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					                                                                                       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

				
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