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concept_idconcept_nameconcept_codedomain_idvocabulary_idconcept_class_idstandard_concept
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Bronze Health Plan with 60% actuarial plan valueOMOP generatedPlanPlanMetal levelS
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Silver Health Plan with 70% actuarial plan valueOMOP generatedPlanPlanMetal levelS
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Gold Health Plan with 80% actuarial plan valueOMOP generatedPlanPlanMetal levelS
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Platinum Health Plan with 90% actuarial plan valueOMOP generatedPlanPlanMetal levelS
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Catastrophic Health Plan with <60% actuarial plan valueOMOP generatedPlanPlanMetal levelS
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Broad Benefit (Medical, Drug, Dental, Vision) planOMOP generatedPlanPlanBenefitS
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Minimal Benefit (Medical and Drug) planOMOP generatedPlanPlanBenefitS
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Medical only planOMOP generatedPlanPlanBenefitS
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Dental only planOMOP generatedPlanPlanBenefitS
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Vision only planOMOP generatedPlanPlanBenefitS
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Drug only planOMOP generatedPlanPlanBenefitS
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Self-insured group health planOMOP generatedSponsorSponsorSponsorS
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Fully insured group health planOMOP generatedSponsorSponsorSponsorS
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Individual health planOMOP generatedSponsorSponsorSponsorS
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Group health planOMOP generatedSponsorSponsorSponsorS
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Small group (2-50 employees) health planOMOP generatedSponsorSponsorSponsorS
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Large group (more than 51 employees) health planOMOP generatedSponsorSponsorSponsorS
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Medicare1PayerPHDSCPayerS
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Medicare Managed Care11PayerPHDSCPayerS
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Medicare Health Maintenance Organization (HMO)111PayerPHDSCPayerS
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Medicare Preferred Provider Organization (PPO)112PayerPHDSCPayerS
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Medicare Point of Service (POS)113PayerPHDSCPayerS
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Medicare Managed Care Other 119PayerPHDSCPayerS
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Medicare Non-managed Care12PayerPHDSCPayerS
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Medicare Fee for Service (FFS)121PayerPHDSCPayerS
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Medicare Drug Benefit 122PayerPHDSCPayerS
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Medicare Medical Savings Account (MSA) 123PayerPHDSCPayerS
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Medicare Non-managed Care - Other129PayerPHDSCPayerS
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Medicare Hospice 13PayerPHDSCPayerS
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Dual Eligibility Medicare/Medicaid14PayerPHDSCPayerS
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Medicare Other 19PayerPHDSCPayerS
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Medicare Pharmacy Benefit Manager 191PayerPHDSCPayerS
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Medicaid2PayerPHDSCPayerS
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Medicaid Managed Care21PayerPHDSCPayerS
36
Medicaid Health Management Organization (HMO)211PayerPHDSCPayerS
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Medicaid Preferred Provider Organization (PPO)212PayerPHDSCPayerS
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Medicaid Primary Care Case Management (PCCM) 213PayerPHDSCPayerS
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Medicaid Managed Care - Other 219PayerPHDSCPayerS
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Medicaid Non-managed Care22PayerPHDSCPayerS
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Medicaid/State Children's Health Insurance Program (SCHIP) 23PayerPHDSCPayerS
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Medicaid Applicant 24PayerPHDSCPayerS
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Medicaid Out of State 25PayerPHDSCPayerS
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Medicaid Long Term Care 26PayerPHDSCPayerS
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Medicaid - Other29PayerPHDSCPayerS
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Medicaid Pharmacy Benefit Manager 291PayerPHDSCPayerS
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Medicaid Dental 299PayerPHDSCPayerS
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Other Government Federal/State/Local, excluding Department of Corrections3PayerPHDSCPayerS
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Department of Defense 31PayerPHDSCPayerS
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DoD TRICARE, Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)
311PayerPHDSCPayerS
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DoD TRICARE Prime - Health Management Organization (HMO)3111PayerPHDSCPayerS
