Observational Health Data Sciences and Informatics

concept_name	concept_code	domain_id	vocabulary_id	concept_class_id	standard_concept
Bronze Plan with 60% Actuarial Plan Value	OMOP generated	Payer	Payer	Plan	S
Silver Plan with 70% Actuarial Plan Value	OMOP generated	Payer	Payer	Plan	S
Gold Plan with 80% Actuarial Plan Value	OMOP generated	Payer	Payer	Plan	S
Platinum Plan with 80% Actuarial Plan Value	OMOP generated	Payer	Payer	Plan	S
Catastrophic Plan with <60% Actuarial Plan Value	OMOP generated	Payer	Payer	Plan	S
Self-Insured Health Insurance Plan	OMOP generated	Payer	Payer	Sponsor	S
Fully Insured Health Insurance Plan	OMOP generated	Payer	Payer	Sponsor	S
Individual Health Insurance Plan	OMOP generated	Payer	Payer	Sponsor	S
Small Group Health Insurance Plan	OMOP generated	Payer	Payer	Sponsor	S
Large Group Health Insurance Plan	OMOP generated	Payer	Payer	Sponsor	S
MEDICARE	1	Payer	PHDSC	Payer	S
Medicare (Managed Care)	11	Payer	PHDSC	Payer	S
Medicare HMO	111	Payer	PHDSC	Payer	S
Medicare PPO	112	Payer	PHDSC	Payer	S
Medicare POS	113	Payer	PHDSC	Payer	S
Medicare Managed Care Other	119	Payer	PHDSC	Payer	S
Medicare (Non-managed Care)	12	Payer	PHDSC	Payer	S
Medicare FFS	121	Payer	PHDSC	Payer	S
Medicare Drug Benefit	122	Payer	PHDSC	Payer	S
Medicare Medical Savings Account (MSA)	123	Payer	PHDSC	Payer	S
Medicare Non-managed Care Other	129	Payer	PHDSC	Payer	S
Medicare Hospice	13	Payer	PHDSC	Payer	S
Dual Eligibility Medicare/Medicaid Organization	14	Payer	PHDSC	Payer	S
Medicare Other	19	Payer	PHDSC	Payer	S
Medicare Pharmacy Benefit Manager	191	Payer	PHDSC	Payer	S
MEDICAID	2	Payer	PHDSC	Payer	S
Medicaid (Managed Care)	21	Payer	PHDSC	Payer	S
Medicaid HMO	211	Payer	PHDSC	Payer	S
Medicaid PPO	212	Payer	PHDSC	Payer	S
Medicaid PCCM (Primary Care Case Management)	213	Payer	PHDSC	Payer	S
Medicaid Managed Care Other	219	Payer	PHDSC	Payer	S
Medicaid (Non-managed Care Plan)	22	Payer	PHDSC	Payer	S
Medicaid/SCHIP	23	Payer	PHDSC	Payer	S
Medicaid Applicant	24	Payer	PHDSC	Payer	S
Medicaid - Out of State	25	Payer	PHDSC	Payer	S
Medicaid - Long Term Care	26	Payer	PHDSC	Payer	S
Medicaid Other	29	Payer	PHDSC	Payer	S
Medicaid Pharmacy Benefit Manager	291	Payer	PHDSC	Payer	S
Medicaid - Dental	299	Payer	PHDSC	Payer	S
OTHER GOVERNMENT (Federal/State/Local)(excluding Department of Corrections)	3	Payer	PHDSC	Payer	S
Department of Defense	31	Payer	PHDSC	Payer	S
DoD TRICARE (CHAMPUS)	311	Payer	PHDSC	Payer	S
DoD TRICARE Prime - HMO	3111	Payer	PHDSC	Payer	S
DoD TRICARE Extra - PPO	3112	Payer	PHDSC	Payer	S
DoD TRICARE Standard - Fee For Service	3113	Payer	PHDSC	Payer	S
DoD TRICARE For Life - Medicare Supplement	3114	Payer	PHDSC	Payer	S
DoD TRICARE Reserve Select	3115	Payer	PHDSC	Payer	S
DoD Uniformed Services Family Health Plan (USFHP) - HMO	3116	Payer	PHDSC	Payer	S
DoD Department of Defense - (other)	3119	Payer	PHDSC	Payer	S
Military Treatment Facility	312	Payer	PHDSC	Payer	S
Military Treatment Facility - Enrolled Prime - HMO	3121	Payer	PHDSC	Payer	S
Military Treatment Facility - Non-enrolled Space Available	3122	Payer	PHDSC	Payer	S
Military Treatment Facility - TRICARE For Life (TFL)	3123	Payer	PHDSC	Payer	S
DoD Dental - Stand Alone	313	Payer	PHDSC	Payer	S
Department of Veterans Affairs	32	Payer	PHDSC	Payer	S
Veteran care - Care provided to Veterans	321	Payer	PHDSC	Payer	S
