^concept_name^concept_code^domain_id^vocabulary_id^concept_class_id^standard_concept^
|Bronze Plan with 60% Actuarial Plan Value|OMOP generated|Payer|Payer|Plan|S|
|Silver Plan with 70% Actuarial Plan Value|OMOP generated|Payer|Payer|Plan|S|
|Gold Plan with 80% Actuarial Plan Value|OMOP generated|Payer|Payer|Plan|S|
|Platinum Plan with 80% Actuarial Plan Value|OMOP generated|Payer|Payer|Plan|S|
|Catastrophic Plan with <60% Actuarial Plan Value|OMOP generated|Payer|Payer|Plan|S|
|Self-Insured Health Insurance Plan|OMOP generated|Payer|Payer|Sponsor|S|
|Fully Insured Health Insurance Plan|OMOP generated|Payer|Payer|Sponsor|S|
|Individual Health Insurance Plan|OMOP generated|Payer|Payer|Sponsor|S|
|Small Group Health Insurance Plan|OMOP generated|Payer|Payer|Sponsor|S|
|Large Group Health Insurance Plan|OMOP generated|Payer|Payer|Sponsor|S|
|MEDICARE|1|Payer|PHDSC|Payer|S|
|Medicare (Managed Care)|11|Payer|PHDSC|Payer|S|
|Medicare HMO|111|Payer|PHDSC|Payer|S|
|Medicare PPO|112|Payer|PHDSC|Payer|S|
|Medicare POS|113|Payer|PHDSC|Payer|S|
|Medicare Managed Care Other|119|Payer|PHDSC|Payer|S|
|Medicare (Non-managed Care)|12|Payer|PHDSC|Payer|S|
|Medicare FFS|121|Payer|PHDSC|Payer|S|
|Medicare Drug Benefit|122|Payer|PHDSC|Payer|S|
|Medicare Medical Savings Account (MSA)|123|Payer|PHDSC|Payer|S|
|Medicare Non-managed Care Other|129|Payer|PHDSC|Payer|S|
|Medicare Hospice|13|Payer|PHDSC|Payer|S|
|Dual Eligibility Medicare/Medicaid Organization|14|Payer|PHDSC|Payer|S|
|Medicare Other|19|Payer|PHDSC|Payer|S|
|Medicare Pharmacy Benefit Manager|191|Payer|PHDSC|Payer|S|
|MEDICAID|2|Payer|PHDSC|Payer|S|
|Medicaid (Managed Care)|21|Payer|PHDSC|Payer|S|
|Medicaid HMO|211|Payer|PHDSC|Payer|S|
|Medicaid PPO|212|Payer|PHDSC|Payer|S|
|Medicaid PCCM (Primary Care Case Management)|213|Payer|PHDSC|Payer|S|
|Medicaid Managed Care Other|219|Payer|PHDSC|Payer|S|
|Medicaid (Non-managed Care Plan)|22|Payer|PHDSC|Payer|S|
|Medicaid/SCHIP|23|Payer|PHDSC|Payer|S|
|Medicaid Applicant|24|Payer|PHDSC|Payer|S|
|Medicaid - Out of State|25|Payer|PHDSC|Payer|S|
|Medicaid - Long Term Care|26|Payer|PHDSC|Payer|S|
|Medicaid Other|29|Payer|PHDSC|Payer|S|
|Medicaid Pharmacy Benefit Manager|291|Payer|PHDSC|Payer|S|
|Medicaid - Dental|299|Payer|PHDSC|Payer|S|
|OTHER GOVERNMENT (Federal/State/Local)(excluding Department of Corrections)|3|Payer|PHDSC|Payer|S|
|Department of Defense|31|Payer|PHDSC|Payer|S|
|DoD TRICARE (CHAMPUS)|311|Payer|PHDSC|Payer|S|
|DoD TRICARE Prime - HMO|3111|Payer|PHDSC|Payer|S|
|DoD TRICARE Extra - PPO|3112|Payer|PHDSC|Payer|S|
|DoD TRICARE Standard - Fee For Service|3113|Payer|PHDSC|Payer|S|
|DoD TRICARE For Life - Medicare Supplement|3114|Payer|PHDSC|Payer|S|
|DoD TRICARE Reserve Select|3115|Payer|PHDSC|Payer|S|
|DoD Uniformed Services Family Health Plan (USFHP) - HMO|3116|Payer|PHDSC|Payer|S|
|DoD Department of Defense - (other)|3119|Payer|PHDSC|Payer|S|
|Military Treatment Facility|312|Payer|PHDSC|Payer|S|
|Military Treatment Facility - Enrolled Prime - HMO|3121|Payer|PHDSC|Payer|S|
|Military Treatment Facility - Non-enrolled Space Available|3122|Payer|PHDSC|Payer|S|
|Military Treatment Facility - TRICARE For Life (TFL)|3123|Payer|PHDSC|Payer|S|
|DoD Dental - Stand Alone|313|Payer|PHDSC|Payer|S|
|Department of Veterans Affairs|32|Payer|PHDSC|Payer|S|
|Veteran care - Care provided to Veterans|321|Payer|PHDSC|Payer|S|
