D | Disability Insurance
Start: 05/17/2018 |
M | Medicare Advantage Point of Service (POS) Plan that excludes Part D coverage Start: 05/17/2018 |
12 | Medicare is secondary, Working Aged Beneficiary or Spouse with employer group health plan is primary Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
13 | Medicare is secondary, End-Stage Renal Disease Beneficiary in the mandated coordination period with an employer's group health plan is primary Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
14 | Medicare is secondary, no-fault insurance, including auto, is primary Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
15 | Medicare is secondary, Worker's Compensation is primary Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
16 | Medicare is secondary, Public Health Service (PHS) or Other Federal Agency is primary Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
17
| Dental Insurance Start: 05/17/2018 |
18 | Vision Insurance Start: 05/17/2018 |
19 | Prescription Drug Insurance Start: 05/17/2018 |
41 | Medicare is secondary, Black Lung is primary Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
42 | Medicare is secondary, Veteran's Administration is primary Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
43 | Medicare is secondary, Disabled Beneficiary Under Age 65 with a large group health plan (LGHP) is primary Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
47 | Medicare is secondary, other liability insurance is primary Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
AP
| Automobile Insurance
Start: 05/17/2018 |
C1
| Commercial Insurance
Start: 05/17/2018 |
CO | Beneficiary is under Consolidated Omnibus Budget Reconciliation Act (COBRA) coverage Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
EP
| Exclusive Provider Organization (EPO) Plan
Start: 05/17/2018 |
HB
| Health Insurance Exchange (HIX) Bronze
Start: 05/17/2018 |
HD
| High Deductible Health Plan (HDHP)
Start: 05/17/2018 |
HG
| Health Insurance Exchange (HIX) Gold
Start: 05/17/2018 |
HM
| Health Maintenance Organization (HMO) Plan
Start: 05/17/2018 |
HP
| Health Insurance Exchange (HIX) Platinum
Start: 05/17/2018 |
HS
| Health Insurance Exchange (HIX) Silver
An individual eligible for Medicare for whom Medicaid pays only Medicare premiums.
Start: 05/17/2018 |
IN
| Indemnity Plan
Gives a subscriber the choice to select any provider. Payment is fixed percentage of the cost for covered care after satisfying an annual deductible.
Start: 05/17/2018 |
LC
| Long Term Care Insurance
Coverage designed to help pay for some or all long term care costs, reducing the risk that a policy-holder would need to deplete all of his or her assets to pay for long term care.
Start: 05/17/2018 |
LI
| Life Insurance
Start: 05/17/2018 |
LT | Impacted by litigation Start: 07/19/2018 Technical Note: Although this code does not conform to the intended use of this code list as defined in the list's description, it is being grandfathered in as part of the conversion from an internal code list to an external code list. In the future, requested codes must conform to the list's defined purpose to be approved. |
MA
| Medicare Part A
Start: 05/17/2018 |
MB
| Medicare Part B
Start: 05/17/2018 |
MD
| Medicare Part D
Start: 05/17/2018 |
ME
| Medicare Advantage Preferred Provider Organization (PPO) Plan that excludes Part D Coverage
Start: 05/17/2018 |
MJ
| Medicare Advantage Health Maintenance Organization (HMO) Plan that includes Part D Coverage
Start: 05/17/2018 |
MK
| Medicare Advantage Health Maintenance Organization (HMO) Risk Plan that includes Part D Coverage
Start: 05/17/2018 |
ML
| Medicare Advantage Indemnity Plan that includes Part D Coverage
Start: 05/17/2018 |
MM
| Medicare Advantage Preferred Provider Organization (PPO) Plan that includes Part D Coverage
Start: 05/17/2018 |
MN
| Medicare Advantage Indemnity Plan that excludes Part D coverage
Start: 05/17/2018 |
MO
| Medicare Advantage Point of Service (POS) Plan that includes Part D Coverage
Start: 05/17/2018 |
MR
| Medicare Advantage Health Maintenance Organization (HMO) Risk Plan that excludes Part D coverage
Start: 05/17/2018 |
MT
| Medicare Advantage Health Maintenance Organization (HMO) Plan that excludes Part D coverage
Start: 05/17/2018 |
OA
| Open Access Point of Service Plan (POS) Plan
Start: 05/17/2018 |
PE
| Property Insurance - Personal
Start: 05/17/2018 |
PR
| Preferred Provider Organization (PPO) Plan
Start: 05/17/2018 |
PS
| Point of Service (POS) Plan
Start: 05/17/2018 |
RP
| Property Insurance - Real
Start: 05/17/2018 |
SP
| Supplemental Insurance
An insurance policy intended to cover non-covered charges of another insurance policy.
Start: 05/17/2018 |
WC
| Workers Compensation Insurance
Coverage provides medical treatment, rehabilitation, lost wages and related expenses arising from a job related injury or disease.
Start: 05/17/2018 |
WU
| Wrap-Up Insurance
A Workers Compensation Policy written for a specific job site, which will include or cover more than one insured.
Start: 05/17/2018 |