healthplan grammar

The healthplan grammar is found in the set PHI.

entity description examples components checksum
healthplan/context/us A PHI health plan beneficiary number. These numbers consist of fourteen alphanumeric characters, preceded by a suitable landmark. Health Plan Number: 12345678LMNOP9 ✔️
healthplan/hcpcs_i/context/us A US Healthcare Common Procedure Code (HCPCS) level I with context. CPT Code: 3006F ✔️
healthplan/hcpcs_i/landmark/us A US Healthcare Common Procedure Code level I landmark. CPT Code
healthplan/hcpcs_i/nocontext/us A US Healthcare Common Procedure Code level I without context. 3006F
healthplan/hcpcs_ii/context/us A US Healthcare Common Procedure Code level II with context. Healthcare Common Procedure Code: C1300 ✔️
healthplan/hcpcs_ii/landmark/us A US Healthcare Common Procedure Code level II landmark. Healthcare Common Procedure Code
healthplan/hcpcs_ii/nocontext/us A US Healthcare Common Procedure Code level II without context. C1300
healthplan/hicn/context/us A US Health Insurance Claim Number (HICN) with context. Health Insurance Claim Number: 123-45-6789-A ✔️
healthplan/hicn/landmark/us A US Health Insurance Claim Number landmark. Health Insurance Claim Number
healthplan/hicn/nocontext/us A US Health Insurance Claim Number without context. 123-45-6789-A
healthplan/landmark/us A health plan number landmark. Health Plan Number
healthplan/mbi/context/us A US Medicare Beneficiary Identifier (MBI) with context. Medicare Beneficiary Identifier: 1EG4-TE5-MK73 ✔️
healthplan/mbi/landmark/us A US Medicare Beneficiary Identifier landmark. Medicare Beneficiary Identifier
healthplan/mbi/nocontext/us A US Medicare Beneficiary Identifier without context. 1EG4-TE5-MK73
healthplan/nocontext/us A PHI health plan beneficiary number without context. 12345678LMNOP9
healthplan/npi/context/us A US National Provider Identifier (NPI) with context. National Provider Identifier: 3728482340 ✔️
healthplan/npi/landmark/us A US National Provider Identifier landmark. National Provider Identifier
healthplan/npi/nocontext/us A US National Provider Identifier without context. 3728482340
mrn/context/us A Medical Record Number. See Medical Record Numbers. MRN: MR-123-456/78 ✔️
mrn/landmark/us A Medical Record Number landmark. MRN
mrn/nocontext/us A Medical Record Number without context. This option is available only for the healthplan user extension. See Medical Record Numbers.

In the tables, ✔️ indicates that the item is always used, and ❌ that the item is never used. The ✓ symbol indicates that the item is only used for some entities (that is, for some but not all countries or languages). For details, refer to the relevant entity page.