ncqa carrier carrier subcode - 2013 fehb data high 000 ...f5 f5-hmo-dc-003 aetna healthfund cdhp and...
TRANSCRIPT
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
3317 7154 Aetna HealthFund 22 22-HMO-AA-002 ALL 22'S
Aetna HealthFund CDHP and EP EP-HMO-CT-003
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-CT-004
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-DE-003
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-DE-004
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-MA-003
Aetna HealthFund CDHP and EP EP-HMO-MA-004 Aetna HealthFund CDHP and EP EP-HMO-ME-003
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-ME-004
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-NH-003
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-NH-004
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-NJ-003
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-NJ-004
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-NY-003
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-NY-004
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-RI-003
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-RI-004
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-VT-003
Aetna HealthFund CDHP and
Value Plan EP EP-HMO-VT-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-AL-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-AL-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-AR-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-AR-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-DC-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-DC-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-FL-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-FL-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-GA-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-GA-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-LA-003
1
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-LA-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-MD-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-MD-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-NC-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-NC-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-TN-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-TN-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-VA-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-VA-004
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-W V-003
Aetna HealthFund CDHP and
Value Plan F5 F5-HMO-W V-004
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-AZ-003
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-AZ-004
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-CO-003
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-CO-004
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-KS-003
Aetna HealthFund CDHP and G5 G5-HMO-KS-004
Aetna HealthFund CDHP and G5 G5-HMO-MI-003
Aetna HealthFund CDHP and G5 G5-HMO-MI-004
Aetna HealthFund CDHP and G5 G5-HMO-MO-003
Aetna HealthFund CDHP and G5 G5-HMO-MO-004
Aetna HealthFund CDHP and G5 G5-HMO-NM-003
Aetna HealthFund CDHP and G5 G5-HMO-NM-004
Aetna HealthFund CDHP and G5 G5-HMO-NV-003
Aetna HealthFund CDHP and G5 G5-HMO-NV-004
Aetna HealthFund CDHP and G5 G5-HMO-SD-003
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-SD-004
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-UT-003
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-UT-004
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-W A-003
