1336 Insurance Type Code

Code identifying the type of insurance policy within a specific insurance program

Type
Identifier (ID)
Length
Min 1 / Max 3
Codes
CodeDescription
12Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan
13Medicare Secondary End-Stage Renal Disease Beneficiary in the 12 month coordination period with an employer's group health plan
14Medicare Secondary Automobile, No fault or any liability insurance
15Medicare Secondary Worker's Compensation
16Medicare Secondary Public Health Service (PHS)or Other Federal Agency
41Medicare Secondary Black Lung
42Medicare Secondary Veteran's Administration
43Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)
APAuto Insurance Policy
C1Commercial
COConsolidated Omnibus Budget Reconciliation Act (COBRA)
CPMedicare Conditionally Primary
FFFamily or Friends
GPGroup Policy
Two or more people who are part of complete unit who enter into an insurance contract with an insurance company
HMHealth Maintenance Organization (HMO)
IPIndividual Policy
LDLong Term Policy
LTLitigation
MAMedicare Part A
MBMedicare Part B
MCMedicaid
Program of health care services made available to medically indigent and other needy persons, regardless of age, under terms of a 1965 amendment to the U.S. Social Security Act
MGMedigap Policy
Health insurance policy intended to cover the non-covered expenses which must be paid by a Medicare beneficiary for health care services and/or supplies received
MPMedicare Primary
Medicare has the primary responsibility to pay for health care services and/or supplies received by a covered beneficiary (a person entitled to medicare benefits)
OTOther
PLPersonal
PPPersonal Payment (Cash - No Insurance)
PRPreferred Provider Organization (PPO)
PSPoint of Service (POS)
SPSupplemental Policy
An insurance policy intended to cover non-covered charges of another insurance policy
TFTax Equity Fiscal Responsibility Act (TEFRA)

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