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Non-admitted patient funding source code NN

Identifying and definitional attributes

Metadata item type:Help on this termValue Domain
METeOR identifier:Help on this term424550
Registration status:Help on this termHealth, Superseded 11/04/2012
Independent Hospital Pricing Authority, Standard 01/11/2012
Definition:Help on this termA code set representing the source of funds for a non-admitted patient.

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termString
Format:Help on this termNN
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
01Health service budget (not covered elsewhere)
02Health service budget (due to eligibility for Reciprocal Health Care Agreement)
03Health service budget (no charge raised due to hospital decision)
04Department of Veterans' Affairs
05Department of Defence
06Correctional facility
07Medicare Benefits Scheme
08Other hospital or public authority (contracted care)
09Private health insurance
10Worker's compensation
11Motor vehicle third party personal claim
12Other compensation (e.g. public liability, common law, medical negligence)
13Self-funded
14Other funding source
Supplementary values:Help on this term
99Not known

Collection and usage attributes

Guide for use:Help on this term

CODE 01     Health service budget (not covered elsewhere)

Health service budget (not covered elsewhere) should be recorded as the funding source for Medicare eligible patients presenting at a public hospital outpatient department for whom there is no other funding arrangement.

CODE 02     Health service budget (due to eligibility for Reciprocal Health Care Agreement) 

Patients who are overseas visitors from countries covered by Reciprocal Health Care Agreements.

CODE 03     Health service budget (no charge raised due to hospital decision) 

Patients who are Medicare ineligible and receive public hospital services free of charge at the discretion of the hospital or the state/territory. Also includes patients for whom a charge is raised but is subsequently waived.

CODE 07     Medicare Benefits Scheme 

Medicare eligible non-admitted patients presenting at a public hospital outpatient department for whom services are billed to Medicare. Includes both bulk-billed and patients with out-of-pocket expenses. 

CODE 08     Other hospital or public authority (contracted care)

Patients receiving treatment under contracted care arrangements (inter-hospital contracted patient).

CODE 09     Private health insurance

Patients who are funded by private health insurance, including travel insurance for Medicare eligible patients.  

Excludes: Overseas visitors for whom travel insurance is the major funding source.

CODE 13     Self-funded

This code includes funded by the patient, by the patient's family or friends, or by other benefactors.

CODE 14     Other funding source

This code includes overseas visitors for whom travel insurance is the major funding source.

Relational attributes

Related metadata references:Help on this term

Has been superseded by Patient funding source code NN Health, Superseded 07/03/2014

Data elements implementing this value domain:Help on this term

Non-admitted patient service event—principal source of funding, code NN Health, Superseded 11/04/2012
Independent Hospital Pricing Authority, Standard 01/11/2012

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