Preferred Label : Subject Payment Method Code;
NCIt related terms : SubjectPaymentMethod.code;
Alternative definition : BRIDG 5.3: A coded value specifying the kind of payment method for this subject. EXAMPLE(S):
Private Insurance, Medicare, Medicare And Private Insurance, Medicaid For the U.S.
National Cancer Institute: (NCI) Surveillance, Epidemiology, and End Results (SEER)
program (Code Label - Definition): 01 Not insured - Patient has no insurance and
is declared a charity write-off 02 Not insured, self-pay - Patient has no insurance
and is declared responsible for charges 10 Insurance, NOS - Type of insurance is
unknown or other than types listed in codes 20, 21, 31, 35, 60-68 20 Private Insurance:
Managed care, HMO, or PPO - An organized system of prepaid care for a group of enrollees
usually within a defined geographic area. Generally formed as one of four types: a
group model, an independent physician association (IPA), a network, or a staff model.
Gate-keeper model is another term for describing this type of insurance. 21 Private
Insurance: Fee-for-service - An insurance plan that does not have negotiated fee structure
with the participating hospital. Type of insurance plan not coded as 20. 31 Medicaid
- State government administered insurance for persons who are uninsured, below the
poverty level, or covered under entitlement programs Medicaid other than Medicaid
described in code 35 Etc. OTHER NAME(S): NOTE(S):;
NCI Metathesaurus CUI : CL978298;
Origin ID : C165157;
UMLS CUI : C5236946;
Semantic type(s)
- concept_is_in_subset