|VA Direct Care - Care provided in VA facilities|3211|Payer|PHDSC|Payer|S|
|VA Indirect Care - Care provided outside VA facilities|3212|Payer|PHDSC|Payer|S|
|VA Outside VA facilities - Fee Basis|32121|Payer|PHDSC|Payer|S|
|VA Outside VA facilities - Foreign Fee/Foreign Medical Program (FMP)|32122|Payer|PHDSC|Payer|S|
|VA Outside VA facilities - Contract Nursing Home/Community Nursing Home|32123|Payer|PHDSC|Payer|S|
|VA Outside VA facilities - State Veterans Home|32124|Payer|PHDSC|Payer|S|
|VA Outside VA facilities - Sharing Agreements|32125|Payer|PHDSC|Payer|S|
|VA Outside VA facilities - Other Federal Agency|32126|Payer|PHDSC|Payer|S|
|VA Outside VA facilities - Dental Care|32127|Payer|PHDSC|Payer|S|
|VA Outside VA facilities - Vision Care|32128|Payer|PHDSC|Payer|S|
|VA Non-veteran care|322|Payer|PHDSC|Payer|S|
|VA Civilian Health and Medical Program for the VA (CHAMPVA)|3221|Payer|PHDSC|Payer|S|
|VA Spina Bifida Health Care Program (SB)|3222|Payer|PHDSC|Payer|S|
|VA Children of Women Vietnam Veterans (CWVV)|3223|Payer|PHDSC|Payer|S|
|VA Other non-veteran care|3229|Payer|PHDSC|Payer|S|
|Indian Health Service or Tribe|33|Payer|PHDSC|Payer|S|
|Indian Health Service - Regular|331|Payer|PHDSC|Payer|S|
|Indian Health Service - Contract|332|Payer|PHDSC|Payer|S|
|Indian Health Service - Managed Care|333|Payer|PHDSC|Payer|S|
|Indian Tribe - Sponsored Coverage|334|Payer|PHDSC|Payer|S|
|HRSA Program|34|Payer|PHDSC|Payer|S|
|HRSA Title V (MCH Block Grant)|341|Payer|PHDSC|Payer|S|
|HRSA Migrant Health Program|342|Payer|PHDSC|Payer|S|
|HRSA Ryan White Act|343|Payer|PHDSC|Payer|S|
|HSRA Other|349|Payer|PHDSC|Payer|S|
|Black Lung|35|Payer|PHDSC|Payer|S|
|State Government|36|Payer|PHDSC|Payer|S|
|State SCHIP program (codes for individual states)|361|Payer|PHDSC|Payer|S|
|Specific state programs (list/ local code)|362|Payer|PHDSC|Payer|S|
|State, not otherwise specified (other state)|369|Payer|PHDSC|Payer|S|
|Local Government|37|Payer|PHDSC|Payer|S|
|Local - Managed care|371|Payer|PHDSC|Payer|S|
|Local HMO|3711|Payer|PHDSC|Payer|S|
|Local PPO|3712|Payer|PHDSC|Payer|S|
|Local POS|3713|Payer|PHDSC|Payer|S|
|FFS/Indemnity|372|Payer|PHDSC|Payer|S|
|FFS/Indemnity Local, not otherwise specified (other local, county)|379|Payer|PHDSC|Payer|S|
|Other Government (Federal, State, Local not specified)|38|Payer|PHDSC|Payer|S|
|Federal, State, Local not specified managed care|381|Payer|PHDSC|Payer|S|
|Federal, State, Local not specified - HMO|3811|Payer|PHDSC|Payer|S|
|Federal, State, Local not specified - PPO|3812|Payer|PHDSC|Payer|S|
|Federal, State, Local not specified - POS|3813|Payer|PHDSC|Payer|S|
|Federal, State, Local not specified - not specified managed care|3819|Payer|PHDSC|Payer|S|
|Federal, State, Local not specified - FFS|382|Payer|PHDSC|Payer|S|
|Federal, State, Local not specified - Other|389|Payer|PHDSC|Payer|S|
|Other Federal|39|Payer|PHDSC|Payer|S|
|Federal Employee Health Plan - Use when known.|391|Payer|PHDSC|Payer|S|
|DEPARTMENTS OF CORRECTIONS|4|Payer|PHDSC|Payer|S|
|Corrections Federal|41|Payer|PHDSC|Payer|S|
|Corrections State|42|Payer|PHDSC|Payer|S|
|Corrections Local|43|Payer|PHDSC|Payer|S|
|Corrections Unknown Level|44|Payer|PHDSC|Payer|S|
|PRIVATE HEALTH INSURANCE|5|Payer|PHDSC|Payer|S|
|Managed Care (Private)|51|Payer|PHDSC|Payer|S|
|Commercial Managed Care - HMO|511|Payer|PHDSC|Payer|S|