Aetna HealthFund CDHP and
Value Plan G5 G5-HMO-W A-004
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-IA-003
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-IA-004
2
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-ID-003
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-ID-004
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-IL-003
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-IL-004
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-KY-003
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-KY-004
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-MN-003
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-MN-004
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-MS-003
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-MS-004
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-ND-003
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-ND-004
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-OR-003
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-OR-004
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-PA-003
Aetna HealthFund CDHP and
Value Plan H4 H4-HMO-PA-004
99 2028 Aetna Open Access 2U 2U-HMO-GA-000
105 5572 Aetna Open Access 2X 2X-HMO-CA-000
Aetna Open Access C3 C3-HMO-W A-000
442 2139 Aetna Open Access HF HF-HMO-NV-000 W Q-HMO-AZ-000
1683 3128 Aetna Open Access HY HY-HMO-KS-000 HY-HMO-MO-000
1683 3128 Aetna Open Access HY HY-HMO-MO-000 HY-HMO-KS-000
122 2514 Aetna Open Access JC JC-HMO-NY-000 JC-HMO-NY-004
122 2514 Aetna Open Access JC JC-HMO-NY-004 JC-HMO-NY-000
101 2517 Aetna Open Access JN JN-HMO-DC-000
JN-HMO-DC-
000/004, JN-HMO-
MD-000/004, JN-
HMO-VA-000/004
101 2517 Aetna Open Access JN JN-HMO-DC-004
JN-HMO-DC-
000/004, JN-HMO-
MD-000/004, JN-
HMO-VA-000/004
101 2517 Aetna Open Access JN JN-HMO-MD-000
JN-HMO-DC-
000/004, JN-HMO-
MD-000/004, JN-
HMO-VA-000/004
101 2517 Aetna Open Access JN JN-HMO-MD-004
JN-HMO-DC-
000/004, JN-HMO-
MD-000/004, JN-
HMO-VA-000/004
3
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
101 2517 Aetna Open Access JN JN-HMO-VA-000
JN-HMO-DC-
000/004, JN-HMO-
MD-000/004, JN-
HMO-VA-000/004
101 2517 Aetna Open Access JN JN-HMO-VA-004
JN-HMO-DC-
000/004, JN-HMO-
MD-000/004, JN-
HMO-VA-000/004
121 5575 Aetna Open Access JR JR-HMO-NJ-000
JR-HMO-NJ-
000/004, P3-HMO-
NJ-000/004
121 5575 Aetna Open Access JR JR-HMO-NJ-004
JR-HMO-NJ-
000/004, P3-HMO-
NJ-000/004
1948 3626 Aetna Open Access P3 P3-HMO-DE-000 P3-HMO-DE-004
1948 3626 Aetna Open Access P3 P3-HMO-DE-004 P3-HMO-DE-000
1948 5024 Aetna Open Access P3 P3-HMO-PA-000
P3-HMO-PA-
000/004, YE-HMO-
PA-000
1948 5024 Aetna Open Access P3 P3-HMO-PA-004
P3-HMO-PA-
000/004, YE-HMO-
PA-000
1948 5575 Aetna Open Access P3 P3-HMO-NJ-000
JR-HMO-NJ-
000/004, P3-HMO-
NJ-000/004
1948 5575 Aetna Open Access P3 P3-HMO-NJ-004
JR-HMO-NJ-
000/004, P3-HMO-
NJ-000/004
332 5024 Aetna Open Access YE YE-HMO-PA-000
P3-HMO-PA-
000/004, YE-HMO-
PA-000
1214 1001 Aetna Open Access UB UB-HMO-TN-000
442 2139 Aetna Open Access WQ WQ-HMO-AZ-000 HF-HMO-NV-000
Aetna Value Plan JS JS-HMO-AK-003
Aetna Value Plan JS JS-HMO-CA-003
Aetna Value Plan JS JS-HMO-HI-003
Aetna Value Plan JS JS-HMO-IN-003
Aetna Value Plan JS JS-HMO-OH-003
Aetna Value Plan JS JS-HMO-OK-003
Aetna Value Plan JS JS-HMO-SC-003
Aetna Value Plan JS JS-HMO-TX-003
Aetna Value Plan JS JS-HMO-WI-003
Aetna W hole Health D9 D9-HMO-VA-004
Aetna W hole Health ES ES-HMO-TX-004
Aetna W hole Health F7 F7-HMO-W I-004
Aetna W hole Health J9 J9-HMO-VA-004
1477 3047 Altius Health Plans 9K 9K-HMO-ID-000
