haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2026-06-20 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="payor-identifier-types-cs"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem payor-identifier-types-cs</b></p><a name="payor-identifier-types-cs"> </a><a name="hcpayor-identifier-types-cs"> </a><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class="grid"><tr><td><b>Name</b></td><td><b>Code</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>assigning-authority</td><td>assigning-authority</td><td>string</td><td>Assigning Authority</td></tr><tr><td>is-defunct</td><td>is-defunct</td><td>boolean</td><td>Defunct</td></tr></table><p><b>Concepts</b></p><p>This code system <code>https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>assigning-authority</b></td><td><b>is-defunct</b></td></tr><tr><td style="white-space:nowrap">hios-id<a name="payor-identifier-types-cs-hios-id"> </a></td><td>Health Insurance Oversight System</td><td>A web-based application used by the Centers for Medicare & Medicaid Services (CMS). It acts as a central portal for state entities and private health insurance issuers to submit, collect, and manage plan and issuer data. HIOS Issuer IDs are commonly used to identify ACA Marketplace issuers.</td><td>CMS</td><td>false</td></tr><tr><td style="white-space:nowrap">cms-contract-id<a name="payor-identifier-types-cs-cms-contract-id"> </a></td><td>CMS Contract ID</td><td>A Medicare Advantage, Part D, Cost Plan, PACE, or other CMS contract number. A unique alphanumeric identifier assigned by CMS to the organization operating the plan.</td><td>CMS</td><td>false</td></tr><tr><td style="white-space:nowrap">mco-id<a name="payor-identifier-types-cs-mco-id"> </a></td><td>State Medicaid Managed Care Organization Identifier</td><td>An identifier assigned by a state Medicaid program to a managed care organization or Medicaid plan.</td><td>State Medicaid Agency</td><td>false</td></tr><tr><td style="white-space:nowrap">hpid<a name="payor-identifier-types-cs-hpid"> </a></td><td>Health Plan Identifier</td><td>A retired identifier system created under the Affordable Care Act intended to provide a national identifier for health plans. Implementation was suspended and the identifier is no longer in active use.</td><td>CMS</td><td>true</td></tr><tr><td style="white-space:nowrap">naic-id<a name="payor-identifier-types-cs-naic-id"> </a></td><td>National Association of Insurance Commissioners Company Code</td><td>A unique numeric code assigned to insurance company legal entities regulated by state insurance departments.</td><td>NAIC</td><td>false</td></tr><tr><td style="white-space:nowrap">lei<a name="payor-identifier-types-cs-lei"> </a></td><td>Legal Entity Identifier</td><td>A unique 20-character alphanumeric identifier used to identify legal entities participating in financial and business transactions.</td><td>GLEIF</td><td>false</td></tr><tr><td style="white-space:nowrap">vlei<a name="payor-identifier-types-cs-vlei"> </a></td><td>Verifiable Legal Entity Identifier</td><td>A cryptographically verifiable digital form of the LEI that enables automated verification of organizational identity and authorized representatives.</td><td>GLEIF</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-payer-id-optum<a name="payor-identifier-types-cs-x12-payer-id-optum"> </a></td><td>X12 Payer ID - Optum</td><td>An X12 electronic transaction routing identifier assigned and maintained within the Optum clearinghouse ecosystem.</td><td>Optum</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-payer-id-trizetto<a name="payor-identifier-types-cs-x12-payer-id-trizetto"> </a></td><td>X12 Payer ID - TriZetto</td><td>An X12 electronic transaction routing identifier assigned and maintained within the TriZetto clearinghouse ecosystem.</td><td>TriZetto</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-payer-id-availity<a name="payor-identifier-types-cs-x12-payer-id-availity"> </a></td><td>X12 Payer ID - Availity</td><td>An X12 electronic transaction routing identifier assigned and maintained within the Availity clearinghouse ecosystem.</td><td>Availity</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-payer-id-change-healthcare<a name="payor-identifier-types-cs-x12-payer-id-change-healthcare"> </a></td><td>X12 Payer ID - Change Healthcare</td><td>An X12 electronic transaction routing identifier assigned and maintained within the Change Healthcare clearinghouse ecosystem.</td><td>Change Healthcare</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-payer-id-emdeon<a name="payor-identifier-types-cs-x12-payer-id-emdeon"> </a></td><td>X12 Payer ID - Emdeon</td><td>A legacy X12 electronic transaction routing identifier assigned within the Emdeon clearinghouse ecosystem.