Skip to main content

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Beneficiary Coverage Type Code

BENE_CVRG_TYPE_CD

A CODE IDENTIFYING THE TYPE OF COVERAGE IN WHICH THE BENEFICIARY IS ENROLLED. REFERENCE TABLE: BENE_CVRG_TYPE_CD

Field Metadata

FHIR Resource
Coverage
FHIRPath 
Coverage.extension.where(
  url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-CVRG-TYPE-CD'
).value.code
Coverage / Claim Type
  • PartC
  • PartD
Source View
V2_MDCR_BENE_MAPD_ENRLMT
Source Column
BENE_CVRG_TYPE_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/BENE-CVRG-TYPE-CD

Example 

3

Notes

The code system has a different enumeration between the CCW and the IDR. For example, in the IDR, PACE is 6, but 020 in the CCW.

Mappings

CCW
  • PTC_PLAN_TYPE_CD_01
  • PTC_PLAN_TYPE_CD_02
  • PTC_PLAN_TYPE_CD_03
  • PTC_PLAN_TYPE_CD_04
  • PTC_PLAN_TYPE_CD_05
  • PTC_PLAN_TYPE_CD_06
  • PTC_PLAN_TYPE_CD_07
  • PTC_PLAN_TYPE_CD_08
  • PTC_PLAN_TYPE_CD_09
  • PTC_PLAN_TYPE_CD_10
  • PTC_PLAN_TYPE_CD_11
  • PTC_PLAN_TYPE_CD_12

bluebutton.cms.gov

official website of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

Looking for U.S. government information and services?
Visit USA.gov