Blue Button 2.0 Implementation Guide

Carrier or MAC Number

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@prefix fhir: <https://bluebutton.cms.gov/assets/ig/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "carr-num"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Carrier or MAC Number</h2><div><p>The identification number assigned by CMS to a carrier authorized to process claims from a physician or supplier. Effective July 2006, the Medicare Administrative Contractors (MACs) began replacing the existing carriers and started processing physician or supplier claim records for states assigned to its jurisdiction. Source: https://bluebutton.cms.gov/resources/variables/carr_num</p>\n</div><p>This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-num defines the following codes:</p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>00510<a name=\"carr-num-00510\"> </a></td><td>Alabama - CAHABA</td><td>Alabama - CAHABA</td></tr><tr><td>00511<a name=\"carr-num-00511\"> </a></td><td>Georgia - CAHABA</td><td>Georgia - CAHABA</td></tr><tr><td>00512<a name=\"carr-num-00512\"> </a></td><td>Mississippi - CAHABA (eff. 2000)</td><td>Mississippi - CAHABA (eff. 2000)</td></tr><tr><td>00520<a name=\"carr-num-00520\"> </a></td><td>Arkansas BC/BS</td><td>Arkansas BC/BS</td></tr><tr><td>00521<a name=\"carr-num-00521\"> </a></td><td>New Mexico - Arkansas BC/BS (term. 2008) (replaced by MAC #04202)</td><td>New Mexico - Arkansas BC/BS (term. 2008) (replaced by MAC #04202)</td></tr><tr><td>00522<a name=\"carr-num-00522\"> </a></td><td>Oklahoma - Arkansas BC/BS (term. 2008) (replaced by MAC #04302)</td><td>Oklahoma - Arkansas BC/BS (term. 2008) (replaced by MAC #04302)</td></tr><tr><td>00523<a name=\"carr-num-00523\"> </a></td><td>Missouri East - Arkansas BC/BS (term. 2008) (replaced by MAC #05392)</td><td>Missouri East - Arkansas BC/BS (term. 2008) (replaced by MAC #05392)</td></tr><tr><td>00524<a name=\"carr-num-00524\"> </a></td><td>Rhode Island - Arkansas BC/BS (eff. 2004)</td><td>Rhode Island - Arkansas BC/BS (eff. 2004)</td></tr><tr><td>00528<a name=\"carr-num-00528\"> </a></td><td>Louisiana - Arkansas BS</td><td>Louisiana - Arkansas BS</td></tr><tr><td>00590<a name=\"carr-num-00590\"> </a></td><td>Florida - First Coast</td><td>Florida - First Coast</td></tr><tr><td>00591<a name=\"carr-num-00591\"> </a></td><td>Connecticut - First Coast (eff. 2000)</td><td>Connecticut - First Coast (eff. 2000)</td></tr><tr><td>00630<a name=\"carr-num-00630\"> </a></td><td>Indiana - Administar</td><td>Indiana - Administar</td></tr><tr><td>00635<a name=\"carr-num-00635\"> </a></td><td>DMERC-B - Administar (replaced by MAC #17003)</td><td>DMERC-B - Administar (replaced by MAC #17003)</td></tr><tr><td>00640<a name=\"carr-num-00640\"> </a></td><td>Iowa - Wellmark, Inc.</td><td>Iowa - Wellmark, Inc.