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Electronic Data transfer: Vaccine Eligibility Codes

INTRODUCTION:

Providers can submit either numeric codes or alpha codes to ALERT.
PUBLIC SITE:

Code Description Alpha code Numeric code
OHP/Medicaid M 2
American Indian/Alaska Native A 3
No Insurance N 4
Underinsured (clinic is FQHC/RHC/MCHC) F 5
Underinsured (clinic is NOT an FQHC/RHC/MCHC) U 6
Insured, copay or deductible not affordable C 7
Billable B 8
Other O 9
Locally Owned L 10
Special Projects S 11
Unknown R 12
History H 13
IG as directed by HS G 14
PRIVATE SITE:

Code Description Alpha code Numeric code
OHP/Medicaid M 2
American Indian/Alaska Native A 3
No Insurance N 4
Underinsured (clinic is an FQHC/RHC/MCHC) F 5
History H 13
Not VFC eligible/Insured B 8
Special Projects S 11


Note: private clinics that do NOT have FQHC/RHC/MCHC status are NOT permitted by federal law to use VFC vaccine on underinsured patients.

Please contact your health educator at (971) 673-0300 if you have any questions regarding eligibility codes.
Related Data Exchange Documentation: