ESMD FHIR Implementation Guide
1.0.0 - esmd

ESMD FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: ESMD Review Contractor OIDs - JSON Representation

Active as of 2024-04-01

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{
  "resourceType" : "CodeSystem",
  "id" : "Esmd-CS-ReviewContractorOIDs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem Esmd-CS-ReviewContractorOIDs</b></p><a name=\"Esmd-CS-ReviewContractorOIDs\"> </a><a name=\"hcEsmd-CS-ReviewContractorOIDs\"> </a><a name=\"Esmd-CS-ReviewContractorOIDs-en-US\"> </a><p>This case-sensitive code system <code>https://terminology.esmduat.cms.gov:8099/fhir/CodeSystem/Esmd-CS-ReviewContractorOIDs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.999.1<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46999.461\"> </a></td><td>Test RC OID</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.100.21<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46100.4621\"> </a></td><td>RAC Region 1 (Performant)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.100.22<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46100.4622\"> </a></td><td>RAC Region 2 (Performant)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.100.23<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46100.4623\"> </a></td><td>RAC Region 3 (Cotiviti)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.100.24<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46100.4624\"> </a></td><td>RAC Region 4 (Cotiviti)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.100.25<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46100.4625\"> </a></td><td>RAC Region 5 (Performant)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.11<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.4611\"> </a></td><td>MAC JM (Palmetto)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.10<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.4610\"> </a></td><td>MAC JJ (Palmetto)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.12<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.4612\"> </a></td><td>MAC JL (Novitas Solutions)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.13<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.4613\"> </a></td><td>MAC JK (NGS)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.15<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.4615\"> </a></td><td>MAC J15 (CGS)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.16<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.4616\"> </a></td><td>MAC JE (Noridian)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.3<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.463\"> </a></td><td>MAC JF (Noridian)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.5<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.465\"> </a></td><td>MAC J5 (WPS)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.7<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.467\"> </a></td><td>MAC JH (Novitas Solutions)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.8<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.468\"> </a></td><td>MAC J8 (WPS)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.110.9<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46110.469\"> </a></td><td>MAC JN (FCSO)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.150.1<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46150.461\"> </a></td><td>DME MAC A (Noridian)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.150.2<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46150.462\"> </a></td><td>DME MAC B (CGS)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.150.3<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46150.463\"> </a></td><td>DME MAC C (CGS)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.150.4<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46150.464\"> </a></td><td>DME MAC D (Noridian)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.200.1<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46200.461\"> </a></td><td>CERT (Empower AI)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.200.3<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46200.463\"> </a></td><td>PERM Review Contractor(Empower AI)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.250.1<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46250.461\"> </a></td><td>MAC J6 (NGS)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.250.2<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46250.462\"> </a></td><td>SMRC (Noridian)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.400.1<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46400.461\"> </a></td><td>RRB (Palmetto GBA)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.500.12<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46500.4612\"> </a></td><td>QIO Appeals (Livanta)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.500.13<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46500.4613\"> </a></td><td>QIO Quality of Care Complaints (Livanta)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.500.15<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46500.4615\"> </a></td><td>QIO HWDRG (Livanta)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.500.17<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46500.4617\"> </a></td><td>QIO SSR (Livanta)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.600.1<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46600.461\"> </a></td><td>QIC Part A East (C2C)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.600.2<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46600.462\"> </a></td><td>QIC Part A West (Maximus)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.600.3<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46600.463\"> </a></td><td>QIC Part B North (C2C)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.600.4<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46600.464\"> </a></td><td>QIC Part B South (C2C)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.600.6<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46600.466\"> </a></td><td>QIC DME (Maximus)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.700.1<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46700.461\"> </a></td><td>UPIC NE (Safeguard Services)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.700.6<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46700.466\"> </a></td><td>UPIC MW (Covent Bridge Group)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.700.3<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46700.463\"> </a></td><td>UPIC SW (Qlarant)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.700.4<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46700.464\"> </a></td><td>UPIC SE (Safeguard Services)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.13.34.110.1.700.5<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.4613.4634.46110.461.46700.465\"> </a></td><td>UPIC W (Qlarant)</td></tr><tr><td style=\"white-space:nowrap\">urn:oid:2.16.840.1.113883.4.1.1.5678<a name=\"Esmd-CS-ReviewContractorOIDs-urn.58oid.582.4616.46840.461.46113883.464.461.461.465678\"> </a></td><td>RC OID1</td></tr></table></div>"
  },
  "url" : "https://terminology.esmduat.cms.gov:8099/fhir/CodeSystem/Esmd-CS-ReviewContractorOIDs",
  "version" : "1.0.0",
  "name" : "EsmdCSReviewContractorOIDs",
  "title" : "ESMD Review Contractor OIDs",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-04-01T12:57:28+00:00",
  "publisher" : "CMS FHIR esMD",
  "contact" : [
    {
      "name" : "CMS FHIR esMD",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.cms.gov/data-research/computer-data-systems/esmd"
        },
        {
          "system" : "email",
          "value" : "esmd_support@cms.hhs.gov"
        }
      ]
    }
  ],
  "description" : "Esmd-CS-ReviewContractorOIDs is a custom esMD FHIR code system resource that contains the list of all unique Organizational Identifier (OID) codes and descriptions (organization business name) which are used within the esMD System to identify and route transactions to Review Contractors (RCs). Note that a given RC may have multiple OIDs assigned to distinguish between jurisdictions.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 41,
  "concept" : [
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.999.1",
      "display" : "Test RC OID"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.100.21",
      "display" : "RAC Region 1 (Performant)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.100.22",
      "display" : "RAC Region 2 (Performant)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.100.23",
      "display" : "RAC Region 3 (Cotiviti)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.100.24",
      "display" : "RAC Region 4 (Cotiviti)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.100.25",
      "display" : "RAC Region 5 (Performant)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.11",
      "display" : "MAC JM (Palmetto)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.10",
      "display" : "MAC JJ (Palmetto)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.12",
      "display" : "MAC JL (Novitas Solutions)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.13",
      "display" : "MAC JK (NGS)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.15",
      "display" : "MAC J15 (CGS)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.16",
      "display" : "MAC JE (Noridian)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.3",
      "display" : "MAC JF (Noridian)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.5",
      "display" : "MAC J5 (WPS)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.7",
      "display" : "MAC JH (Novitas Solutions)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.8",
      "display" : "MAC J8 (WPS)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.110.9",
      "display" : "MAC JN (FCSO)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.150.1",
      "display" : "DME MAC A (Noridian)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.150.2",
      "display" : "DME MAC B (CGS)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.150.3",
      "display" : "DME MAC C (CGS)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.150.4",
      "display" : "DME MAC D (Noridian)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.200.1",
      "display" : "CERT (Empower AI)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.200.3",
      "display" : "PERM Review Contractor(Empower AI)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.250.1",
      "display" : "MAC J6 (NGS)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.250.2",
      "display" : "SMRC (Noridian)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.400.1",
      "display" : "RRB (Palmetto GBA)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.500.12",
      "display" : "QIO Appeals (Livanta)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.500.13",
      "display" : "QIO Quality of Care Complaints (Livanta)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.500.15",
      "display" : "QIO HWDRG (Livanta)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.500.17",
      "display" : "QIO SSR (Livanta)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.600.1",
      "display" : "QIC Part A East (C2C)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.600.2",
      "display" : "QIC Part A West (Maximus)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.600.3",
      "display" : "QIC Part B North (C2C)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.600.4",
      "display" : "QIC Part B South (C2C)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.600.6",
      "display" : "QIC DME (Maximus)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.700.1",
      "display" : "UPIC NE (Safeguard Services)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.700.6",
      "display" : "UPIC MW (Covent Bridge Group)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.700.3",
      "display" : "UPIC SW (Qlarant)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.700.4",
      "display" : "UPIC SE (Safeguard Services)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.13.34.110.1.700.5",
      "display" : "UPIC W (Qlarant)"
    },
    {
      "code" : "urn:oid:2.16.840.1.113883.4.1.1.5678",
      "display" : "RC OID1"
    }
  ]
}