Coverage Codes
| Coverage Type | Coverage Description |
|---|---|
| 1 | Hospital Inpatient Services |
| 2 | Hospital Outpatient Services |
| 3 | Hospital Inpatient / Outpatient Services |
| 4 | Physician Services |
| 5 | Physician Inpatient / Outpatient Services |
| 6 | Physician Inpatient / Outpatient Services & Major Medical |
| 7 | Dental Coverage |
| 8 | Vision Coverage |
| 9 | Drug Coverage |
| 10 | Physician Inpatient / Outpatient Services, Major Medical, & Dental |
| 11 | Physician Inpatient / Outpatient Services, Major Medical, & Vision |
| 12 | Physician Inpatient / Outpatient Services, Major Medical, & Drug (System |
| 13 | Medicare Supplement A & B |
| 14 | Indemnity Coverage (Payment To Client) |
| 15 | Major Medical |
| 16 | Major Medical / Physician |
| 17 | Major Medical / Physician / Dental |
| 18 | Major Medical / Physician / Vision |
| 19 | Major Medical / Physician / Drug |
| 20 | Major Medical / Physician / Dental / Vision/ Drug |
| 21 | Inpatient / Outpatient / Physician / Dental / Major Medical / Drug / Vision |
| 22 | Medicare Supplement Part A |
| 23 | Medicare Supplement Part B |
| 24 | Specialty Coverage (Cancer) |
| 25 | HMO |
| 26 | Nursing Home |
| 27 | Veterans Home |
| 28 | Worker's Compensation |
| 29 | Transplant Rider |
| 30 | Drug Script/Reg |
| 40 | DME |
| 45 | CHAMPUS Coverage |
| 50 | Absent Parent (4D) |
| 60 | HMO/Dental |
| 61 | HMO/Vision |
| 62 | HMO/Drug |
| 63 | HMO/Dental/Vision |
| 64 | HMO/Dental/Drug |
| 65 | HMO/Vision/Drug |
| 66 | HMO/Dental/Vision/Drug |
| 70 | Phys/Inpatient/Outpatient/Dental |
| 71 | Phys/Inpatient/Outpatient/Vision |
| 72 | Phys/Inpatient/Outpatient/Drug |
| 73 | Phys/Inpatient/Outpatient/Dental/Vision |
| 74 | Phys/Inpatient/Outpatient/Dental/Drug |
| 75 | Phys/Inpatient/Outpatient/Vision/Drug |
| 76 | Phys/Inpatient/Outpatient/Dental/Vision/Drug |
| 77 | Phys/Inpatient/Outpatient/Maj Med/Dental/Drug |
| 78 | Phys/Inpatient/Outpatient/Maj Med/Vision/Drug |
| 90 | Medicare Supplement A & B/Dental |
| 91 | Medicare Supplement A & B/Vision |
| 92 | Medicare Supplement A & B/Drug |
| 93 | Medicare Supplement A & B/Major Medical |
| 99 | Unknown |
| A1 | Medicare A |
| A2 | Medicare A HMO |
| B1 | Medicare B |
| B2 | Medicare B HMO |
| B3 | Medicare B HMO/Dental |
| B4 | Medicare B HMO/Vision |
| B5 | Medicare B HMO/Drug |
| B6 | Medicare B HMO/Dental/Vision |
| B7 | Medicare B HMO/Dental/Drug |
| B8 | Medicare B HMO/Vision/Drug |
| B9 | Medicare B HMO/Dental/Vision/Drug |