Blue Button 2.0 Implementation Guide
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<CodeSystem xmlns="https://bluebutton.cms.gov/assets/ig"> <id value="clm-mdcr-non-pmt-rsn-cd"/> <text> <status value="generated"/> <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 & 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 & 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><<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>><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>&<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> </text> <url value="https://bluebutton.cms.gov/assets/ig/CodeSystem-clm-mdcr-non-pmt-rsn-cd"/> <identifier> <value value="https://bluebutton.cms.gov/assets/ig/CodeSystem-clm-mdcr-non-pmt-rsn-cd.html"/> </identifier> <version value="1.1.1"/> <name value="Claim Medicare Non Payment Reason Code"/> <title value="Claim Medicare Non Payment Reason Code"/> <status value="active"/> <date value="2018-11-27T15:56:35+00:00"/> <publisher value="CMS Blue Button 2.0 Team"/> <description value="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 value="true"/> <valueSet value="https://bluebutton.cms.gov/assets/ig/ValueSet-clm-mdcr-non-pmt-rsn-cd"/> <hierarchyMeaning value="is-a"/> <content value="complete"/> <concept> <code value="A"/> <display value="Covered worker's compensation (Obsolete)"/> <definition value="Covered worker's compensation (Obsolete)"/> </concept> <concept> <code value="B"/> <display value="Benefit exhausted"/> <definition value="Benefit exhausted"/> </concept> <concept> <code value="C"/> <display value="Custodial care – non-covered care (includes all 'beneficiary at fault' waiver cases) (Obsolete)"/> <definition value="Custodial care – non-covered care (includes all 'beneficiary at fault' waiver cases) (Obsolete)"/> </concept> <concept> <code value="E"/> <display value="HMO out-of-plan services not emergency or urgently needed (Obsolete)"/> <definition value="HMO out-of-plan services not emergency or urgently needed (Obsolete)"/> </concept> <concept> <code value="E"/> <display value="MSP cost avoided - IRS/SSA/HCFA Data Match (eff. 7/00)"/> <definition value="MSP cost avoided - IRS/SSA/HCFA Data Match (eff. 7/00)"/> </concept> <concept> <code value="F"/> <display value="MSP cost avoid HMO Rate Cell (eff. 7/00)"/> <definition value="MSP cost avoid HMO Rate Cell (eff. 7/00)"/> </concept> <concept> <code value="G"/> <display value="MSP cost avoided Litigation Settlement (eff. 7/00)"/> <definition value="MSP cost avoided Litigation Settlement (eff. 7/00)"/> </concept> <concept> <code value="H"/> <display value="MSP cost avoided Employer Voluntary Reporting (eff. 7/00)"/> <definition value="MSP cost avoided Employer Voluntary Reporting (eff. 7/00)"/> </concept> <concept> <code value="J"/> <display value="MSP cost avoid Insurer Voluntary Reporting (eff. 7/00)"/> <definition value="MSP cost avoid Insurer Voluntary Reporting (eff. 7/00)"/> </concept> <concept> <code value="K"/> <display value="MSP cost avoid Initial Enrollment Questionnaire (eff. 7/00)"/> <definition value="MSP cost avoid Initial Enrollment Questionnaire (eff. 7/00)"/> </concept> <concept> <code value="N"/> <display value="All other reasons for non-payment"/> <definition value="All other reasons for non-payment"/> </concept> <concept> <code value="P"/> <display value="Payment requested"/> <definition value="Payment requested"/> </concept> <concept> <code value="Q"/> <display value="MSP cost avoided Voluntary Agreement (eff. 7/00)"/> <definition value="MSP cost avoided Voluntary Agreement (eff. 7/00)"/> </concept> <concept> <code value="R"/> <display value="Benefits refused, or evidence not submitted"/> <definition value="Benefits refused, or evidence not submitted"/> </concept> <concept> <code value="T"/> <display value="MSP cost avoided - IEQ contractor (eff. 9/76) (obsolete 6/30/00)"/> <definition value="MSP cost avoided - IEQ contractor (eff. 9/76) (obsolete 6/30/00)"/> </concept> <concept> <code value="U"/> <display value="MSP cost avoided - HMO rate cell adjustment (eff. 9/76) (Obsolete 6/30/00)"/> <definition value="MSP cost avoided - HMO rate cell adjustment (eff. 9/76) (Obsolete 6/30/00)"/> </concept> <concept> <code value="V"/> <display value="MSP cost avoided - litigation settlement (eff. 9/76) (Obsolete 6/30/00)"/> <definition value="MSP cost avoided - litigation settlement (eff. 9/76) (Obsolete 6/30/00)"/> </concept> <concept> <code value="W"/> <display value="Worker's compensation (Obsolete)"/> <definition value="Worker's compensation (Obsolete)"/> </concept> <concept> <code value="X"/> <display value="MSP cost avoided - generic"/> <definition value="MSP cost avoided - generic"/> </concept> <concept> <code value="Y"/> <display value="MSP cost avoided - IRS/SSA data match project (obsolete 6/30/00)"/> <definition value="MSP cost avoided - IRS/SSA data match project (obsolete 6/30/00)"/> </concept> <concept> <code value="Z"/> <display value="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 value="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)"/> </concept> <concept> <code value="00"/> <display value="MSP cost avoided - COB Contractor"/> <definition value="MSP cost avoided - COB Contractor"/> </concept> <concept> <code value="12"/> <display value="MSP cost avoided - BCBS Voluntary Agreements"/> <definition value="MSP cost avoided - BCBS Voluntary Agreements"/> </concept> <concept> <code value="13"/> <display value="MSP cost avoided - Office of Personnel Management"/> <definition value="MSP cost avoided - Office of Personnel