</td><td>Emdeon</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-payer-id-waystar<a name="payor-identifier-types-cs-x12-payer-id-waystar"> </a></td><td>X12 Payer ID - Waystar</td><td>An X12 electronic transaction routing identifier assigned and maintained within the Waystar clearinghouse ecosystem.</td><td>Waystar</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-payer-id-zelis<a name="payor-identifier-types-cs-x12-payer-id-zelis"> </a></td><td>X12 Payer ID - Zelis</td><td>An X12 electronic transaction routing identifier assigned and maintained within the Zelis clearinghouse ecosystem.</td><td>Zelis</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-payer-id-office-ally<a name="payor-identifier-types-cs-x12-payer-id-office-ally"> </a></td><td>X12 Payer ID - Office Ally</td><td>An X12 electronic transaction routing identifier assigned and maintained within the Office Ally clearinghouse ecosystem.</td><td>Office Ally</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-payer-id-ssi-group<a name="payor-identifier-types-cs-x12-payer-id-ssi-group"> </a></td><td>X12 Payer ID - SSI Group</td><td>An X12 electronic transaction routing identifier assigned and maintained within the SSI Group clearinghouse ecosystem.</td><td>SSI Group</td><td>false</td></tr><tr><td style="white-space:nowrap">x12-routing-neic-id<a name="payor-identifier-types-cs-x12-routing-neic-id"> </a></td><td>National Electronic Information Corporation</td><td>A historical payer routing identifier from the National Electronic Information Corporation (NEIC), an early healthcare EDI network. Many systems still refer to payer IDs as 'NEIC IDs' even though the organization no longer exists.</td><td>NEIC</td><td>true</td></tr><tr><td style="white-space:nowrap">ncpdp-payer-id<a name="payor-identifier-types-cs-ncpdp-payer-id"> </a></td><td>National Council for Prescription Drug Programs</td><td>A payer identifier used within NCPDP pharmacy transaction standards. NCPDP identifiers are commonly used in pharmacy claims processing and pharmacy benefit management systems.</td><td>NCPDP</td><td>false</td></tr></table></div>
</text>
<url value="https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs"/>
<version value="1.0.0"/>
<name value="PayorIdentifierTypesCS"/>
<title value="Payor Identifier Types CodeSystem"/>
<status value="active"/>
<date value="2026-06-20T05:39:16+00:00"/>
<publisher value="haau3"/>
<contact>
<name value="haau3"/>
<telecom>
<system value="url"/>
<value value="https://haau3.com"/>
</telecom>
<telecom>
<system value="email"/>
<value value="hello@haau3.com"/>
</telecom>
</contact>
<description value="Code system for payor identifier types."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<content value="complete"/>
<count value="18"/>
<property>
<code value="assigning-authority"/>
<description value="Assigning Authority"/>
<type value="string"/>
</property>
<property>
<code value="is-defunct"/>
<description value="Defunct"/>
<type value="boolean"/>
</property>
<concept>
<code value="hios-id"/>
<display value="Health Insurance Oversight System"/>
<definition
value="A web-based application used by the Centers for Medicare & Medicaid Services (CMS). It acts as a central portal for state entities and private health insurance issuers to submit, collect, and manage plan and issuer data. HIOS Issuer IDs are commonly used to identify ACA Marketplace issuers."/>
<property>
<code value="assigning-authority"/>
<valueString value="CMS"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="cms-contract-id"/>
<display value="CMS Contract ID"/>
<definition
value="A Medicare Advantage, Part D, Cost Plan, PACE, or other CMS contract number. A unique alphanumeric identifier assigned by CMS to the organization operating the plan."/>
<property>
<code value="assigning-authority"/>
<valueString value="CMS"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="mco-id"/>
<display value="State Medicaid Managed Care Organization Identifier"/>
<definition
value="An identifier assigned by a state Medicaid program to a managed care organization or Medicaid plan."/>
<property>
<code value="assigning-authority"/>
<valueString value="State Medicaid Agency"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="hpid"/>
<display value="Health Plan Identifier"/>
<definition
value="A retired identifier system created under the Affordable Care Act intended to provide a national identifier for health plans. Implementation was suspended and the identifier is no longer in active use."/>
<property>
<code value="assigning-authority"/>
<valueString value="CMS"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="true"/>
</property>
</concept>
<concept>
<code value="naic-id"/>
<display
value="National Association of Insurance Commissioners Company Code"/>
<definition
value="A unique numeric code assigned to insurance company legal entities regulated by state insurance departments."/>
