Blue Button 2.0 Implementation Guide

Claim Medicare Non Payment Reason Code

Formats: Narrative, XML, JSON, Turtle

Raw json

{
  "resourceType" : "CodeSystem",
  "id" : "clm-mdcr-non-pmt-rsn-cd",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><h2>Claim Medicare Non Payment Reason Code</h2><div><p>The reason that no Medicare payment is made for services on an institutional claim. Source: https://bluebutton.cms.gov/resources/variables/clm<em>mdcr</em>non<em>pmt</em>rsn_cd</p>
</div><p>This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-clm-mdcr-non-pmt-rsn-cd defines the following codes:</p><table class="codes"><tr><td><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>A<a name="clm-mdcr-non-pmt-rsn-cd-A"> </a></td><td>Covered worker's compensation (Obsolete)</td><td>Covered worker's compensation (Obsolete)</td></tr><tr><td>B<a name="clm-mdcr-non-pmt-rsn-cd-B"> </a></td><td>Benefit exhausted</td><td>Benefit exhausted</td></tr><tr><td>C<a name="clm-mdcr-non-pmt-rsn-cd-C"> </a></td><td>Custodial care – non-covered care (includes all 'beneficiary at fault' waiver cases) (Obsolete)</td><td>Custodial care – non-covered care (includes all 'beneficiary at fault' waiver cases) (Obsolete)</td></tr><tr><td>E<a name="clm-mdcr-non-pmt-rsn-cd-E"> </a></td><td>HMO out-of-plan services not emergency or urgently needed (Obsolete)</td><td>HMO out-of-plan services not emergency or urgently needed (Obsolete)</td></tr><tr><td>E<a name="clm-mdcr-non-pmt-rsn-cd-E"> </a></td><td>MSP cost avoided - IRS/SSA/HCFA Data Match (eff. 7/00)</td><td>MSP cost avoided - IRS/SSA/HCFA Data Match (eff. 7/00)</td></tr><tr><td>F<a name="clm-mdcr-non-pmt-rsn-cd-F"> </a></td><td>MSP cost avoid HMO Rate Cell (eff. 7/00)</td><td>MSP cost avoid HMO Rate Cell (eff. 7/00)</td></tr><tr><td>G<a name="clm-mdcr-non-pmt-rsn-cd-G"> </a></td><td>MSP cost avoided Litigation Settlement (eff. 7/00)</td><td>MSP cost avoided Litigation Settlement (eff. 7/00)</td></tr><tr><td>H<a name="clm-mdcr-non-pmt-rsn-cd-H"> </a></td><td>MSP cost avoided Employer Voluntary Reporting (eff. 7/00)</td><td>MSP cost avoided Employer Voluntary Reporting (eff. 7/00)</td></tr><tr><td>J<a name="clm-mdcr-non-pmt-rsn-cd-J"> </a></td><td>MSP cost avoid Insurer Voluntary Reporting (eff. 7/00)</td><td>MSP cost avoid Insurer Voluntary Reporting (eff. 7/00)</td></tr><tr><td>K<a name="clm-mdcr-non-pmt-rsn-cd-K"> </a></td><td>MSP cost avoid Initial Enrollment Questionnaire (eff. 7/00)</td><td>MSP cost avoid Initial Enrollment Questionnaire (eff. 7/00)</td></tr><tr><td>N<a name="clm-mdcr-non-pmt-rsn-cd-N"> </a></td><td>All other reasons for non-payment</td><td>All other reasons for non-payment</td></tr><tr><td>P<a name="clm-mdcr-non-pmt-rsn-cd-P"> </a></td><td>Payment requested</td><td>Payment requested</td></tr><tr><td>Q<a name="clm-mdcr-non-pmt-rsn-cd-Q"> </a></td><td>MSP cost avoided Voluntary Agreement (eff. 7/00)</td><td>MSP cost avoided Voluntary Agreement (eff. 7/00)</td></tr><tr><td>R<a name="clm-mdcr-non-pmt-rsn-cd-R"> </a></td><td>Benefits refused, or evidence not submitted</td><td>Benefits refused, or evidence not submitted</td></tr><tr><td>T<a name="clm-mdcr-non-pmt-rsn-cd-T"> </a></td><td>MSP cost avoided - IEQ contractor (eff. 9/76) (obsolete 6/30/00)</td><td>MSP cost avoided - IEQ contractor (eff. 9/76) (obsolete 6/30/00)</td></tr><tr><td>U<a name="clm-mdcr-non-pmt-rsn-cd-U"> </a></td><td>MSP cost avoided - HMO rate cell adjustment (eff. 9/76) (Obsolete 6/30/00)</td><td>MSP cost avoided - HMO rate cell adjustment (eff. 9/76) (Obsolete 6/30/00)</td></tr><tr><td>V<a name="clm-mdcr-non-pmt-rsn-cd-V"> </a></td><td>MSP cost avoided - litigation settlement (eff. 9/76) (Obsolete 6/30/00)</td><td>MSP cost avoided - litigation settlement (eff. 9/76) (Obsolete 6/30/00)</td></tr><tr><td>W<a name="clm-mdcr-non-pmt-rsn-cd-W"> </a></td><td>Worker's compensation (Obsolete)</td><td>Worker's compensation (Obsolete)</td></tr><tr><td>X<a name="clm-mdcr-non-pmt-rsn-cd-X"> </a></td><td>MSP cost avoided - generic</td><td>MSP cost avoided - generic</td></tr><tr><td>Y<a name="clm-mdcr-non-pmt-rsn-cd-Y"> </a></td><td>MSP cost avoided - IRS/SSA data match project (obsolete 6/30/00)</td><td>MSP cost avoided - IRS/SSA data match project (obsolete 6/30/00)</td></tr><tr><td>Z<a name="clm-mdcr-non-pmt-rsn-cd-Z"> </a></td><td>Zero reimbursement RAPs -- zero reimbursement made due to medical review intervention or where provider specific zero payment has been determined. (effective with HHPPS - 10/00)</td><td>Zero reimbursement RAPs -- zero reimbursement made due to medical review intervention or where provider specific zero payment has been determined. (effective with HHPPS - 10/00)</td></tr><tr><td>00<a name="clm-mdcr-non-pmt-rsn-cd-00"> </a></td><td>MSP cost avoided - COB Contractor</td><td>MSP cost avoided - COB Contractor</td></tr><tr><td>12<a name="clm-mdcr-non-pmt-rsn-cd-12"> </a></td><td>MSP cost avoided - BCBS Voluntary Agreements</td><td>MSP cost avoided - BCBS Voluntary Agreements</td></tr><tr><td>13<a name="clm-mdcr-non-pmt-rsn-cd-13"> </a></td><td>MSP cost avoided - Office of Personnel Management</td><td>MSP cost avoided - Office of Personnel Management</td></tr><tr><td>14<a name="clm-mdcr-non-pmt-rsn-cd-14"> </a></td><td>MSP cost avoided - Workman's Compensation (WC) Datamatch</td><td>MSP cost avoided - Workman's Compensation (WC) Datamatch</td></tr><tr><td>15<a name="clm-mdcr-non-pmt-rsn-cd-15"> </a></td><td>MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006)</td><td>MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006)</td></tr><tr><td>16<a name="clm-mdcr-non-pmt-rsn-cd-16"> </a></td><td>MSP cost avoided - Liability Insurer VDSA (eff. 4/2006)</td><td>MSP cost avoided - Liability Insurer VDSA (eff. 4/2006)</td></tr><tr><td>17<a name="clm-mdcr-non-pmt-rsn-cd-17"> </a></td><td>MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006)</td><td>MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006)</td></tr><tr><td>18<a name="clm-mdcr-non-pmt-rsn-cd-18"> </a></td><td>MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006)</td><td>MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006)</td></tr><tr><td>19<a name="clm-mdcr-non-pmt-rsn-cd-19"> </a></td><td>SEE NOTE4: Coordination of Benefits Contractor 11119 (see CMS Change Request 7906 for identification of the contractor.)</td><td>SEE NOTE4: Coordination of Benefits Contractor 11119 (see CMS Change Request 7906 for identification of the contractor.)</td></tr><tr><td>21<a name="clm-mdcr-non-pmt-rsn-cd-21"> </a></td><td>MSP cost avoided - MIR Group Health Plan (eff. 1/2009)</td><td>MSP cost avoided - MIR Group Health Plan (eff. 1/2009)</td></tr><tr><td>22<a name="clm-mdcr-non-pmt-rsn-cd-22"> </a></td><td>MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009)</td><td>MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009)</td></tr><tr><td>25<a name="clm-mdcr-non-pmt-rsn-cd-25"> </a></td><td>MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005)</td><td>MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005)</td></tr><tr><td>26<a name="clm-mdcr-non-pmt-rsn-cd-26"> </a></td><td>MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005)</td><td>MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005)</td></tr><tr><td>42<a name="clm-mdcr-non-pmt-rsn-cd-42"> </a></td><td>SEE NOTE4: Coordination of Benefits Contractor 11142 (see CMS Change Request 7906 for identification of the contractor.)</td><td>SEE NOTE4: Coordination of Benefits Contractor 11142 (see CMS Change Request 7906 for identification of the contractor.)