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.