9K-HMO-
UT/W Y/ID-
000/002, DK-
HMOUT/W Y/ID-
001
1477 3047 Altius Health Plans 9K 9K-HMO-UT-000
9K-HMO-
UT/W Y/ID-
000/002, DK-
HMOUT/W Y/ID-
001
4
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
1477 3047 Altius Health Plans 9K 9K-HMO-WY-000
9K-HMO-
UT/W Y/ID-
000/002, DK-
HMOUT/W Y/ID-
001
1477 3047 Altius Health Plans 9K 9K-HMO-ID-002
9K-HMO-
UT/W Y/ID-
000/002, DK-
HMOUT/W Y/ID-
001
1477 3047 Altius Health Plans 9K 9K-HMO-UT-002
9K-HMO-
UT/W Y/ID-
000/002, DK-
HMOUT/W Y/ID-
001
1477 3047 Altius Health Plans 9K 9K-HMO-WY-002
9K-HMO-
UT/W Y/ID-
000/002, DK-
HMOUT/W Y/ID-
001
1477 3047 Altius Health Plans DK DK-HMO-ID-001
9K-HMO-
UT/W Y/ID-
000/002, DK-
HMOUT/W Y/ID-
001
1477 3047 Altius Health Plans DK DK-HMO-UT-001
9K-HMO-
UT/W Y/ID-
000/002, DK-
HMOUT/W Y/ID-
001
1477 3047 Altius Health Plans DK DK-HMO-WY-001
9K-HMO-
UT/W Y/ID-
000/002, DK-
HMOUT/W Y/ID-
001
Anthem Blue Cross Select HMO B3 B3-HMO-CA-000
1480 9821 APWU Health Plan 47 47-FFS-AA-003
1480 9822 APWU Health Plan 47 47-FFS-AA-000
1234 9787 AultCare HMO 3A 3A-HMO-OH-000
1234 9787 AultCare HMO/HDHP 3A 3A-HMO-OH-002
260 6020 Av-Med Health Plan ML ML-HMO-FL-001 ML-HMO-FL-000
260 6020 AvMed Health Plans ML ML-HMO-FL-000 ML-HMO-FL-001
Blue Cross and Blue Shield of
Illinois A2 A2-HMO-IL-000
1801 6523 Blue Cross and Blue Shield
Service Benefit Plan 10 10-FFS-AA-001
1801 6525 Blue Cross and Blue Shield
Service Benefit Plan 10 10-FFS-DC-001
1801 6527 Blue Cross and Blue Shield 10 10-FFS-MD-001
1801 6529 Blue Cross and Blue Shield 10 10-FFS-VA-001
1801 6531 Blue Cross and Blue Shield
Service Benefit Plan 10 10-FFS-FL-001
1801 6533 Blue Cross and Blue Shield
Service Benefit Plan 10 10-FFS-TX-001
5
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
1801 6535 Blue Cross and Blue Shield
Service Benefit Plan 10 10-FFS-CA-001
1801 6537 Blue Cross and Blue Shield
Service Benefit Plan 10 10-FFS-AZ-001
1801 6539 Blue Cross and Blue Shield
Service Benefit Plan 10 10-FFS-IL-001
1801 6522 Blue Cross and Blue Shield
Service Benefit Plan 11 11-FFS-AA-004
1801 6524 Blue Cross and Blue Shield 11 11-FFS-DC-004
1801 6526 Blue Cross and Blue Shield 11 11-FFS-MD-004
1801 6528 Blue Cross and Blue Shield
Service Benefit Plan 11 11-FFS-VA-004
1801 6530 Blue Cross and Blue Shield
Service Benefit Plan 11 11-FFS-FL-004
1801 6532 Blue Cross and Blue Shield
Service Benefit Plan 11 11-FFS-TX-004
1801 6534 Blue Cross and Blue Shield
Service Benefit Plan 11 11-FFS-CA-004
1801 6536 Blue Cross and Blue Shield
Service Benefit Plan 11 11-FFS-AZ-004
1801 6538 Blue Cross and Blue Shield 11 11-FFS-IL-004
168 1688 Blue Preferred Plus POS 9G 9G-HMO-IL-000 9G-HMO-MO-000
168 1688 Blue Preferred Plus POS 9G 9G-HMO-MO-000 9G-HMO-IL-000
163 1069 Blue Shield of CA Access+HMO SI SI-HMO-CA-000
889 1901 Bluecare Network of MI K5 K5-HMO-MI-000
K5-HMO-MI-000,
LX-HMO-MI-000,
H6-HMO-MI-000,
J3-HMO-MI-000
889 1901 Bluecare Network of MI LX LX-HMO-MI-000
K5-HMO-MI-000,
LX-HMO-MI-000,
H6-HMO-MI-000,
J3-HMO-MI-000
Calvos Selectcare B4 B4-HMO-GU-000
256 1154 Capital Health Plan EA EA-HMO-FL-000
144 4029 CareFirst BlueChoice 2G 2G-HMO-DC-000
2G-HMO-
DC/MD/VA-000 &
2G-HMO-
DC/MD/VA-001
144 4029 CareFirst BlueChoice 2G 2G-HMO-DC-001
2G-HMO-
DC/MD/VA-000 &
2G-HMO-
DC/MD/VA-001
144 4029 CareFirst BlueChoice 2G 2G-HMO-MD-000
2G-HMO-
DC/MD/VA-000 &
2G-HMO-
DC/MD/VA-001
144 4029 CareFirst BlueChoice 2G 2G-HMO-MD-001
2G-HMO-
DC/MD/VA-000 &
2G-HMO-
DC/MD/VA-001
144 4029 CareFirst BlueChoice 2G 2G-HMO-VA-000
2G-HMO-
DC/MD/VA-000 &