<property>
<code value="assigning-authority"/>
<valueString value="NAIC"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="lei"/>
<display value="Legal Entity Identifier"/>
<definition
value="A unique 20-character alphanumeric identifier used to identify legal entities participating in financial and business transactions."/>
<property>
<code value="assigning-authority"/>
<valueString value="GLEIF"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="vlei"/>
<display value="Verifiable Legal Entity Identifier"/>
<definition
value="A cryptographically verifiable digital form of the LEI that enables automated verification of organizational identity and authorized representatives."/>
<property>
<code value="assigning-authority"/>
<valueString value="GLEIF"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-payer-id-optum"/>
<display value="X12 Payer ID - Optum"/>
<definition
value="An X12 electronic transaction routing identifier assigned and maintained within the Optum clearinghouse ecosystem."/>
<property>
<code value="assigning-authority"/>
<valueString value="Optum"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-payer-id-trizetto"/>
<display value="X12 Payer ID - TriZetto"/>
<definition
value="An X12 electronic transaction routing identifier assigned and maintained within the TriZetto clearinghouse ecosystem."/>
<property>
<code value="assigning-authority"/>
<valueString value="TriZetto"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-payer-id-availity"/>
<display value="X12 Payer ID - Availity"/>
<definition
value="An X12 electronic transaction routing identifier assigned and maintained within the Availity clearinghouse ecosystem."/>
<property>
<code value="assigning-authority"/>
<valueString value="Availity"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-payer-id-change-healthcare"/>
<display value="X12 Payer ID - Change Healthcare"/>
<definition
value="An X12 electronic transaction routing identifier assigned and maintained within the Change Healthcare clearinghouse ecosystem."/>
<property>
<code value="assigning-authority"/>
<valueString value="Change Healthcare"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-payer-id-emdeon"/>
<display value="X12 Payer ID - Emdeon"/>
<definition
value="A legacy X12 electronic transaction routing identifier assigned within the Emdeon clearinghouse ecosystem."/>
<property>
<code value="assigning-authority"/>
<valueString value="Emdeon"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-payer-id-waystar"/>
<display value="X12 Payer ID - Waystar"/>
<definition
value="An X12 electronic transaction routing identifier assigned and maintained within the Waystar clearinghouse ecosystem."/>
<property>
<code value="assigning-authority"/>
<valueString value="Waystar"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-payer-id-zelis"/>
<display value="X12 Payer ID - Zelis"/>
<definition
value="An X12 electronic transaction routing identifier assigned and maintained within the Zelis clearinghouse ecosystem."/>
<property>
<code value="assigning-authority"/>
<valueString value="Zelis"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-payer-id-office-ally"/>
<display value="X12 Payer ID - Office Ally"/>
<definition
value="An X12 electronic transaction routing identifier assigned and maintained within the Office Ally clearinghouse ecosystem."/>
<property>
<code value="assigning-authority"/>
<valueString value="Office Ally"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-payer-id-ssi-group"/>
<display value="X12 Payer ID - SSI Group"/>
<definition
value="An X12 electronic transaction routing identifier assigned and maintained within the SSI Group clearinghouse ecosystem."/>
<property>
<code value="assigning-authority"/>
<valueString value="SSI Group"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
<concept>
<code value="x12-routing-neic-id"/>
<display value="National Electronic Information Corporation"/>
<definition
value="A historical payer routing identifier from the National Electronic Information Corporation (NEIC), an early healthcare EDI network. Many systems still refer to payer IDs as 'NEIC IDs' even though the organization no longer exists."/>
<property>
<code value="assigning-authority"/>
<valueString value="NEIC"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="true"/>
</property>
</concept>
<concept>
<code value="ncpdp-payer-id"/>
<display value="National Council for Prescription Drug Programs"/>
<definition
value="A payer identifier used within NCPDP pharmacy transaction standards. NCPDP identifiers are commonly used in pharmacy claims processing and pharmacy benefit management systems."/>
<property>
<code value="assigning-authority"/>
<valueString value="NCPDP"/>
</property>
<property>
<code value="is-defunct"/>
<valueBoolean value="false"/>
</property>
</concept>
</CodeSystem>