HL7 2.3.1 - Financial Class (VFC) Codeset - HL7 0064
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HL7 Version
CodeValue
Description
1
2.3.1
CH00
S-CHIP coverage-not VFC eligible
2
2.3.1
CH01
S-CHIP coverage-separate from Medicaid-not VFC eligible
3
2.3.1
CH02
S-CHIP coverage-combination of Medicaid and separate-not VFC eligible
4
2.3.1
H01
Self pay
5
2.3.1
H02
Medicaid (may be called by state-specific name, e.g., Medi-Cal)
6
2.3.1
H03
Third party or private insurance
7
2.3.1
IS00
Some or all vaccine costs covered
8
2.3.1
IS01
Underinsured (no vaccine costs covered and not FQC/RHC)
9
2.3.1
V00
VFC eligibility not determined/unknown
10
2.3.1
V01
Not VFC eligible
11
2.3.1
V02
VFC eligible - Medicaid/Medicaid Managed Care
12
2.3.1
V03
VFC eligible – Uninsured
13
2.3.1
V04
VFC eligible – American Indian/Alaskan Native
14
2.3.1
V05
VFC eligible – Federally Qualified Health Center Patient (under-insured)
15
2.3.1
V06
VFC eligible - State-specific eligibility (e.g., S-CHIP plan)
16
2.3.1
V07
VFC eligible - Local-specific eligibility