2G-HMO-
DC/MD/VA-001
6
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
144 4029 CareFirst BlueChoice 2G 2G-HMO-VA-001
2G-HMO-
DC/MD/VA-000 &
2G-HMO-
DC/MD/VA-001
CareFirst BlueChoice B6 B6-HMO-DC-002
CareFirst BlueChoice B6 B6-HMO-MD-002
CareFirst BlueChoice B6 B6-HMO-VA-002
9584 9820 CDPHP Universal Benefits, Inc. SG SG-HMO-NY-000 SG-HMO-NY-001
9584 9820 CDPHP Universal Benefits, Inc. SG SG-HMO-NY-001 SG-HMO-NY-000
1854 4401 Compass Rose Health Plan 42 42-FFS-AA-000
116 2171 Coventry Health Care IG IG-HMO-MD-000 IG-HMO-MD-001
116 2171 Coventry Health Care IG IG-HMO-MD-001 IG-HMO-MD-000
Coventry Health Care HDHP GZ GZ-HMO-MD-002
107 1709 Coventry Health Care of Iowa SV SV-HMO-IA-002
107 1709 Coventry Health Care of Iowa SV SV-HMO-IA-000 SV-HMO-IA-000,
SY-HMO-IA-001
107 1709 Coventry Health Care of Iowa SY SY-HMO-IA-001 SV-HMO-IA-000,
SY-HMO-IA-001
113 1656 Coventry Health Care of Kansas HA HA-HMO-KS-000
HA-HMO-KS-
000/001, HA-HMO-
MO-000/001
113 1656 Coventry Health Care of Kansas HA HA-HMO-KS-001
HA-HMO-KS-
000/001, HA-HMO-
MO-000/001
113 1656 Coventry Health Care of Kansas HA HA-HMO-MO-000
HA-HMO-KS-
000/001, HA-HMO-
MO-000/001
113 1656 Coventry Health Care of Kansas HA HA-HMO-MO-001 HA-HMO-KS-
000/001, HA-HMO-
113 11150 Coventry Health Care of Kansas
(Kansas City)-HDHP 9H 9H-HMO-KS-002
113 11150 Coventry Health Care of Kansas 9H 9H-HMO-MO-002
1798 6691 Coventry Health Care of BJ BJ-HMO-LA-000 BJ-HMO-LA-001
1798 6691 Coventry Health Care of BJ BJ-HMO-LA-001 BJ-HMO-LA-000
255 7055 Coventry Health Plan of Florida 5E 5E-HMO-FL-000 5E-HMO-FL-
000/001
255 7055 Coventry Health Plan of Florida 5E 5E-HMO-FL-001 5E-HMO-FL-
000/001
255 7055 Coventry Health Plan of Florida J4 J4-HMO-FL-002
313 2375 Dean Health Plan WD W D-HMO-W I-000
195 1202 Fallon Community Health Plan JG JG-HMO-MA-004
Firstcare B7 B7-HMO-TX-000
1305 Firstcare CK CK-HMO-TX-000
Firstcare CN CN-HMO-TX-000
Firstcare CZ CZ-HMO-TX-000
Firstcare ET ET-HMO-TX-000
1942 9799 Foreign Service Benefit Plan 40 40-FFS-AA-000
1772 7215 GEHA Benefit Plan 31 31-FFS-AA-000
7
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
1772 7216 GEHA Benefit Plan 31 31-FFS-AA-001
1772 7217 GEHA High Deductible Health 34 34-FFS-AA-002
334 1739 Geisinger Health Plan GG GG-HMO-PA-001
1666 3292 GHI Health Plan 80 80-POS-NJ-000
80-POS-NY-
000/001, 80-POS-
NJ-000/001
1666 3292 GHI Health Plan 80 80-POS-NJ-001
80-POS-NY-
000/001, 80-POS-
NJ-000/001
1666 3292 GHI Health Plan 80 80-POS-NY-000
80-POS-NY-
000/001, 80-POS-
NJ-000/001
1666 3292 GHI Health Plan 80 80-POS-NY-001
80-POS-NY-
000/001, 80-POS-
NJ-000/001
1980 6073 GHI HMO Select 6V 6V-HMO-NY-000
1980 6073 GHI HMO Select X4 X4-HMO-NY-000
7363 10461 Globalhealth, Inc. IM IM-HMO-OK-000
393 1157 Grand Valley Health Plan RL RL-HMO-MI-000 RL-HMO-MI-001
393 1157 Grand Valley Health Plan RL RL-HMO-MI-001 RL-HMO-MI-000
1686 2492 Group Health Cooperative 54 54-HMO-ID-000
54-HMO-W A-
000/001, 54-HMO-
ID-000/001
1686 2492 Group Health Cooperative 54 54-HMO-ID-001
54-HMO-W A-
000/001, 54-HMO-
ID-000/001
1686 2492 Group Health Cooperative 54 54-HMO-W A-000
54-HMO-W A-
000/001, 54-HMO-
ID-000/001
1686 2492 Group Health Cooperative 54 54-HMO-WA-001
54-HMO-W A-
000/001, 54-HMO-
ID-000/001
319 1680 Group Health Cooperative WJ W J-HMO-W I-000
365 2379 Health Alliance HMO FX FX-HMO-IA-000 FX-HMO-IA/IL/IN-
000
365 2379 Health Alliance HMO FX FX-HMO-IL-000 FX-HMO-IA/IL/IN-
000
365 2379 Health Alliance HMO FX FX-HMO-IN-000 FX-HMO-IA/IL/IN-
000
Health Alliance HMO K8 K8-HMO-IN-001
