010-01-25
ology Standards Panel
ology Standards Panel
USHIK ID
HITSP.85419.v1
USHIK ID
HITSP.84424.v2
USHIK ID
HITSP.86693.v1
TSP to the value set reproduced
End Date
