| Item # | Length | Source of Standard | Year Implemented | Version Implemented | Year Retired | Version Retired |
|---|---|---|---|---|---|---|
| 630 | 2 | CoC |
| 01 | Not insured |
| 02 | Not insured, self-pay |
| 10 | Insurance, NOS |
| 20 | Private Insurance: Managed care, HMO, or PPO |
| 21 | Private Insurance: Fee-for-Service |
| 31 | Medicaid |
| 35 | Medicaid - Administered through a Managed Care plan |
| 60 | Medicare/Medicare, NOS |
| 61 | Medicare with supplement, NOS |
| 62 | Medicare - Administered through a Managed Care plan |
| 63 | Medicare with private supplement |
| 64 | Medicare with Medicaid eligibility |
| 65 | TRICARE |
| 66 | Military |
| 67 | Veterans Affairs |
| 68 | Indian/Public Health Service |
| 99 | Insurance status unknown |