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Level III codes, also called local codes, were developed by state Medicaid agencies, Medicare contractors, and private insurers for use in specific programs and jurisdictions. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) instructed CMS to adopt a standard coding systems for reporting medical transactions.
An example layout of an X12 834 Version 005010 file is shown below. Each line starts with a code to identify the type of data that follows, with individual pieces of data separated by an asterisk. The tilde indicates the end of that section.
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
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Area codes are also assigned for non-geographic purposes. The rules for numbering NPAs do not permit the digits 0 and 1 in the leading position. [1] Area codes with two identical trailing digits are easily recognizable codes (ERC). NPAs with 9 in the second position are reserved for future format expansion.
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The codes were assigned by NIST and each uniquely identified a state, the District of Columbia, or an outlying area of the U.S. These codes were used by the U.S. Census Bureau, the Department of Agriculture to form milk-processing plant numbers, some cash registers during check approval, and in the Emergency Alert System (EAS).