</td></tr><tr><td>43<a name="clm-mdcr-non-pmt-rsn-cd-43"> </a></td><td>SEE NOTE4: Coordination of Benefits Contractor 11143 (see CMS Change Request 7906 for identification of the contractor.) Effective 4/1/02, the Medicare nonpayment reason code was expanded to a 2-byte field. The NCH instituted a crosswalk from the 2-byte code to a 1-byte character code. Below are the character codes (found in NCH &amp; NMUD). At some point, NMUD will carry the 2-byte code but NCH will continue to have the 1-byte character code.</td><td>SEE NOTE4: Coordination of Benefits Contractor 11143 (see CMS Change Request 7906 for identification of the contractor.) Effective 4/1/02, the Medicare nonpayment reason code was expanded to a 2-byte field. The NCH instituted a crosswalk from the 2-byte code to a 1-byte character code. Below are the character codes (found in NCH &amp; NMUD). At some point, NMUD will carry the 2-byte code but NCH will continue to have the 1-byte character code.</td></tr><tr><td>!<a name="clm-mdcr-non-pmt-rsn-cd-.33"> </a></td><td>MSP cost avoided - COB Contractor ('00' 2-byte code)</td><td>MSP cost avoided - COB Contractor ('00' 2-byte code)</td></tr><tr><td>@<a name="clm-mdcr-non-pmt-rsn-cd-.64"> </a></td><td>MSP cost avoided - BC/BS Voluntary Agreements ('12' 2-byte code)</td><td>MSP cost avoided - BC/BS Voluntary Agreements ('12' 2-byte code)</td></tr><tr><td>#<a name="clm-mdcr-non-pmt-rsn-cd-.35"> </a></td><td>MSP cost avoided - Office of Personnel Management ('13' 2-byte code)</td><td>MSP cost avoided - Office of Personnel Management ('13' 2-byte code)</td></tr><tr><td>$<a name="clm-mdcr-non-pmt-rsn-cd-.36"> </a></td><td>MSP cost avoided - Workman's Compensation (WC) Datamatch ('14' 2-byte code)</td><td>MSP cost avoided - Workman's Compensation (WC) Datamatch ('14' 2-byte code)</td></tr><tr><td>*<a name="clm-mdcr-non-pmt-rsn-cd-.42"> </a></td><td>MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) ('15' 2-byte code) (eff. 4/2006)</td><td>MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) ('15' 2-byte code) (eff. 4/2006)</td></tr><tr><td>(<a name="clm-mdcr-non-pmt-rsn-cd-.40"> </a></td><td>MSP cost avoided - Liability Insurer VDSA ('16' 2-byte code) (eff. 4/2006)</td><td>MSP cost avoided - Liability Insurer VDSA ('16' 2-byte code) (eff. 4/2006)</td></tr><tr><td>)<a name="clm-mdcr-non-pmt-rsn-cd-.41"> </a></td><td>MSP cost avoided - No-Fault Insurer VDSA ('17' 2-byte code) (eff. 4/2006)</td><td>MSP cost avoided - No-Fault Insurer VDSA ('17' 2-byte code) (eff. 4/2006)</td></tr><tr><td>+<a name="clm-mdcr-non-pmt-rsn-cd-.43"> </a></td><td>MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement ('18' 2-byte code) (eff. 4/2006)</td><td>MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement ('18' 2-byte code) (eff. 4/2006)</td></tr><tr><td>&lt;<a name="clm-mdcr-non-pmt-rsn-cd-.60"> </a></td><td>MSP cost avoided - MIR Group Health Plan ('21' 2-byte code) (eff. 1/2009)</td><td>MSP cost avoided - MIR Group Health Plan ('21' 2-byte code) (eff. 1/2009)</td></tr><tr><td>&gt;<a name="clm-mdcr-non-pmt-rsn-cd-.62"> </a></td><td>MSP cost avoided - MIR non-Group Health Plan ('22' 2-byte code) (eff. 1/2009)</td><td>MSP cost avoided - MIR non-Group Health Plan ('22' 2-byte code) (eff. 1/2009)</td></tr><tr><td>%<a name="clm-mdcr-non-pmt-rsn-cd-.37"> </a></td><td>MSP cost avoided - Recovery Audit Contractor - California ('25' 2-byte code) (eff. 10/2005)</td><td>MSP cost avoided - Recovery Audit Contractor - California ('25' 2-byte code) (eff. 10/2005)</td></tr><tr><td>&amp;<a name="clm-mdcr-non-pmt-rsn-cd-.38"> </a></td><td>MSP cost avoided - Recovery Audit Contractor - Florida ('26' 2-byte code) (eff. 10/2005)</td><td>MSP cost avoided - Recovery Audit Contractor - Florida ('26' 2-byte code) (eff. 10/2005)</td></tr></table></div>"
  },
  "url" : "https://bluebutton.cms.gov/assets/ig/CodeSystem-clm-mdcr-non-pmt-rsn-cd",
