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Claim Filing Indicator Code

Name:Claim Filing Indicator Code
Type:Data Element
Definition:Code identifying type of claim or expected adjudication process.
Version:005010
Data Element Reference Number:1032
Permissible Values:
Code / Value Meaning Meaning Definition Text
09 Self-pay Not Provided
11 Other Non-Federal Programs Not Provided
12 Preferred Provider Organization (PPO) Not Provided
13 Point of Service (POS) Not Provided
14 Exclusive Provider Organization (EPO) Not Provided
15 Indemnity Insurance Not Provided
16 Health Maintenance Organization (HMO) Medicare Risk Not Provided
17 Dental Maintenance Organization Not Provided
AM Automobile Medical Not Provided
BL Blue Cross/Blue Shield Not Provided
CH Champus Not Provided
CI Commercial Insurance Co. Not Provided
DS Disability Not Provided
FI Federal Employees Program Not Provided
HM Health Maintenance Organization Not Provided
LM Liability Medical Not Provided
MA Medicare Part A Not Provided
MB Medicare Part B Not Provided
MC Medicaid Not Provided
OF Other Federal Program Not Provided
TV Title V Not Provided
VA Veterans Affairs Plan Not Provided
WC Workers' Compensation Health Claim Not Provided
ZZ Mutually Defined Not Provided
Registration Authority:Accredited Standards Committee X12
Source:Accredited Standards Committee X12
Submitting Organization: Washington Publishing Company
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