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DoD TRICARE Extra - Preferred Provider Organization (PPO)3112PayerPHDSCPayerS
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DoD TRICARE Standard - Fee For Service (FFS)3113PayerPHDSCPayerS
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DoD TRICARE For Life - Medicare Supplement 3114PayerPHDSCPayerS
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DoD TRICARE Reserve Select 3115PayerPHDSCPayerS
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DoD Uniformed Services Family Health Plan (USFHP) - Health Management Organization (HMO)
3116PayerPHDSCPayerS
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DoD other3119PayerPHDSCPayerS
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Military Treatment Facility 312PayerPHDSCPayerS
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Military Treatment Facility - Enrolled Prime - HMO 3121PayerPHDSCPayerS
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Military Treatment Facility - Non-enrolled Space Available 3122PayerPHDSCPayerS
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Military Treatment Facility - TRICARE For Life (TFL) 3123PayerPHDSCPayerS
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DoD Dental - Stand Alone 313PayerPHDSCPayerS
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Department of Veterans Affairs 32PayerPHDSCPayerS
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Veteran Care321PayerPHDSCPayerS
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VA Direct Care - Care provided in VA facilities 3211PayerPHDSCPayerS
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VA Indirect Care - Care provided outside VA facilities 3212PayerPHDSCPayerS
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VA Outside VA facilities - Fee Basis32121PayerPHDSCPayerS
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VA Outside VA facilities - Foreign Fee/Foreign Medical Program (FMP) 32122PayerPHDSCPayerS
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VA Outside VA facilities - Contract Nursing Home/Community Nursing Home 32123PayerPHDSCPayerS
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VA Outside VA facilities - State Veterans Home 32124PayerPHDSCPayerS
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VA Outside VA facilities - Sharing Agreements 32125PayerPHDSCPayerS
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VA Outside VA facilities - Other Federal Agency 32126PayerPHDSCPayerS
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VA Outside VA facilities - Dental32127PayerPHDSCPayerS
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VA Outside VA facilities - Vision32128PayerPHDSCPayerS
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VA Non-Veteran Care 322PayerPHDSCPayerS
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VA Civilian Health and Medical Program for the VA (CHAMPVA) 3221PayerPHDSCPayerS
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VA Spina Bifida Health Care Program (SB) 3222PayerPHDSCPayerS
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VA Children of Women Vietnam Veterans (CWVV) 3223PayerPHDSCPayerS
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VA Other Non-Veteran Care 3229PayerPHDSCPayerS
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Indian Health Service (IHS) Program33PayerPHDSCPayerS
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Indian Health Service - Regular 331PayerPHDSCPayerS
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Indian Health Service - Contract 332PayerPHDSCPayerS
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Indian Health Service - Managed Care 333PayerPHDSCPayerS
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Indian Tribe - Sponsored Coverage 334PayerPHDSCPayerS
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Health Resources and Services Administration (HRSA) Program34PayerPHDSCPayerS
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Title V Maternal and Child Health (MSH) Services Block Grant Program341PayerPHDSCPayerS
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HRSA Migrant Health Program 342PayerPHDSCPayerS
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HRSA Ryan White HIV/AIDS Program343PayerPHDSCPayerS
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HSRA - Other349PayerPHDSCPayerS
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Division of Coal Mine Workers' Compensation (DCMWC) - Black Lung 35PayerPHDSCPayerS
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State Government Program36PayerPHDSCPayerS
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State Children's Health Insurance Program (SCHIP) - individual state code361PayerPHDSCPayerS
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Specific state program (list/local code) 362PayerPHDSCPayerS
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State program - not otherwise specified (other state)369PayerPHDSCPayerS
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Local Government Program37PayerPHDSCPayerS
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Local Government Managed Care 371PayerPHDSCPayerS
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Local Government Health Management Organization (HMO)3711PayerPHDSCPayerS
98
Local Government Preferred Provider Organization (PPO)3712PayerPHDSCPayerS
99
Local Government Point of Service (POS)3713PayerPHDSCPayerS
100
Local Government Fee for Service (FFS) Indemnity 372PayerPHDSCPayerS