Management"/> </concept> <concept> <code value="14"/> <display value="MSP cost avoided - Workman's Compensation (WC) Datamatch"/> <definition value="MSP cost avoided - Workman's Compensation (WC) Datamatch"/> </concept> <concept> <code value="15"/> <display value="MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006)"/> <definition value="MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006)"/> </concept> <concept> <code value="16"/> <display value="MSP cost avoided - Liability Insurer VDSA (eff. 4/2006)"/> <definition value="MSP cost avoided - Liability Insurer VDSA (eff. 4/2006)"/> </concept> <concept> <code value="17"/> <display value="MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006)"/> <definition value="MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006)"/> </concept> <concept> <code value="18"/> <display value="MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006)"/> <definition value="MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006)"/> </concept> <concept> <code value="19"/> <display value="SEE NOTE4: Coordination of Benefits Contractor 11119 (see CMS Change Request 7906 for identification of the contractor.)"/> <definition value="SEE NOTE4: Coordination of Benefits Contractor 11119 (see CMS Change Request 7906 for identification of the contractor.)"/> </concept> <concept> <code value="21"/> <display value="MSP cost avoided - MIR Group Health Plan (eff. 1/2009)"/> <definition value="MSP cost avoided - MIR Group Health Plan (eff. 1/2009)"/> </concept> <concept> <code value="22"/> <display value="MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009)"/> <definition value="MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009)"/> </concept> <concept> <code value="25"/> <display value="MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005)"/> <definition value="MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005)"/> </concept> <concept> <code value="26"/> <display value="MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005)"/> <definition value="MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005)"/> </concept> <concept> <code value="42"/> <display value="SEE NOTE4: Coordination of Benefits Contractor 11142 (see CMS Change Request 7906 for identification of the contractor.)"/> <definition value="SEE NOTE4: Coordination of Benefits Contractor 11142 (see CMS Change Request 7906 for identification of the contractor.)"/> </concept> <concept> <code value="43"/> <display value="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 value="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."/> </concept> <concept> <code value="!"/> <display value="MSP cost avoided - COB Contractor ('00' 2-byte code)"/> <definition value="MSP cost avoided - COB Contractor ('00' 2-byte code)"/> </concept> <concept> <code value="@"/> <display value="MSP cost avoided - BC/BS Voluntary Agreements ('12' 2-byte code)"/> <definition value="MSP cost avoided - BC/BS Voluntary Agreements ('12' 2-byte code)"/> </concept> <concept> <code value="#"/> <display value="MSP cost avoided - Office of Personnel Management ('13' 2-byte code)"/> <definition value="MSP cost avoided - Office of Personnel Management ('13' 2-byte code)"/> </concept> <concept> <code value="$"/> <display value="MSP cost avoided - Workman's Compensation (WC) Datamatch ('14' 2-byte code)"/> <definition value="MSP cost avoided - Workman's Compensation (WC) Datamatch ('14' 2-byte code)"/> </concept> <concept> <code value="*"/> <display value="MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) ('15' 2-byte code) (eff. 4/2006)"/> <definition value="MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) ('15' 2-byte code) (eff. 4/2006)"/> </concept> <concept> <code value="("/> <display value="MSP cost avoided - Liability Insurer VDSA ('16' 2-byte code) (eff. 4/2006)"/> <definition value="MSP cost avoided - Liability Insurer VDSA ('16' 2-byte code) (eff. 4/2006)"/> </concept> <concept> <code value=")"/> <display value="MSP cost avoided - No-Fault Insurer VDSA ('17' 2-byte code) (eff. 4/2006)"/> <definition value="MSP cost avoided - No-Fault Insurer VDSA ('17' 2-byte code) (eff. 4/2006)"/> </concept> <concept> <code value="+"/> <display value="MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement ('18' 2-byte code) (eff. 4/2006)"/> <definition value="MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement ('18' 2-byte code) (eff. 4/2006)"/> </concept> <concept> <code value="<"/> <display value="MSP cost avoided - MIR Group Health Plan ('21' 2-byte code) (eff. 1/2009)"/> <definition value="MSP cost avoided - MIR Group Health Plan ('21' 2-byte code) (eff. 1/2009)"/> </concept> <concept> <code value=">"/> <display value="MSP cost avoided - MIR non-Group Health Plan ('22' 2-byte code) (eff. 1/2009)"/> <definition value="MSP cost avoided - MIR non-Group Health Plan ('22' 2-byte code) (eff. 1/2009)"/> </concept> <concept> <code value="%"/> <display value="MSP cost avoided - Recovery Audit Contractor - California ('25' 2-byte code) (eff. 10/2005)"/> <definition value="MSP cost avoided - Recovery Audit Contractor - California ('25' 2-byte code) (eff. 10/2005)"/> </concept> <concept> <code value="&"/> <display value="MSP cost avoided - Recovery Audit Contractor - Florida ('26' 2-byte code) (eff. 10/2005)"/> <definition value="MSP cost avoided - Recovery Audit Contractor - Florida ('26' 2-byte code) (eff. 10/2005)"/> </concept> </CodeSystem>
Blue Button 2.0 Version: 1.1.1 ®© FHIR Version: 3.0.1 (IG Publisher v3.0.1-11916) generated on Tue, Nov 27, 2018 15:56+0000. |
