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PLAN-TYPE
Sub Plan Type. This data element identifies the type of health/prescription drug plan the recipient has and is used for billing purposes. This field can be viewed from the View HIS Information (HIAR) screen.
HMO |
Health Management Organization |
MAP |
Medicare Advantage Plan (HMO) |
PPO |
Preferred Provider Organization |
MPO |
Medicare Preferred Organization (PPO) |
MSP |
Medicare Special Needs Plan |
PAC |
Medicare Pace Plan |
PDP |
Prescription Drug Plan |
HFP |
Healthy Families Plan |
TPM |
Third Party Medical and Allied Services |
TPP |
Third Party Medical Prescription Drugs |
TPV |
Third Party Vision |
TPD |
Third Party Dental |
TPL |
Third Party Long Term Care |
TPI |
Third Party Hospital Inpatient |
TPO |
Third Party Hospital Outpatient |