VA Direct Care - Care provided in VA facilities	3211	Payer	PHDSC	Payer	S
VA Indirect Care - Care provided outside VA facilities	3212	Payer	PHDSC	Payer	S
VA Outside VA facilities - Fee Basis	32121	Payer	PHDSC	Payer	S
VA Outside VA facilities - Foreign Fee/Foreign Medical Program (FMP)	32122	Payer	PHDSC	Payer	S
VA Outside VA facilities - Contract Nursing Home/Community Nursing Home	32123	Payer	PHDSC	Payer	S
VA Outside VA facilities - State Veterans Home	32124	Payer	PHDSC	Payer	S
VA Outside VA facilities - Sharing Agreements	32125	Payer	PHDSC	Payer	S
VA Outside VA facilities - Other Federal Agency	32126	Payer	PHDSC	Payer	S
VA Outside VA facilities - Dental Care	32127	Payer	PHDSC	Payer	S
VA Outside VA facilities - Vision Care	32128	Payer	PHDSC	Payer	S
VA Non-veteran care	322	Payer	PHDSC	Payer	S
VA Civilian Health and Medical Program for the VA (CHAMPVA)	3221	Payer	PHDSC	Payer	S
VA Spina Bifida Health Care Program (SB)	3222	Payer	PHDSC	Payer	S
VA Children of Women Vietnam Veterans (CWVV)	3223	Payer	PHDSC	Payer	S
VA Other non-veteran care	3229	Payer	PHDSC	Payer	S
Indian Health Service or Tribe	33	Payer	PHDSC	Payer	S
Indian Health Service - Regular	331	Payer	PHDSC	Payer	S
Indian Health Service - Contract	332	Payer	PHDSC	Payer	S
Indian Health Service - Managed Care	333	Payer	PHDSC	Payer	S
Indian Tribe - Sponsored Coverage	334	Payer	PHDSC	Payer	S
HRSA Program	34	Payer	PHDSC	Payer	S
HRSA Title V (MCH Block Grant)	341	Payer	PHDSC	Payer	S
HRSA Migrant Health Program	342	Payer	PHDSC	Payer	S
HRSA Ryan White Act	343	Payer	PHDSC	Payer	S
HSRA Other	349	Payer	PHDSC	Payer	S
Black Lung	35	Payer	PHDSC	Payer	S
State Government	36	Payer	PHDSC	Payer	S
State SCHIP program (codes for individual states)	361	Payer	PHDSC	Payer	S
Specific state programs (list/ local code)	362	Payer	PHDSC	Payer	S
State, not otherwise specified (other state)	369	Payer	PHDSC	Payer	S
Local Government	37	Payer	PHDSC	Payer	S
Local - Managed care	371	Payer	PHDSC	Payer	S
Local HMO	3711	Payer	PHDSC	Payer	S
Local PPO	3712	Payer	PHDSC	Payer	S
Local POS	3713	Payer	PHDSC	Payer	S
FFS/Indemnity	372	Payer	PHDSC	Payer	S
FFS/Indemnity Local, not otherwise specified (other local, county)	379	Payer	PHDSC	Payer	S
Other Government (Federal, State, Local not specified)	38	Payer	PHDSC	Payer	S
Federal, State, Local not specified managed care	381	Payer	PHDSC	Payer	S
Federal, State, Local not specified - HMO	3811	Payer	PHDSC	Payer	S
Federal, State, Local not specified - PPO	3812	Payer	PHDSC	Payer	S
Federal, State, Local not specified - POS	3813	Payer	PHDSC	Payer	S
Federal, State, Local not specified - not specified managed care	3819	Payer	PHDSC	Payer	S
Federal, State, Local not specified - FFS	382	Payer	PHDSC	Payer	S
Federal, State, Local not specified - Other	389	Payer	PHDSC	Payer	S
Other Federal	39	Payer	PHDSC	Payer	S
Federal Employee Health Plan - Use when known.	391	Payer	PHDSC	Payer	S
DEPARTMENTS OF CORRECTIONS	4	Payer	PHDSC	Payer	S
Corrections Federal	41	Payer	PHDSC	Payer	S
Corrections State	42	Payer	PHDSC	Payer	S
Corrections Local	43	Payer	PHDSC	Payer	S
Corrections Unknown Level	44	Payer	PHDSC	Payer	S
PRIVATE HEALTH INSURANCE	5	Payer	PHDSC	Payer	S
Managed Care (Private)	51	Payer	PHDSC	Payer	S
Commercial Managed Care - HMO	511	Payer	PHDSC	Payer	S
Commercial Managed Care - PPO	512	Payer	PHDSC	Payer	S
