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(ASC X12) 1336 Insurance Type Code


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


12Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group
13Medicare Secondary End-Stage Renal Disease Beneficiary in the 12 month coordination period with an employer’s group health plan
14Medicare Secondary, No-fault Insurance including Auto is Primary
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)
47Medicare Secondary, Other Liability Insurance is Primary
APAuto Insurance Policy
COConsolidated Omnibus Budget Reconciliation Act (COBRA)
CPMedicare Conditionally Primary
DBDisability Benefits
EPExclusive Provider Organization
FFFamily or Friends
GPGroup Policy
HMHealth Maintenance Organization (HMO)
HNHealth Maintenance Organization (HMO) – Medicare Risk
HSSpecial Low Income Medicare Beneficiary
IPIndividual Policy
LCLong Term Care
LDLong Term Policy
LILife Insurance
MAMedicare Part A
MBMedicare Part B
MHMedigap Part A
MIMedigap Part B
MPMedicare Primary
PEProperty Insurance – Personal
PPPersonal Payment (Cash – No Insurance)
PRPreferred Provider Organization (PPO)
PSPoint of Service (POS)
QMQualified Medicare Beneficiary
RPProperty Insurance – Real
SPSupplemental Policy
TFTax Equity Fiscal Responsibility Act (TEFRA)
WCWorkers Compensation
WUWrap Up Policy

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