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individual states)" }, { "_id": "5d289cd631fe5f8b8c55cad9", "code": "362", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Specific state programs (list/ local code)" }, { "_id": "5d289cd631fe5f8b8c55cada", "code": "369", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "State, not otherwise specified (other state)" }, { "_id": "5d289cd631fe5f8b8c55cadb", "code": "37", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Local Government" }, { "_id": "5d289cd631fe5f8b8c55cadc", "code": "371", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Local - Managed care" }, { "_id": "5d289cd631fe5f8b8c55cadd", "code": "3711", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "HMO" }, { "_id": "5d289cd631fe5f8b8c55cade", "code": "3712", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "PPO" }, { "_id": "5d289cd631fe5f8b8c55cadf", "code": "3713", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "POS" }, { "_id": "5d289cd631fe5f8b8c55cae0", "code": "372", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "FFS/Indemnity" }, { "_id": "5d289cd631fe5f8b8c55cae1", "code": "379", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Local, not otherwise specified (other local, county)" }, { "_id": "5d289cd631fe5f8b8c55cae2", "code": "38", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Other Government (Federal, State, Local not specified)" }, { "_id": "5d289cd631fe5f8b8c55cae3", "code": "381", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Federal, State, Local not specified managed care" }, { "_id": "5d289cd631fe5f8b8c55cae4", "code": "3811", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Federal, State, Local not specified - HMO" }, { "_id": "5d289cd631fe5f8b8c55cae5", "code": "3812", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Federal, State, Local not specified - PPO" }, { "_id": "5d289cd631fe5f8b8c55cae6", "code": "3813", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Federal, State, Local not specified - POS" }, { "_id": "5d289cd631fe5f8b8c55cae7", "code": "3819", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Federal, State, Local not specified - not specified managed care" }, { "_id": "5d289cd631fe5f8b8c55cae8", "code": "382", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Federal, State, Local not specified - FFS" }, { "_id": "5d289cd631fe5f8b8c55cae9", "code": "389", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Federal, State, Local not specified - Other" }, { "_id": "5d289cd631fe5f8b8c55caea", "code": "39", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Other Federal" }, { "_id": "5d289cd631fe5f8b8c55caeb", "code": "391", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Federal Employee Health Plan" }, { "_id": "5d289cd631fe5f8b8c55caec", "code": "4", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "DEPARTMENTS OF CORRECTIONS" }, { "_id": "5d289cd631fe5f8b8c55caed", "code": "41", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Corrections Federal" }, { "_id": "5d289cd631fe5f8b8c55caee", "code": "42", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Corrections State" }, { "_id": "5d289cd631fe5f8b8c55caef", "code": "43", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Corrections Local" }, { "_id": "5d289cd631fe5f8b8c55caf0", "code": "44", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Corrections Unknown Level" }, { "_id": "5d289cd631fe5f8b8c55caf1", "code": "5", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "PRIVATE HEALTH INSURANCE" }, { "_id": "5d289cd631fe5f8b8c55caf2", "code": "51", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Managed Care (Private)" }, { "_id": "5d289cd631fe5f8b8c55caf3", "code": "511", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Commercial Managed Care - HMO" }, { "_id": "5d289cd631fe5f8b8c55caf4", "code": "512", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Commercial Managed Care - PPO" }, { "_id": "5d289cd631fe5f8b8c55caf5", "code": "513", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Commercial Managed Care - POS" }, { "_id": "5d289cd631fe5f8b8c55caf6", "code": "514", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Exclusive Provider Organization" }, { "_id": "5d289cd631fe5f8b8c55caf7", "code": "515", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Gatekeeper PPO (GPPO)" }, { "_id": "5d289cd631fe5f8b8c55caf8", "code": "516", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Commercial Managed Care - Pharmacy Benefit Manager" }, { "_id": "5d289cd631fe5f8b8c55caf9", "code": "517", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Commercial Managed Care - Dental" }, { "_id": "5d289cd631fe5f8b8c55cafa", "code": "519", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Managed Care, Other (non HMO)" }, { "_id": "5d289cd631fe5f8b8c55cafb", "code": "52", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Private Health Insurance - Indemnity" }, { "_id": "5d289cd631fe5f8b8c55cafc", "code": "521", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Commercial