Health Alliance HMO K8 K8-HMO-IL-001
Health Alliance HMO K8 K8-HMO-IA-001
205 1668 Health Alliance Plan 52 52-HMO-MI-000 GY-HMO-MI-001
205 1668 Health Alliance Plan GY GY-HMO-MI-001 52-HMO-MI-000
271 1444 Health Net of Arizona, Inc. A7 A7-HMO-AZ-000 A7-HMO-AZ-001
271 1444 Health Net of Arizona, Inc. A7 A7-HMO-AZ-001 A7-HMO-AZ-000
275 4071 Health Net of California LB LB-HMO-CA-000
LB-HMO-CA-
000/001, LP-HMO-
CA-000/001
275 4071 Health Net of California LB LB-HMO-CA-001
LB-HMO-CA-
000/001, LP-HMO-
CA-000/001
275 4071 Health Net of California LP LP-HMO-CA-000
LB-HMO-CA-
000/001, LP-HMO-
CA-000/001
8
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
275 4071 Health Net of California LP LP-HMO-CA-001
LB-HMO-CA-
000/001, LP-HMO-
CA-000/001
187 1419 Health Plan of Nevada NM NM-HMO-NV-000
1111 6039 HealthAmerica Pennsylvania 26 26-HMO-PA-000
HealthAmerica Pennsylvania -
HDHP Y6 Y6-HMO-PA-002
HealthKeepers, Inc A9 A9-HMO-VA-000
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-IA-000
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-IA-001
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-MN-000
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-MN-001
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-ND-000
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-ND-001
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-SD-000
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-SD-001
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-W I-000
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
200 7512 HealthPartners High and
Standard Option V3 V3-HMO-WI-001
V3-HMO-
W I/SD/IA/MN/ND-
000 AND 001
204 1640 HealthPlus of MI X5 X5-HMO-MI-000
Sanford Heart of America Health
Plan RU RU-HMO-ND-000
238 1736 HIP Health of Greater New York 51 51-HMO-NY-000 51-HMO-NY-001
238 1736 HIP of Greater New York 51 51-HMO-NY-001 51-HMO-NY-000
1944 9373 HMSA 87 87-POS-HI-000
1208 Humana Benefit Plan of Illinois,
Inc. 9F 9F-HMO-IL-000
1208 Humana Benefit Plan of Illinois,
Inc. AB AB-HMO-IL-000
228 Humana Benefit Plan of
Louisiana, Inc. AE AE-HMO-LA-000
228 Humana Benefit Plan of
Louisiana, Inc. AE AE-HMO-LA-001
228 Humana Benefit Plan of
Louisiana, Inc. BC BS-HMO-LA-000
228 Humana Benefit Plan of
Louisiana, Inc. BC BS-HMO-LA-001
9
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
81 Humana CoverageFirst 6N 6N-HMO-KY-003
1941 Humana CoverageFirst AD AD-HMO-GA-003
10251 Humana CoverageFirst GB GB-HMO-IL-003
1941 Humana CoverageFirst LM LM-HMO-GA-003
79 Humana CoverageFirst MJ MJ-HMO-FL-003
10251 9351 Humana CoverageFirst MW MW -HMO-IN-003
10251 Humana CoverageFirst MW MW -HMO-IL-003
82 Humana CoverageFirst PH PH-HMO-KS-003
82 Humana CoverageFirst PH PH-HMO-MO-003
79 Humana CoverageFirst QP QP-HMO-FL-003
10247 9354 Humana CoverageFirst TP TP-HMO-TX-003
TU-HMO-TX-003,
TP-HMO-TX-003,
TV-HMO-TX-003
10247 9354 Humana CoverageFirst TU TU-HMO-TX-003
TU-HMO-TX-003,
TP-HMO-TX-003,
TV-HMO-TX-003
10247 9354 Humana CoverageFirst TV TV-HMO-TX-003
TU-HMO-TX-003,
TP-HMO-TX-003,
TV-HMO-TX-003
Humana Employers Health of
Georgia, Inc. CB CB-HMO-GA-000
Humana Employers Health of
Georgia, Inc. CB CB-HMO-GA-001
1941 7088 Humana Employers Health of
Georgia, Inc. DG DG-HMO-GA-000
1941 Humana Employers Health of
Georgia, Inc. DG DG-HMO-GA-001
Humana Employers Health of
Georgia, Inc. DN DN-HMO-GA-000
Humana Employers Health of
Georgia, Inc. DN DN-HMO-GA-001
76 9392 Humana Health Plan Inc. 75 75-HMO-IL-000
75-HMO-IN-000,
75-HMO-IN-001,
75-HMO-IL-000, 75-
HMO-IL-001