|Commercial Managed Care - PPO|512|Payer|PHDSC|Payer|S|
|Commercial Managed Care - POS|513|Payer|PHDSC|Payer|S|
|Exclusive Provider Organization|514|Payer|PHDSC|Payer|S|
|Gatekeeper PPO (GPPO)|515|Payer|PHDSC|Payer|S|
|Commercial Managed Care - Pharmacy Benefit Manager|516|Payer|PHDSC|Payer|S|
|Commercial Managed Care - Dental|517|Payer|PHDSC|Payer|S|
|Managed Care, Other (non HMO)|519|Payer|PHDSC|Payer|S|
|Private Health Insurance - Indemnity|52|Payer|PHDSC|Payer|S|
|Commercial Indemnity|521|Payer|PHDSC|Payer|S|
|Self-insured (ERISA) Administrative Services Only (ASO) plan|522|Payer|PHDSC|Payer|S|
|Medicare supplemental policy (as second payer)|523|Payer|PHDSC|Payer|S|
|Indemnity Insurance - Dental|524|Payer|PHDSC|Payer|S|
|Private health insurance - other commercial Indemnity|529|Payer|PHDSC|Payer|S|
|Managed Care (private) or private health insurance (indemnity), not otherwise specified|53|Payer|PHDSC|Payer|S|
|Organized Delivery System|54|Payer|PHDSC|Payer|S|
|Small Employer Purchasing Group|55|Payer|PHDSC|Payer|S|
|Specialized Stand Alone Plan|56|Payer|PHDSC|Payer|S|
|Dental|561|Payer|PHDSC|Payer|S|
|Vision Other Private Insurance|562|Payer|PHDSC|Payer|S|
|BLUE CROSS/BLUE SHIELD|6|Payer|PHDSC|Payer|S|
|BC Managed Care|61|Payer|PHDSC|Payer|S|
|BC Managed Care - HMO|611|Payer|PHDSC|Payer|S|
|BC Managed Care - PPO|612|Payer|PHDSC|Payer|S|
|BC Managed Care - POS|613|Payer|PHDSC|Payer|S|
|BC Managed Care - Dental|614|Payer|PHDSC|Payer|S|
|BC Managed Care - Other|619|Payer|PHDSC|Payer|S|
|BC Insurance Indemnity|62|Payer|PHDSC|Payer|S|
|BC Indemnity|621|Payer|PHDSC|Payer|S|
|BC Self-insured (ERISA) Administrative Services Only (ASO)Plan|622|Payer|PHDSC|Payer|S|
|BC Medicare Supplemental Plan|623|Payer|PHDSC|Payer|S|
|BC Indemnity - Dental|629|Payer|PHDSC|Payer|S|
|MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)|7|Payer|PHDSC|Payer|S|
|Managed Care HMO|71|Payer|PHDSC|Payer|S|
|Managed Care PPO|72|Payer|PHDSC|Payer|S|
|Managed Care POS|73|Payer|PHDSC|Payer|S|
|Other Managed Care|79|Payer|PHDSC|Payer|S|
|NO PAYMENT from an Organization/Agency/Program/Private Payer Listed|8|Payer|PHDSC|Payer|S|
|Self-pay|81|Payer|PHDSC|Payer|S|
|No Charge|82|Payer|PHDSC|Payer|S|
|Charity|821|Payer|PHDSC|Payer|S|
|Professional Courtesy|822|Payer|PHDSC|Payer|S|
|Research/Clinical Trial|823|Payer|PHDSC|Payer|S|
|Refusal to Pay/Bad Debt|83|Payer|PHDSC|Payer|S|
|Hill Burton Free Care|84|Payer|PHDSC|Payer|S|
|Research/Donor|85|Payer|PHDSC|Payer|S|
|No Payment, Other|89|Payer|PHDSC|Payer|S|
|MISCELLANEOUS/OTHER|9|Payer|PHDSC|Payer|S|
|Foreign National|91|Payer|PHDSC|Payer|S|
|Other (Non-government)|92|Payer|PHDSC|Payer|S|
|Disability Insurance|93|Payer|PHDSC|Payer|S|
|Long-term Care Insurance|94|Payer|PHDSC|Payer|S|
|Worker's Compensation|95|Payer|PHDSC|Payer|S|
|Worker's Comp HMO|951|Payer|PHDSC|Payer|S|
|Worker's Comp Fee-for-Service|953|Payer|PHDSC|Payer|S|
|Worker’s Comp Other Managed Care|954|Payer|PHDSC|Payer|S|
|Worker's Comp, Other unspecified|959|Payer|PHDSC|Payer|S|
|Auto Insurance (includes no fault)|96|Payer|PHDSC|Payer|S|
|Legal Liability / Liability Insurance|97|Payer|PHDSC|Payer|S|
|Other specified but not otherwise classifiable (includes Hospice - Unspecified plan)|98|Payer|PHDSC|Payer| |
|No Typology Code available for payment source|99|Payer|PHDSC|Payer| |
|Unavailable / Unknown/ No Payer Specified / Blank|9999|Payer|PHDSC|Payer| |