Medicaid Special Program (SFP) Indicator
X12N Information
Loop ID 2300
Segment ID HI
Position in Segment 01
Composite ID C022
Position in Composite 2
837I Information This field also exists in the ASC X12N Health Care Claim: Institutional
External Codes This field uses a code list external to the ASC X12 Standard
If applicable, all internal X12 codes follow
UB Information
Form Locator FL 18-28
Description Condition Codes
There are UB codes for this field. Consult the UB-04 Manual for details.
HL7 C-CDA R1.1, CCD Document
Data Element Name Medicaid Special Program Indicator
CCD Templated Path StructuredBody.component.Payers.CoverageActivity.PolicyActivity.id
xPath ​/hl7:ClinicalDocument​/hl7:component​/hl7:structuredBody​/hl7:component​/hl7:section[hl7:code[@code="48768‑6"] and @codeSystem='2.16.840.1.113883.6.1']]​/hl7:entry​/hl7:act​/hl7:entryRelationship​/hl7:act​/hl7:id
Additional Information
NCVHS This field has a cross reference to the National Committee on Vital and Health Statistics Core Data Set
Notes UB Condition Codes used for public health are: 17 Homeless Patient Indicator -- 25 Non-US Resident Patient Indicator -- A2 Medicaid Special Program (PHC) Indicator -- A3 Medicaid Special Program (SFP) Indicator -- A4 Medicaid Special Program (FP) Indicator
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