Code identifying the type of insurance policy within a specific insurance program
Type
ID
Length
Max 3 / Min 1
Codes
<> 12
Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan
<> 13
Medicare Secondary End-Stage Renal Disease Beneficiary in the Mandated Coordination Period with an Employer's Group Health Plan
<> 14
Medicare Secondary, No-fault Insurance including Auto is Primary
<> 15
Medicare Secondary Worker's Compensation
<> 16
Medicare Secondary Public Health Service (PHS)or Other Federal Agency
<> 17
Dental
<> 18
Vision
<> 19
Prescription Drugs
<> 41
Medicare Secondary Black Lung
<> 42
Medicare Secondary Veteran's Administration
<> 43
Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)
<> 47
Medicare Secondary, Other Liability Insurance is Primary
<> AP
Auto Insurance Policy
<> C1
Commercial
<> CO
Consolidated Omnibus Budget Reconciliation Act (COBRA)
<> CP
Medicare Conditionally Primary
<> D
Disability
<> DB
Disability Benefits
<> E
Medicare - Point of Service (POS)
<> EP
Exclusive Provider Organization
<> FF
Family or Friends
<> GP
Group Policy
<> HB
Health Insurance Exchange (HIX) Bronze
<> HD
High Deductible Health Plan
<> HG
Health Insurance Exchange (HIX) Gold
<> HM
Health Maintenance Organization (HMO)
<> HN
Health Maintenance Organization (HMO) - Medicare Risk
<> HP
Health Insurance Exchange (HIX) Platinum
<> HS
Health Insurance Exchange (HIX) Silver
<> IN
Indemnity
<> IP
Individual Policy
<> LC
Long Term Care
<> LD
Long Term Policy
<> LI
Life Insurance
<> LT
Litigation
<> M
Medicare Advantage Point of Service (POS) Plan that excludes Part D coverage
<> MA
Medicare Part A
<> MB
Medicare Part B
<> MC
Medicaid
<> MD
Medicare Part D
<> ME
Medicare Advantage Preferred Provider Organization (PPO) Plan that excludes Part D Coverage
<> MF
Medicare Advantage Private Fee for Service
<> MH
Medigap Part A
<> MI
Medigap Part B
<> MJ
Medicare Advantage Health Maintenance Organization (HMO) Plan that includes Part D Coverage
<> MK
Medicare Advantage Health Maintenance Organization (HMO) Risk Plan that includes Part D Coverage
<> ML
Medicare Advantage Indemnity Plan that includes Part D Coverage
<> MM
Medicare Advantage Preferred Provider Organization (PPO) Plan that includes Part D Coverage
<> MN
Medicare Advantage Indemnity Plan that excludes Part D coverage
<> MO
Medicare Advantage Point of Service (POS) Plan that includes Part D Coverage
<> MP
Medicare Primary
<> MR
Medicare Advantage Health Maintenance Organization (HMO) Risk Plan that excludes Part D coverage
<> MT
Medicare Advantage Health Maintenance Organization (HMO) Plan that excludes Part D coverage
<> MV
Medicare Advantage
<> OA
Open Access Point of Service Plan
<> OT
Other
<> PE
Property Insurance - Personal
<> PL
Personal
<> PP
Personal Payment (Cash - No Insurance)
<> PR
Preferred Provider Organization (PPO)
<> PS
Point of Service (POS)
<> QM
Qualified Medicare Beneficiary
<> RP
Property Insurance - Real
<> SP
Supplemental Policy
<> TF
Tax Equity Fiscal Responsibility Act (TEFRA)
<> U
Multiple Options Health Plan
<> WC
Workers Compensation
<> WU
Wrap Up Policy