76 9392 Humana Health Plan Inc. 75 75-HMO-IN-001
75-HMO-IN-000,
75-HMO-IN-001,
75-HMO-IL-000, 75-
HMO-IL-001
76 9392 Humana Health Plan, Inc. 75 75-HMO-IN-000
75-HMO-IN-000,
75-HMO-IN-001,
75-HMO-IL-000, 75-
HMO-IL-001
76 9392 Humana Health Plan Inc. 75 75-HMO-IN-001
75-HMO-IN-000,
75-HMO-IN-001,
75-HMO-IL-000, 75-
HMO-IL-001
Humana Health Plan of Ohio A6 A6-HMO-IN-000
Humana Health Plan of Ohio A6 A6-HMO-IN-001
Humana Health Plan of Ohio A6 A6-HMO-KY-000
Humana Health Plan of Ohio A6 A6-HMO-KY-001
Humana Health Plan of Ohio A6 A6-HMO-OH-000
Humana Health Plan of Ohio A6 A6-HMO-OH-001
Humana Health Plan of Texas EW EW-HMO-TX-000
Humana Health Plan of Texas EW EW-HMO-TX-002
Humana Health Plan of Texas UC UC-HMO-TX-000
10
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
Humana Health Plan of Texas UC UC-HMO-TX-001
83 10957 Humana Health Plan of Texas UR UR-HMO-TX-000 UR-HMO-TX-001
83 10957 Humana Health Plan of Texas UR UR-HMO-TX-001 UR-HMO-TX-000
Humana Health Plan of Texas UU UU-HMO-TX-000
Humana Health Plan of Texas UU UU-HMO-TX-001
Humana Health Plan, Inc. BF BF-HMO-AZ-000
Humana Health Plan, Inc C7 C7-HMO-AZ-000
14751 Humana Health Plan, Inc GJ GJ-HMO-TN-000
14751 Humana Health Plan, Inc. GJ GJ-HMO-TN-001
81 Humana Health Plan, Inc. MH MH-HMO-IN-000
81 Humana Health Plan, Inc. MH MH-HMO-IN-001
81 Humana Health Plan, Inc. MH MH-HMO-KY-000
81 Humana Health Plan, Inc. MH MH-HMO-KY-001
81 Humana Health Plan, Inc. MI MI-HMO-KY-000
81 Humana Health Plan, Inc. MI MI-HMO-KY-001
82 9425 Humana Health Plan, Inc. MS MS-HMO-KS-000
MS-HMO-KS-
000/001, MS-HMO-
MO-000/001
82 9425 Humana Health Plan, Inc. MS MS-HMO-KS-001
MS-HMO-KS-
000/001, MS-HMO-
MO-000/001
82 9425 Humana Health Plan, Inc. MS MS-HMO-MO-000
MS-HMO-KS-
000/001, MS-HMO-
MO-000/001
82 9425 Humana Health Plan, Inc. MS MS-HMO-MO-001
MS-HMO-KS-
000/001, MS-HMO-
MO-000/001
1271 6820 Humana Health Plans of Puerto
Rico, Inc. ZJ ZJ-HMO-PR-000
79 6779 Humana Medical Plan, Inc. EE EE-HMO-FL-000 EE-HMO-FL-001
79 6779 Humana Medical Plan, Inc. EE EE-HMO-FL-001 EE-HMO-FL-000
Humana Medical Plan, Inc. EX EX-HMO-FL-001
Humana Medical Plan, Inc. LL LL-HMO-FL-000
Humana Medical Plan, Inc. LL LL-HMO-FL-001
Humana Value Plan MJ MJ-HMO-FL-004
Humana Value Plan QP QP-HMO-FL-004
1941 Humana Value Plan AD AD-HMO-GA-004
1941 Humana Value Plan LM LM-HMO-GA-004
10251 Humana Value Plan GB GB-HMO-IL-004
10251 Humana Value Plan MW MW -HMO-IL-004
10251 Humana Value Plan MW MW -HMO-IN-004
82 Humana Value Plan PH PH-HMO-KS-004
82 Humana Value Plan PH PH-HMO-MO-004
10247 Humana Value Plan TV TV-HMO-TX-004
10247 Humana Value Plan TP TP-HMO-TX-004
10247 Humana Value Plan TU TU-HMO-TX-004
241 7650 Independent Health Assoc QA QA-HMO-NY-000
241 7650 Independent Health Assoc QA QA-HMO-NY-002
Independent Health Association C5 C5-HMO-NY-001
131 1461 Kaiser Foundation Health Plan
Mid-Atlantic States E3 E3-HMO-DC-000
E3-HMO-DC-
000/001, E3-HMO-
MD-000/001, E3-
HMO-VA-000/001
11
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
131 1461 Kaiser Foundation Health Plan
Mid-Atlantic States E3 E3-HMO-DC-001
E3-HMO-DC-
000/001, E3-HMO-
MD-000/001, E3-
HMO-VA-000/001
131 1461 Kaiser Foundation Health Plan
Mid-Atlantic States E3 E3-HMO-MD-000
E3-HMO-DC-
000/001, E3-HMO-
MD-000/001, E3-
HMO-VA-000/001
131 1461 Kaiser Foundation Health Plan
Mid-Atlantic States E3 E3-HMO-MD-001
E3-HMO-DC-
000/001, E3-HMO-
MD-000/001, E3-
131 1461 Kaiser Foundation Health Plan
Mid-Atlantic States E3 E3-HMO-VA-000
E3-HMO-DC-
000/001, E3-HMO-
MD-000/001, E3-