  "identifier" : {
    "value" : "https://bluebutton.cms.gov/assets/ig/CodeSystem-clm-mdcr-non-pmt-rsn-cd.html"
  },
  "version" : "1.1.1",
  "name" : "Claim Medicare Non Payment Reason Code",
  "title" : "Claim Medicare Non Payment Reason Code",
  "status" : "active",
  "date" : "2018-11-27T15:56:35+00:00",
  "publisher" : "CMS Blue Button 2.0 Team",
  "description" : "The reason that no Medicare payment is made for services on an institutional claim. Source: https://bluebutton.cms.gov/resources/variables/clm_mdcr_non_pmt_rsn_cd",
  "caseSensitive" : true,
  "valueSet" : "https://bluebutton.cms.gov/assets/ig/ValueSet-clm-mdcr-non-pmt-rsn-cd",
  "hierarchyMeaning" : "is-a",
  "content" : "complete",
  "concept" : [
    {
      "code" : "A",
      "display" : "Covered worker's compensation (Obsolete)",
      "definition" : "Covered worker's compensation (Obsolete)"
    },
    {
      "code" : "B",
      "display" : "Benefit exhausted",
      "definition" : "Benefit exhausted"
    },
    {
      "code" : "C",
      "display" : "Custodial care – non-covered care (includes all 'beneficiary at fault' waiver cases) (Obsolete)",
      "definition" : "Custodial care – non-covered care (includes all 'beneficiary at fault' waiver cases) (Obsolete)"
    },
    {
      "code" : "E",
      "display" : "HMO out-of-plan services not emergency or urgently needed (Obsolete)",
      "definition" : "HMO out-of-plan services not emergency or urgently needed (Obsolete)"
    },
    {
      "code" : "E",
      "display" : "MSP cost avoided - IRS/SSA/HCFA Data Match (eff. 7/00)",
      "definition" : "MSP cost avoided - IRS/SSA/HCFA Data Match (eff. 7/00)"
    },
    {
      "code" : "F",
      "display" : "MSP cost avoid HMO Rate Cell (eff. 7/00)",
      "definition" : "MSP cost avoid HMO Rate Cell (eff. 7/00)"
    },
    {
      "code" : "G",
      "display" : "MSP cost avoided Litigation Settlement (eff. 7/00)",
      "definition" : "MSP cost avoided Litigation Settlement (eff. 7/00)"
    },
    {
      "code" : "H",
      "display" : "MSP cost avoided Employer Voluntary Reporting (eff. 7/00)",
      "definition" : "MSP cost avoided Employer Voluntary Reporting (eff. 7/00)"
    },
    {
      "code" : "J",
      "display" : "MSP cost avoid Insurer Voluntary Reporting (eff. 7/00)",
      "definition" : "MSP cost avoid Insurer Voluntary Reporting (eff. 7/00)"
    },
    {
      "code" : "K",
      "display" : "MSP cost avoid Initial Enrollment Questionnaire (eff. 7/00)",
      "definition" : "MSP cost avoid Initial Enrollment Questionnaire (eff. 7/00)"
    },
    {
      "code" : "N",
      "display" : "All other reasons for non-payment",
      "definition" : "All other reasons for non-payment"
    },
    {
      "code" : "P",
      "display" : "Payment requested",
      "definition" : "Payment requested"
    },
    {
      "code" : "Q",
      "display" : "MSP cost avoided Voluntary Agreement (eff. 7/00)",
      "definition" : "MSP cost avoided Voluntary Agreement (eff. 7/00)"
    },
    {
      "code" : "R",
      "display" : "Benefits refused, or evidence not submitted",
      "definition" : "Benefits refused, or evidence not submitted"
    },
    {
      "code" : "T",
      "display" : "MSP cost avoided - IEQ contractor (eff. 9/76) (obsolete 6/30/00)",
      "definition" : "MSP cost avoided - IEQ contractor (eff. 9/76) (obsolete 6/30/00)"
    },
    {
      "code" : "U",
      "display" : "MSP cost avoided - HMO rate cell adjustment (eff. 9/76) (Obsolete 6/30/00)",
      "definition" : "MSP cost avoided - HMO rate cell adjustment (eff. 9/76) (Obsolete 6/30/00)"
    },
    {
      "code" : "V",
      "display" : "MSP cost avoided - litigation settlement (eff. 9/76) (Obsolete 6/30/00)",
      "definition" : "MSP cost avoided - litigation settlement (eff. 9/76) (Obsolete 6/30/00)"
