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This item has been superseded by a newer version by one or more Registration Authorities.

Definition

A code set representing the source of funds for a non-admitted patient.

Representation

Data Type String
Format NN
Maximum character length 2

Values

Value Meaning Start Date End Date
Permissible Values 01 Health service budget (not covered elsewhere)
02 Health service budget (due to eligibility for Reciprocal Health Care Agreement)
03 Health service budget (no charge raised due to hospital decision)
04 Department of Veterans' Affairs
05 Department of Defence
06 Correctional facility
07 Medicare Benefits Scheme
08 Other hospital or public authority (contracted care)
09 Private health insurance
10 Worker's compensation
11 Motor vehicle third party personal claim
12 Other compensation (e.g. public liability, common law, medical negligence)
13 Self-funded
14 Other funding source
Supplementary Values 99 Not known

Comments

Guide for use:

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.

References

Related content

Relation Count
Data Elements implementing this Value Domain 1