haau3 FHIR Implementation Guide (HFIG)
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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

ValueSet: Payor Identifier Types ValueSet

Official URL: https://haau3.com/fhir/ValueSet/payor-identifier-types-vs Version: 1.0.0
Draft as of 2026-06-20 Computable Name: PayorIdentifierTypesVS

Value set for payor identifier types.

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 19 concepts

SystemCodeDisplay (en)DefinitionstatusJSONXML
http://terminology.hl7.org/CodeSystem/v2-0203  ENEmployer numberA
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  hios-idHealth Insurance Oversight SystemA 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.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  cms-contract-idCMS Contract IDA 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.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  mco-idState Medicaid Managed Care Organization IdentifierAn identifier assigned by a state Medicaid program to a managed care organization or Medicaid plan.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  hpidHealth Plan IdentifierA 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.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  naic-idNational Association of Insurance Commissioners Company CodeA unique numeric code assigned to insurance company legal entities regulated by state insurance departments.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  leiLegal Entity IdentifierA unique 20-character alphanumeric identifier used to identify legal entities participating in financial and business transactions.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  vleiVerifiable Legal Entity IdentifierA cryptographically verifiable digital form of the LEI that enables automated verification of organizational identity and authorized representatives.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-payer-id-optumX12 Payer ID - OptumAn X12 electronic transaction routing identifier assigned and maintained within the Optum clearinghouse ecosystem.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-payer-id-trizettoX12 Payer ID - TriZettoAn X12 electronic transaction routing identifier assigned and maintained within the TriZetto clearinghouse ecosystem.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-payer-id-availityX12 Payer ID - AvailityAn X12 electronic transaction routing identifier assigned and maintained within the Availity clearinghouse ecosystem.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-payer-id-change-healthcareX12 Payer ID - Change HealthcareAn X12 electronic transaction routing identifier assigned and maintained within the Change Healthcare clearinghouse ecosystem.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-payer-id-emdeonX12 Payer ID - EmdeonA legacy X12 electronic transaction routing identifier assigned within the Emdeon clearinghouse ecosystem.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-payer-id-waystarX12 Payer ID - WaystarAn X12 electronic transaction routing identifier assigned and maintained within the Waystar clearinghouse ecosystem.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-payer-id-zelisX12 Payer ID - ZelisAn X12 electronic transaction routing identifier assigned and maintained within the Zelis clearinghouse ecosystem.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-payer-id-office-allyX12 Payer ID - Office AllyAn X12 electronic transaction routing identifier assigned and maintained within the Office Ally clearinghouse ecosystem.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-payer-id-ssi-groupX12 Payer ID - SSI GroupAn X12 electronic transaction routing identifier assigned and maintained within the SSI Group clearinghouse ecosystem.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  x12-routing-neic-idNational Electronic Information CorporationA 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.
https://haau3.com/fhir/CodeSystem/payor-identifier-types-cs  ncpdp-payer-idNational Council for Prescription Drug ProgramsA payer identifier used within NCPDP pharmacy transaction standards. NCPDP identifiers are commonly used in pharmacy claims processing and pharmacy benefit management systems.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code