HMO-VA-000/001
131 1461 Kaiser Foundation Health Plan
Mid-Atlantic States E3 E3-HMO-VA-001
E3-HMO-DC-
000/001, E3-HMO-
MD-000/001, E3-
HMO-VA-000/001
133 1530 Kaiser Foundation Health Plan of
California 59 59-HMO-CA-000 59-HMO-CA-001
133 1530 Kaiser Foundation Health Plan of
California 59 59-HMO-CA-001 59-HMO-CA-000
132 1523 Kaiser Foundation Health Plan of
California 62 62-HMO-CA-000 62-HMO-CA-001
132 1523 Kaiser Foundation Health Plan of
California 62 62-HMO-CA-001 62-HMO-CA-000
Kaiser Foundation Health Plan of
California KC KC-HMO-CA-004
129 6008 Kaiser Foundation Health Plan of
Colorado 65 65-HMO-CO-000 65-HMO-CO-001
129 6008 Kaiser Foundation Health Plan of
Colorado 65 65-HMO-CO-001 65-HMO-CO-000
123 1448 Kaiser Foundation Health Plan of
Georgia F8 F8-HMO-GA-000 F8-HMO-GA-001
123 1448 Kaiser Foundation Health Plan of
Georgia, Inc. F8 F8-HMO-GA-001 F8-HMO-GA-000
124 1470 Kaiser Foundation Health Plan of
Hawaii 63 63-HMO-HI-000 63-HMO-HI-001
124 1470 Kaiser Foundation Health Plan of
Hawaii 63 63-HMO-HI-001 63-HMO-HI-000
127 1563 Kaiser Foundation Health Plan of
Northwest 57 57-HMO-OR-000
57-HMO-OR-
000/001, 57-HMO-
W A-000/001
127 1563 Kaiser Foundation Health Plan of
Northwest 57 57-HMO-OR-001
57-HMO-OR-
000/001, 57-HMO-
W A-000/001
127 1563 Kaiser Foundation Health Plan of
Northwest 57 57-HMO-W A-000
57-HMO-OR-
000/001, 57-HMO-
W A-000/001
127 1563 Kaiser Foundation Health Plan of
Northwest 57 57-HMO-WA-001
57-HMO-OR-
000/001, 57-HMO-
W A-000/001
134 1517 Kaiser Foundation Health Plan of
Ohio 64 64-HMO-OH-000 64-HMO-OH-001
134 1517 Kaiser Foundation Health Plan of
Ohio 64 64-HMO-OH-001 64-HMO-OH-000
12
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
1577 3046 KPS Health Plans L1 L1-HMO-WA-001 L1-HMO-W A-001,
VT-HMO-WA-000
1577 3046 KPS Health Plans L1 L1-HMO-W A-002
1577 3046 KPS Health Plans VT VT-HMO-W A-000 L1-HMO-W A-001,
VT-HMO-WA-000
25 1627 Lovelace Health Plan Q1 Q1-HMO-NM-000
1540 2499 M.D. IPA JP JP-HMO-DC-000 JP-HMO-
DC/MD/VA-000
1540 2499 M.D. IPA JP JP-HMO-MD-000 JP-HMO-
DC/MD/VA-000
1540 2499 M.D. IPA JP JP-HMO-VA-000 JP-HMO-
DC/MD/VA-000
576 3029 MercyCare HMO EY EY-HMO-WI-000
6684 7465 MHBP - Consumer Option 48 48-FFS-AA-002
6684 7464 MHBP - Std 45 45-FFS-AA-001
6684 8963 MHBP - Value Plan 41 41-FFS-AA-001
240 5021 MVP Health Care GA GA-HMO-NY-000
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
240 5021 MVP Health Care GA GA-HMO-NY-001
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
240 5021 MVP Health Care M9 M9-HMO-NY-000
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
240 5021 MVP Health Care M9 M9-HMO-NY-001
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
13
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
240 5021 MVP Health Care MF MF-HMO-NY-000
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
240 5021 MVP Health Care MF MF-HMO-NY-001
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
240 5021 MVP Health Care MX MX-HMO-NY-000
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
240 5021 MVP Health Care MX MX-HMO-NY-001
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
240 5021 MVP Health Care - Western
Region GV GV-HMO-NY-000
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
240 5021 MVP Health Care - Western
Region GV GV-HMO-NY-001
GA-HMO-NY-
000/001, M9-HMO-
NY-000/001, MX-
HMO-NY-000/001,
MF-HMO-NY-
000/001, GV-HMO-
NY-000/001
1783 10812 NALC 32 32-FFS-AA-000
NALC 32 32-FFS-AA-003
NALC KM KM-FFS-AA-004
1618 5051 Optima Health Plan 9R 9R-HMO-VA-000 9R-HMO-VA-000.