Commercial Managed Care - POS	513	Payer	PHDSC	Payer	S
Exclusive Provider Organization	514	Payer	PHDSC	Payer	S
Gatekeeper PPO (GPPO)	515	Payer	PHDSC	Payer	S
Commercial Managed Care - Pharmacy Benefit Manager	516	Payer	PHDSC	Payer	S
Commercial Managed Care - Dental	517	Payer	PHDSC	Payer	S
Managed Care, Other (non HMO)	519	Payer	PHDSC	Payer	S
Private Health Insurance - Indemnity	52	Payer	PHDSC	Payer	S
Commercial Indemnity	521	Payer	PHDSC	Payer	S
Self-insured (ERISA) Administrative Services Only (ASO) plan	522	Payer	PHDSC	Payer	S
Medicare supplemental policy (as second payer)	523	Payer	PHDSC	Payer	S
Indemnity Insurance - Dental	524	Payer	PHDSC	Payer	S
Private health insurance - other commercial Indemnity	529	Payer	PHDSC	Payer	S
Managed Care (private) or private health insurance (indemnity), not otherwise specified	53	Payer	PHDSC	Payer	S
Organized Delivery System	54	Payer	PHDSC	Payer	S
Small Employer Purchasing Group	55	Payer	PHDSC	Payer	S
Specialized Stand Alone Plan	56	Payer	PHDSC	Payer	S
Dental	561	Payer	PHDSC	Payer	S
Vision Other Private Insurance	562	Payer	PHDSC	Payer	S
BLUE CROSS/BLUE SHIELD	6	Payer	PHDSC	Payer	S
BC Managed Care	61	Payer	PHDSC	Payer	S
BC Managed Care - HMO	611	Payer	PHDSC	Payer	S
BC Managed Care - PPO	612	Payer	PHDSC	Payer	S
BC Managed Care - POS	613	Payer	PHDSC	Payer	S
BC Managed Care - Dental	614	Payer	PHDSC	Payer	S
BC Managed Care - Other	619	Payer	PHDSC	Payer	S
BC Insurance Indemnity	62	Payer	PHDSC	Payer	S
BC Indemnity	621	Payer	PHDSC	Payer	S
BC Self-insured (ERISA) Administrative Services Only (ASO)Plan	622	Payer	PHDSC	Payer	S
BC Medicare Supplemental Plan	623	Payer	PHDSC	Payer	S
BC Indemnity - Dental	629	Payer	PHDSC	Payer	S
MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)	7	Payer	PHDSC	Payer	S
Managed Care HMO	71	Payer	PHDSC	Payer	S
Managed Care PPO	72	Payer	PHDSC	Payer	S
Managed Care POS	73	Payer	PHDSC	Payer	S
Other Managed Care	79	Payer	PHDSC	Payer	S
NO PAYMENT from an Organization/Agency/Program/Private Payer Listed	8	Payer	PHDSC	Payer	S
Self-pay	81	Payer	PHDSC	Payer	S
No Charge	82	Payer	PHDSC	Payer	S
Charity	821	Payer	PHDSC	Payer	S
Professional Courtesy	822	Payer	PHDSC	Payer	S
Research/Clinical Trial	823	Payer	PHDSC	Payer	S
Refusal to Pay/Bad Debt	83	Payer	PHDSC	Payer	S
Hill Burton Free Care	84	Payer	PHDSC	Payer	S
Research/Donor	85	Payer	PHDSC	Payer	S
No Payment, Other	89	Payer	PHDSC	Payer	S
MISCELLANEOUS/OTHER	9	Payer	PHDSC	Payer	S
Foreign National	91	Payer	PHDSC	Payer	S
Other (Non-government)	92	Payer	PHDSC	Payer	S
Disability Insurance	93	Payer	PHDSC	Payer	S
Long-term Care Insurance	94	Payer	PHDSC	Payer	S
Worker's Compensation	95	Payer	PHDSC	Payer	S
Worker's Comp HMO	951	Payer	PHDSC	Payer	S
Worker's Comp Fee-for-Service	953	Payer	PHDSC	Payer	S
Worker’s Comp Other Managed Care	954	Payer	PHDSC	Payer	S
Worker's Comp, Other unspecified	959	Payer	PHDSC	Payer	S
Auto Insurance (includes no fault)	96	Payer	PHDSC	Payer	S
Legal Liability / Liability Insurance	97	Payer	PHDSC	Payer	S
Other specified but not otherwise classifiable (includes Hospice - Unspecified plan)	98	Payer	PHDSC	Payer
No Typology Code available for payment source	99	Payer	PHDSC	Payer
Unavailable / Unknown/ No Payer Specified / Blank	9999	Payer	PHDSC	Payer

Observational Health Data Sciences and Informatics

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