    },
    {
      "code" : "W",
      "display" : "Worker's compensation (Obsolete)",
      "definition" : "Worker's compensation (Obsolete)"
    },
    {
      "code" : "X",
      "display" : "MSP cost avoided - generic",
      "definition" : "MSP cost avoided - generic"
    },
    {
      "code" : "Y",
      "display" : "MSP cost avoided - IRS/SSA data match project (obsolete 6/30/00)",
      "definition" : "MSP cost avoided - IRS/SSA data match project (obsolete 6/30/00)"
    },
    {
      "code" : "Z",
      "display" : "Zero reimbursement RAPs -- zero reimbursement made due to medical review intervention or where provider specific zero payment has been determined. (effective with HHPPS - 10/00)",
      "definition" : "Zero reimbursement RAPs -- zero reimbursement made due to medical review intervention or where provider specific zero payment has been determined. (effective with HHPPS - 10/00)"
    },
    {
      "code" : "00",
      "display" : "MSP cost avoided - COB Contractor",
      "definition" : "MSP cost avoided - COB Contractor"
    },
    {
      "code" : "12",
      "display" : "MSP cost avoided - BCBS Voluntary Agreements",
      "definition" : "MSP cost avoided - BCBS Voluntary Agreements"
    },
    {
      "code" : "13",
      "display" : "MSP cost avoided - Office of Personnel Management",
      "definition" : "MSP cost avoided - Office of Personnel Management"
    },
    {
      "code" : "14",
      "display" : "MSP cost avoided - Workman's Compensation (WC) Datamatch",
      "definition" : "MSP cost avoided - Workman's Compensation (WC) Datamatch"
    },
    {
      "code" : "15",
      "display" : "MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006)",
      "definition" : "MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006)"
    },
    {
      "code" : "16",
      "display" : "MSP cost avoided - Liability Insurer VDSA (eff. 4/2006)",
      "definition" : "MSP cost avoided - Liability Insurer VDSA (eff. 4/2006)"
    },
    {
      "code" : "17",
      "display" : "MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006)",
      "definition" : "MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006)"
    },
    {
      "code" : "18",
      "display" : "MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006)",
      "definition" : "MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006)"
    },
    {
      "code" : "19",
      "display" : "SEE NOTE4: Coordination of Benefits Contractor 11119 (see CMS Change Request 7906 for identification of the contractor.)",
      "definition" : "SEE NOTE4: Coordination of Benefits Contractor 11119 (see CMS Change Request 7906 for identification of the contractor.)"
    },
    {
      "code" : "21",
      "display" : "MSP cost avoided - MIR Group Health Plan (eff. 1/2009)",
      "definition" : "MSP cost avoided - MIR Group Health Plan (eff. 1/2009)"
    },
    {
      "code" : "22",
      "display" : "MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009)",
      "definition" : "MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009)"
    },
    {
      "code" : "25",
      "display" : "MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005)",
      "definition" : "MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005)"
    },
    {
      "code" : "26",
      "display" : "MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005)",
      "definition" : "MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005)"
    },
    {
      "code" : "42",
      "display" : "SEE NOTE4: Coordination of Benefits Contractor 11142 (see CMS Change Request 7906 for identification of the contractor.)",
      "definition" : "SEE NOTE4: Coordination of Benefits Contractor 11142 (see CMS Change Request 7906 for identification of the contractor.)"
