In the Spotlight
Testimony before the National Committee on Vital and Health Statistics on the National Health Plan Identifier and uses of the Typology.
The current version of the Payer Typology effective October 2011 is the Source of Payment Typology 5.0. No change has been made from version 4.0. The Users Guide 5.0 contains descriptions of codes and Appendix D documents the changes from Version 4.0 to Version 5.0. See the Archives for previous versions of the Typology. We are interested in your thoughts about the Typology. Please use this link to provide us with comments.
White Paper on Source of Payment Typology Code Set Implementation by States
Purpose
The Source of Payment Typology was developed and is maintained by the Public
Health Data Standards Consortium's Payer Type Subcommittee. The purpose
of the Payer Typology Subcommittee is to create and refine a standard to allow
consistent reporting of payer data to public health agencies for health care services
and research. With the development of the Source of Payment Typology there is
an additional standard for use by those collecting data or analyzing health care
information. The Source of Payment Typology is accepted by the following major
standard setting organizations:
- ANSI X12 recognizes the typology as an external code list. This value set will
be included for reporting in all 837 guides starting with the publication of the draft
set of ANSI X12 implementation guides (6020).
- However, until the publication of the next set of guides, organizations that
need or want to implement the Source of Payment Typology in 4010 and
5010 guides can use the File Information (K3) segment.
- Health Level 7 (HL7) recognizes the Source of Payment Typology with an
Object Identifier Definition (OID) of 2.16.840.1.113883.221.5, for use in HL7
messaging standards.
- The National Uniform Billing Committee (NUBC) and the UB-04 specification's
document has been updated to include reference to the Source of Payment
Typology in the part of the UB form that identifies external code lists. This was
effective July 1, 2009.
Activities
Source of Payment Typology Code Set Implementation by States
Payer Typology Implementation Pilot Projects
The New York State Department of Health is now using the PHDSC Payer Typology. Read the letter here
Events
Coordination and Maintenance Committee for the Source of Payment Typology Teleconferences
Products
Source of Payment Typology 5.0
Source of Payment Typology Guide 5.0
Source of Payment Typology 4.0
Source of Payment Typology Guide 4.0
Source of Payment Typology 3.0
Users Guide for Source of Payment Typology 3.0
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Chair
Roxanne Andrews, PhD
Senior Health Services Researcher
Center for Delivery, Organization, and Markets
Agency for Healthcare Research and Quality
roxanne.andrews@ahrq.hhs.gov
Committee Wiki Pages
Please e-mail the chair
with a request to become a committee member.
Important Terms1
ACCREDITED STANDARDS COMMITTEE X12 develops standards to facilitate electronic interchange relating to business transactions data associated with the provision of products and services
HEALTH CARE CLAIM 837 supports the administrative reimbursement processing as it relates to the submission of health care claims for both health care products and services.
1 adapted from HIPAAnet.com, 2008
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