N.H. Admin. Code Ins, ch. Ins 4200, pt. Ins 4202, APPENDIX I. Source Codes

Current through Register No. 50, December 12, 2024
Appendix - APPENDIX I. Source Codes

(1) Official UB-04 Data Specifications Manual

SOURCE: National Uniform Billing Data Element Specifications

AVAILABLE FROM:

National Uniform Billing Committee

American Hospital Association

840 Lake Shore Drive

Chicago, IL 60697

http://www.nubc.org/

ABSTRACT: A variety of code definitions for many of the fields included in the healthcare data submission requirements.

(2) Medicare Claims Process Manual (CMS-1500 Data Set)

SOURCE: CMS-1500 Coding System

AVAILABLE FROM:

www. cms. gov/medicare/hcpcs.htm

Centers for Medicare and Medicaid Services

Center for Health Plans and Providers

CCPP/DCPC

C5-08-27

7500 Security Boulevard

Baltimore, MD 21244-1850

(3) CurrentProcedural Terminology (CPT) Codes

SOURCE: Physicians' Current Procedural Terminology (CPT) Manual

AVAILABLE FROM:

Order Department

American Medical Association

515 North State Street

Chicago, IL 60610

ABSTRACT: A listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians.

(4) Healthcare Common Procedural Coding System

SOURCE: Healthcare Common Procedural Coding System

AVAILABLE FROM:

www. cms. gov/medicare/hcpcs.htm

Centers for Medicare and Medicaid Services

Center for Health Plans and Providers

CCPP/DCPC

C5-08-27

7500 Security Boulevard

Baltimore, MD 21244-1850

ABSTRACT: HCPCS is the Centers for Medicare and Medicaid Services (CMS) coding scheme to group procedures performed for payment to providers.

(5) Centers for Medicare and Medicaid Services National Provider Identifier

SOURCE: National Provider System

AVAILABLE FROM:

Centers for Medicare and Medicaid Services

Office of Information Services

Security and Standards Group

Director, Division of Healthcare Information Systems

7500 Security BoulevardBaltimore, MD 21244-1850

ABSTRACT: The Centers for Medicare and Medicaid Services is developing the National Provider Identifiers, which is proposed as the standard unique identifier for each Healthcare provider under the Health Insurance Portability and Accountability Act of 1996.

(6) International Classification of Diseases Clinical Mod (ICD-9-CM)(and when available ICD-10-CM)

SOURCE: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

AVAILABLE FROM:

U. S. National Center for Health Statistics

Commission of Professional and Hospital Activities

1968 Green Road

Ann Arbor, MI 48105

ABSTRACT: The International Classification of Diseases, 9th Revision, Clinical Modification, describes the classification of morbidity and mortality information for statistical purposes and for the indexing of hospital records by disease and operations.

(7) States and Outlying Areas of the U.S.

SOURCE: National Zip Code and Post Office Directory

AVAILABLE FROM:

U. S. Postal Service

National Information Data Center

P. O. Box 2977

Washington, DC 20013

ABSTRACT: Provides names, abbreviations, and codes for the 50 states, the District of Columbia, and the outlying areas of the U.S. The entities listed are considered to be the first order divisions of the U.S. Microfiche.

(8) X12 Directories

SOURCE: X12.3 Data Element Directory; X12.22 Segment Directory

AVAILABLE FROM:

Data Interchange Standards Association, Inc. (DISA)

Suite 200

1800 Diagonal Road

Alexandria, VA 22314-2852

ABSTRACT: The data element directory contains the format and descriptions of data elements used to construct X12 segments. It also contains code lists associated with these data elements. The segment director contains the format and definitions of the data segments used to construct the X12 transaction sets.

(9) ZIP Code

SOURCE: National Zip Code and Post Office Directory, Publication 65, The USPS Domestic Mail Manual

AVAILABLE FROM:

U. S. Postal Service

Washington, DC 20260

New Orders

Superintendent of Documents

P. O. Box 371954

Pittsburgh, PA 15250-7954

ABSTRACT: The ZIP Code is a geographic identifier of areas within the United States and its territories for purposes of expediting mail distribution by the U.S. Postal Service. It is five or nine numeric digits. The ZIP Code structure divides the U.S. into ten large groups of states. The leftmost digit identifies one of these groups. The next two digits identify a smaller geographic area within the large group. The two right-most digits identify a local delivery area. In the nine digit ZIP Code, the four digits that follow the hyphen further subdivide the delivery service area. The two leftmost digits identify a sector that may consist of several large buildings, blocks or groups of streets. The rightmost digits divide the sector into segments such as a street, a block, a floor of a building, or a cluster of mailboxes. The USPS Domestics Mail Manual includes information on the use of the new 11-digit ZIP code.

RULE

STATUTE

Ins 4201.01

RSA 400-A:15, I.; RSA 126-S:2

Ins 4201.02

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.01

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.02

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.03

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.04

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.05

RSA 400-A;15, I.; RSA 126-S:2

Ins 4202.06

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.07

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.08

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.09

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.10

RSA 400-A:15, I.; RSA 126-S:2

Appendix I

RSA 400-A:15, I.; RSA 126-S:2

RULE

STATUTE

Ins 4201.01

RSA 400-A:15, I.; RSA 126-S:2

Ins 4201.02

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.01

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.02

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.03

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.04

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.05

RSA 400-A;15, I.; RSA 126-S:2

Ins 4202.06

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.07

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.08

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.09

RSA 400-A:15, I.; RSA 126-S:2

Ins 4202.10

RSA 400-A:15, I.; RSA 126-S:2

Appendix I

RSA 400-A:15, I.; RSA 126-S:2

N.H. Admin. Code Ins, ch. Ins 4200, pt. Ins 4202, APPENDIX I. Source Codes