Insurance Product Codes

Maintence Request Status 7/1/2017 LAST UPDATED

The Insurance Product codes are used to indicate the type of insurance for eligibility purposes.

The list below shows the status of change requests which are in process. The list is updated on the first of each month.

Each request will be in one of the following statuses:

  1. Received
    The request has been submitted but is not yet under review.
  2. Triaged
    Staff has looked at the request to ensure it's a legitimate request (not spam), that it is assigned to the correct CMG, and that all required information is present.
  3. In Process
    The CMG has initiated their decision process.
  4. On Hold
    The CMG has initiated their decision process but cannot complete it at this time.
  5. CMG Approved
    The CMG has considered and approved the request, this does not mean it was approved exactly as submitted, it means maintenance related to the request was approved. Requests in this status will be applied to the next version.
  6. CMG Disapproved
    The CMG has considered and disapproved the request, no maintenance action will occur. Requests in this status are complete/final.
Num. Date Requested Description Type Code Status
5 7/1/2017 Disability New code Triaged
6 7/1/2017 Medicare - Point of Service (POS) New code Triaged
7 7/1/2017 Medicare Advantage Point of Service (POS) Plan that excludes Part D coverage New code Triaged
8 7/1/2017 Multiple Options Health Plan New code Triaged
9 7/1/2017 Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan New code Triaged
10 7/1/2017 Medicare Secondary End-Stage Renal Disease Beneficiary in the Mandated Coordination Period with an Employer's Group Health Plan New code Triaged
11 7/1/2017 Medicare Secondary, No-fault Insurance including Auto is Primary New code Triaged
12 7/1/2017 Medicare Secondary Worker's Compensation New code Triaged
13 7/1/2017 Medicare Secondary Public Health Service (PHS)or Other Federal Agency New code Triaged
14 7/1/2017 Dental New code Triaged
15 7/1/2017 Vision New code Triaged
16 7/1/2017 Prescription Drugs New code Triaged
17 7/1/2017 Medicare Secondary Black Lung New code Triaged
18 7/1/2017 Medicare Secondary Veteran's Administration New code Triaged
19 7/1/2017 Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP) New code Triaged
20 7/1/2017 Medicare Secondary, Other Liability Insurance is Primary New code Triaged
21 7/1/2017 Auto Insurance Policy New code Triaged
22 7/1/2017 Commercial New code Triaged
23 7/1/2017 Consolidated Omnibus Budget Reconciliation Act (COBRA) New code Triaged
24 7/1/2017 Medicare Conditionally Primary New code Triaged
25 7/1/2017 Disability Benefits New code Triaged
26 7/1/2017 Exclusive Provider Organization New code Triaged
27 7/1/2017 Family or Friends New code Triaged
28 7/1/2017 Group Policy New code Triaged
29 7/1/2017 Health Insurance Exchange (HIX) Bronze New code Triaged
30 7/1/2017 High Deductible Health Plan New code Triaged
31 7/1/2017 Health Insurance Exchange (HIX) Gold New code Triaged
32 7/1/2017 Health Maintenance Organization (HMO) New code Triaged
33 7/1/2017 Health Maintenance Organization (HMO) - Medicare Risk New code Triaged
34 7/1/2017 Health Insurance Exchange (HIX) Platinum New code Triaged
35 7/1/2017 Health Insurance Exchange (HIX) Silver New code Triaged
36 7/1/2017 Indemnity New code Triaged
37 7/1/2017 Individual Policy New code Triaged
38 7/1/2017 Long Term Care New code Triaged
39 7/1/2017 Long Term Policy New code Triaged
40 7/1/2017 Life Insurance New code Triaged
41 7/1/2017 Litigation New code Triaged
42 7/1/2017 Medicare Part A New code Triaged
43 7/1/2017 Medicare Part B New code Triaged
44 7/1/2017 Medicaid New code Triaged
45 7/1/2017 Medicare Part D New code Triaged
46 7/1/2017 Medicare Advantage Preferred Provider Organization (PPO) Plan that excludes Part D Coverage New code Triaged
47 7/1/2017 Medicare Advantage Private Fee for Service New code Triaged
48 7/1/2017 Medigap Part A New code Triaged
49 7/1/2017 Medigap Part B New code Triaged
50 7/1/2017 Medicare Advantage Health Maintenance Organization (HMO) Plan that includes Part D Coverage New code Triaged
51 7/1/2017 Medicare Advantage Health Maintenance Organization (HMO) Risk Plan that includes Part D Coverage New code Triaged
52 7/1/2017 Medicare Advantage Indemnity Plan that includes Part D Coverage New code Triaged
53 7/1/2017 Medicare Advantage Preferred Provider Organization (PPO) Plan that includes Part D Coverage New code Triaged
54 7/1/2017 Medicare Advantage Indemnity Plan that excludes Part D coverage New code Triaged
55 7/1/2017 Medicare Advantage Point of Service (POS) Plan that includes Part D Coverage New code Triaged
56 7/1/2017 Medicare Primary New code Triaged
57 7/1/2017 Medicare Advantage Health Maintenance Organization (HMO) Risk Plan that excludes Part D coverage New code Triaged
58 7/1/2017 Medicare Advantage Health Maintenance Organization (HMO) Plan that excludes Part D coverage New code Triaged
59 7/1/2017 Medicare Advantage New code Triaged
60 7/1/2017 Open Access Point of Service Plan New code Triaged
61 7/1/2017 Other New code Triaged
62 7/1/2017 Property Insurance - Personal New code Triaged
63 7/1/2017 Personal New code Triaged
64 7/1/2017 Personal Payment (Cash - No Insurance) New code Triaged
65 7/1/2017 Preferred Provider Organization (PPO) New code Triaged
66 7/1/2017 Point of Service (POS) New code Triaged
67 7/1/2017 Qualified Medicare Beneficiary New code Triaged
68 7/1/2017 Property Insurance - Real New code Triaged
69 7/1/2017 Supplemental Policy New code Triaged
70 7/1/2017 Tax Equity Fiscal Responsibility Act (TEFRA) New code Triaged
71 7/1/2017 Workers Compensation New code Triaged
72 7/1/2017 Wrap Up Policy New code Triaged