Indemnity" }, { "_id": "5d289cd631fe5f8b8c55cafd", "code": "522", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Self-insured (ERISA) Administrative Services Only (ASO) plan" }, { "_id": "5d289cd631fe5f8b8c55cafe", "code": "523", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Medicare supplemental policy (as second payer)" }, { "_id": "5d289cd631fe5f8b8c55caff", "code": "524", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Indemnity Insurance - Dental" }, { "_id": "5d289cd631fe5f8b8c55cb00", "code": "529", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Private health insurance--other commercial Indemnity" }, { "_id": "5d289cd631fe5f8b8c55cb01", "code": "53", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Managed Care (private) or private health insurance (indemnity), not otherwise specified" }, { "_id": "5d289cd631fe5f8b8c55cb02", "code": "54", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Organized Delivery System" }, { "_id": "5d289cd631fe5f8b8c55cb03", "code": "55", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Small Employer Purchasing Group" }, { "_id": "5d289cd631fe5f8b8c55cb04", "code": "56", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Specialized Stand Alone Plan" }, { "_id": "5d289cd631fe5f8b8c55cb05", "code": "561", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Dental" }, { "_id": "5d289cd631fe5f8b8c55cb06", "code": "562", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Vision" }, { "_id": "5d289cd631fe5f8b8c55cb07", "code": "59", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Other Private Insurance" }, { "_id": "5d289cd631fe5f8b8c55cb08", "code": "6", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BLUE CROSS/BLUE SHIELD" }, { "_id": "5d289cd631fe5f8b8c55cb09", "code": "61", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Managed Care" }, { "_id": "5d289cd631fe5f8b8c55cb0a", "code": "611", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Managed Care -- HMO" }, { "_id": "5d289cd631fe5f8b8c55cb0b", "code": "612", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Managed Care -- PPO" }, { "_id": "5d289cd631fe5f8b8c55cb0c", "code": "613", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Managed Care -- POS" }, { "_id": "5d289cd631fe5f8b8c55cb0d", "code": "614", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Managed Care - Dental" }, { "_id": "5d289cd631fe5f8b8c55cb0e", "code": "619", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Managed Care -- Other" }, { "_id": "5d289cd631fe5f8b8c55cb0f", "code": "62", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Insurance Indemnity" }, { "_id": "5d289cd631fe5f8b8c55cb10", "code": "621", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Indemnity" }, { "_id": "5d289cd631fe5f8b8c55cb11", "code": "622", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Self-insured (ERISA) Administrative Services Only (ASO)Plan" }, { "_id": "5d289cd631fe5f8b8c55cb12", "code": "623", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Medicare Supplemental Plan" }, { "_id": "5d289cd631fe5f8b8c55cb13", "code": "629", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "BC Indemnity - Dental" }, { "_id": "5d289cd631fe5f8b8c55cb14", "code": "7", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)" }, { "_id": "5d289cd631fe5f8b8c55cb15", "code": "71", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "HMO" }, { "_id": "5d289cd631fe5f8b8c55cb16", "code": "72", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "PPO" }, { "_id": "5d289cd631fe5f8b8c55cb17", "code": "73", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "POS" }, { "_id": "5d289cd631fe5f8b8c55cb18", "code": "79", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Other Managed Care" }, { "_id": "5d289cd631fe5f8b8c55cb19", "code": "8", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "NO PAYMENT from an Organization/Agency/Program/Private Payer Listed" }, { "_id": "5d289cd631fe5f8b8c55cb1a", "code": "81", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Self-pay" }, { "_id": "5d289cd631fe5f8b8c55cb1b", "code": "82", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "No Charge" }, { "_id": "5d289cd631fe5f8b8c55cb1c", "code": "821", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Charity" }, { "_id": "5d289cd631fe5f8b8c55cb1d", "code": "822", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Professional Courtesy" }, { "_id": "5d289cd631fe5f8b8c55cb1e", "code": "823", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Research/Clinical Trial" }, { "_id": "5d289cd631fe5f8b8c55cb1f", "code": "83", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Refusal to Pay/Bad Debt" }, { "_id": "5d289cd631fe5f8b8c55cb20", "code": "84", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Hill Burton Free Care" }, { "_id": "5d289cd631fe5f8b8c55cb21", "code": "85", "code_system_name": "Source of Payment Typology", "code_system_oid": "2.16.840.1.113883.3.221.5", "code_system_version": "7.0", "display_name": "Research/Donor" }, { "_id": "5d289cd631fe5f8b8c55cb22", "code": "89", "code_system_name": "Source of Payment Typology", 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