    },
    {
      "code" : "43",
      "display" : "SEE NOTE4: Coordination of Benefits Contractor 11143 (see CMS Change Request 7906 for identification of the contractor.) Effective 4/1/02, the Medicare nonpayment reason code was expanded to a 2-byte field. The NCH instituted a crosswalk from the 2-byte code to a 1-byte character code. Below are the character codes (found in NCH & NMUD). At some point, NMUD will carry the 2-byte code but NCH will continue to have the 1-byte character code.",
      "definition" : "SEE NOTE4: Coordination of Benefits Contractor 11143 (see CMS Change Request 7906 for identification of the contractor.) Effective 4/1/02, the Medicare nonpayment reason code was expanded to a 2-byte field. The NCH instituted a crosswalk from the 2-byte code to a 1-byte character code. Below are the character codes (found in NCH & NMUD). At some point, NMUD will carry the 2-byte code but NCH will continue to have the 1-byte character code."
    },
    {
      "code" : "!",
      "display" : "MSP cost avoided - COB Contractor ('00' 2-byte code)",
      "definition" : "MSP cost avoided - COB Contractor ('00' 2-byte code)"
    },
    {
      "code" : "@",
      "display" : "MSP cost avoided - BC/BS Voluntary Agreements ('12' 2-byte code)",
      "definition" : "MSP cost avoided - BC/BS Voluntary Agreements ('12' 2-byte code)"
    },
    {
      "code" : "#",
      "display" : "MSP cost avoided - Office of Personnel Management ('13' 2-byte code)",
      "definition" : "MSP cost avoided - Office of Personnel Management ('13' 2-byte code)"
    },
    {
      "code" : "$",
      "display" : "MSP cost avoided - Workman's Compensation (WC) Datamatch ('14' 2-byte code)",
      "definition" : "MSP cost avoided - Workman's Compensation (WC) Datamatch ('14' 2-byte code)"
    },
    {
      "code" : "*",
      "display" : "MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) ('15' 2-byte code) (eff. 4/2006)",
      "definition" : "MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) ('15' 2-byte code) (eff. 4/2006)"
    },
    {
      "code" : "(",
      "display" : "MSP cost avoided - Liability Insurer VDSA ('16' 2-byte code) (eff. 4/2006)",
      "definition" : "MSP cost avoided - Liability Insurer VDSA ('16' 2-byte code) (eff. 4/2006)"
    },
    {
      "code" : ")",
      "display" : "MSP cost avoided - No-Fault Insurer VDSA ('17' 2-byte code) (eff. 4/2006)",
      "definition" : "MSP cost avoided - No-Fault Insurer VDSA ('17' 2-byte code) (eff. 4/2006)"
    },
    {
      "code" : "+",
      "display" : "MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement ('18' 2-byte code) (eff. 4/2006)",
      "definition" : "MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement ('18' 2-byte code) (eff. 4/2006)"
    },
    {
      "code" : "<",
      "display" : "MSP cost avoided - MIR Group Health Plan ('21' 2-byte code) (eff. 1/2009)",
      "definition" : "MSP cost avoided - MIR Group Health Plan ('21' 2-byte code) (eff. 1/2009)"
    },
    {
      "code" : ">",
      "display" : "MSP cost avoided - MIR non-Group Health Plan ('22' 2-byte code) (eff. 1/2009)",
      "definition" : "MSP cost avoided - MIR non-Group Health Plan ('22' 2-byte code) (eff. 1/2009)"
    },
    {
      "code" : "%",
      "display" : "MSP cost avoided - Recovery Audit Contractor - California ('25' 2-byte code) (eff. 10/2005)",
      "definition" : "MSP cost avoided - Recovery Audit Contractor - California ('25' 2-byte code) (eff. 10/2005)"
    },
    {
      "code" : "&",
      "display" : "MSP cost avoided - Recovery Audit Contractor - Florida ('26' 2-byte code) (eff. 10/2005)",
      "definition" : "MSP cost avoided - Recovery Audit Contractor - Florida ('26' 2-byte code) (eff. 10/2005)"
    }
  ]
}