9R-HMO-VA-001 1618 5051 Optima Health Plan 9R 9R-HMO-VA-001
14
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
2207 9214 Panama Canal Area Benefit Plan 43 43-FFS-AA-000
427 7059 Physicians Health Plan of
Northern Indiana DQ DQ-HMO-IN-000
434 1993 Physicians Plus LW LW-HMO-WI-000
1777 Piedmont Community Healthcare 2C 2C-POS-VA-000
579 4103 Presbyterian Health Plan P2 P2-HMO-NM-000
14958 10292 QualChoice DH DH-HMO-AR-000 DH-HMO-AR-000,
DH-HMO-AR-001 14958 10292 QualChoice DH DH-HMO-AR-001
1782 9798 Rural Carrier Benefit Plan 38 38-FFS-AA-000
1857 7578 SAMBA 44 44-FFS-AA-000
1857 9380 SAMBA 44 44-FFS-AA-001
1182 4297 Sanford Health Plan AU AU-POS-IA-000
AU-POS-IA-
000/001, AU-POS-
SD-000/001, C9-
HMO-ND-000/001
1182 4297 Sanford Health Plan AU AU-POS-IA-001
AU-POS-IA-
000/001, AU-POS-
SD-000/001, C9-
HMO-ND-000/001
1182 4297 Sanford Health Plan AU AU-POS-SD-000
AU-POS-IA-
000/001, AU-POS-
SD-000/001, C9-
HMO-ND-000/001
1182 4297 Sanford Health Plan AU AU-POS-SD-001
AU-POS-IA-
000/001, AU-POS-
SD-000/001, C9-
HMO-ND-000/001
1182 4297 Sanford Health Plan C9 C9-HMO-ND-000
AU-POS-IA-
000/001, AU-POS-
SD-000/001, C9-
HMO-ND-000/001
1182 4297 Sanford Health Plan C9 C9-HMO-ND-001
AU-POS-IA-
000/001, AU-POS-
SD-000/001, C9-
HMO-ND-000/001
335 Scott & White Health Plan A8 A8-HMO-TX-001
317 2003 SelectHealth SF SF-HMO-ID-000
SF-HMO-ID-
000/001, SF-HMO-
UT-000/001
317 2003 SelectHealth SF SF-HMO-ID-001
SF-HMO-ID-
000/001, SF-HMO-
UT-000/001
317 2003 SelectHealth SF SF-HMO-UT-000
SF-HMO-ID-
000/001, SF-HMO-
UT-000/001
317 2003 SelectHealth SF SF-HMO-UT-001
SF-HMO-ID-
000/001, SF-HMO-
UT-000/001
1476 2158 TakeCare JK JK-HMO-GU-000 JK-HMO-GU-
000/001
1476 2158 TakeCare JK JK-HMO-GU-001 JK-HMO-GU-
000/001
TakeCare KX KX-HMO-GU-002
210 1906 The Health Plan of the Upper
Ohio Valley U4 U4-HMO-OH-000 U4-HMO-WV-000
15
Attachment 3 - 2014 CAHPS FEHB Sub-Code List
NCQA
Org ID
NCQA
Submission
Code
FEHB Plan Name Carrier
Code
Carrier Subcode -
High 000
Carrier Subcode -
Standard 001
Carrier Subcode -
HDHP 002
Carrier Subcode -
CDHP 003
Carrier Subcode -
Basic 004
2013 FEHB Data
Sharing
210 1906 The Health Plan of the Upper
Ohio Valley U4 U4-HMO-W V-000 U4-HMO-OH-000
20530 Total Health Care USA, Inc. A5 A5-HMO-MI-000
1803 3504 Triple-S Salud, Inc. 85 85-POS-VI-000 89-POS-PR-000
1803 3504 Triple-S Salud, Inc. 89 89-POS-PR-000 85-POS-VI-000
Union Health Service 76 76-HMO-IL-000
1388 2106 United Healthcare of the
Midwest, Inc. B9 B9-HMO-IL-000 B9-HMO-MO-000
1388 2106 United Healthcare of the
Midwest, Inc. B9 B9-HMO-MO-000 B9-HMO-IL-000
336 9801 UnitedHealthcare Benefits of
Texas, Inc. GF GF-HMO-TX-000
272 10525 UnitedHealthcare of California CY CY-HMO-CA-000 CY-HMO-CA-001
272 10525 UnitedHealthcare of California CY CY-HMO-CA-001 CY-HMO-CA-000
302 10651 UnitedHealthcare Plan of the
River Valley Inc. YH YH-HMO-IA-000 YH-HMO-IL-000
302 10651 UnitedHealthcare Plan of the
River Valley Inc. YH YH-HMO-IL-000 YH-HMO-IA-000
1254 10630 UPMC Health Plan 8W 8W -HMO-PA-000 UW -HMO-PA-001
1254 10630 UPMC Health Plan UW UW -HMO-PA-001 8W-HMO-PA-000
16