</td></tr><tr><td>00645<a name=\"carr-num-00645\"> </a></td><td>Nebraska - Iowa BS</td><td>Nebraska - Iowa BS</td></tr><tr><td>00650<a name=\"carr-num-00650\"> </a></td><td>Kansas BCBS (term. 2008) (replaced by MAC #05202)</td><td>Kansas BCBS (term. 2008) (replaced by MAC #05202)</td></tr><tr><td>00655<a name=\"carr-num-00655\"> </a></td><td>Nebraska - Kansas BC/BS (term. 2008) (replaced by MAC #05402)</td><td>Nebraska - Kansas BC/BS (term. 2008) (replaced by MAC #05402)</td></tr><tr><td>00660<a name=\"carr-num-00660\"> </a></td><td>Kentucky - Administar</td><td>Kentucky - Administar</td></tr><tr><td>00740<a name=\"carr-num-00740\"> </a></td><td>Western Missouri - Kansas BS (term.2008) (replaced by MAC #05302)</td><td>Western Missouri - Kansas BS (term.2008) (replaced by MAC #05302)</td></tr><tr><td>00751<a name=\"carr-num-00751\"> </a></td><td>Montana BC/BS (replaced by MAC # 03202)</td><td>Montana BC/BS (replaced by MAC # 03202)</td></tr><tr><td>00801<a name=\"carr-num-00801\"> </a></td><td>New York - Healthnow</td><td>New York - Healthnow</td></tr><tr><td>00803<a name=\"carr-num-00803\"> </a></td><td>New York - Empire BS</td><td>New York - Empire BS</td></tr><tr><td>00805<a name=\"carr-num-00805\"> </a></td><td>New Jersey - Empire BS</td><td>New Jersey - Empire BS</td></tr><tr><td>00811<a name=\"carr-num-00811\"> </a></td><td>DMERC (A) - Healthnow (eff. 2000) (replaced by MAC #16003)</td><td>DMERC (A) - Healthnow (eff. 2000) (replaced by MAC #16003)</td></tr><tr><td>00820<a name=\"carr-num-00820\"> </a></td><td>North Dakota - Noridian (replaced by MAC #03302)</td><td>North Dakota - Noridian (replaced by MAC #03302)</td></tr><tr><td>00823<a name=\"carr-num-00823\"> </a></td><td>Utah - Noridian (eff. 12/1/2005) (replaced by MAC #03502)</td><td>Utah - Noridian (eff. 12/1/2005) (replaced by MAC #03502)</td></tr><tr><td>00824<a name=\"carr-num-00824\"> </a></td><td>Colorado - Noridian (term. 2008) (replaced by MAC #04102)</td><td>Colorado - Noridian (term. 2008) (replaced by MAC #04102)</td></tr><tr><td>00825<a name=\"carr-num-00825\"> </a></td><td>Wyoming - Noridian (replaced by MAC #03602)</td><td>Wyoming - Noridian (replaced by MAC #03602)</td></tr><tr><td>00826<a name=\"carr-num-00826\"> </a></td><td>Iowa - Noridian (term. 2008) (replaced by MAC #05102)</td><td>Iowa - Noridian (term. 2008) (replaced by MAC #05102)</td></tr><tr><td>00831<a name=\"carr-num-00831\"> </a></td><td>Alaska - Noridian</td><td>Alaska - Noridian</td></tr><tr><td>00832<a name=\"carr-num-00832\"> </a></td><td>Arizona - Noridian (replaced by MAC # 03102)</td><td>Arizona - Noridian (replaced by MAC # 03102)</td></tr><tr><td>00833<a name=\"carr-num-00833\"> </a></td><td>Hawaii - Noridian</td><td>Hawaii - Noridian</td></tr><tr><td>00834<a name=\"carr-num-00834\"> </a></td><td>Nevada - Noridian</td><td>Nevada - Noridian</td></tr><tr><td>00835<a name=\"carr-num-00835\"> </a></td><td>Oregon - Noridian</td><td>Oregon - Noridian</td></tr><tr><td>00836<a name=\"carr-num-00836\"> </a></td><td>Washington - Noridian</td><td>Washington - Noridian</td></tr><tr><td>00865<a name=\"carr-num-00865\"> </a></td><td>Pennsylvania - Highmark</td><td>Pennsylvania - Highmark</td></tr><tr><td>00870<a name=\"carr-num-00870\"> </a></td><td>Rhode Island BS (term. 2004)</td><td>Rhode Island BS (term. 2004)</td></tr><tr><td>00880<a name=\"carr-num-00880\"> </a></td><td>South Carolina - Palmetto</td><td>South Carolina - Palmetto</td></tr><tr><td>00882<a name=\"carr-num-00882\"> </a></td><td>RRB - South Carolina PGBA (eff. 2000)</td><td>RRB - South Carolina PGBA (eff. 2000)</td></tr><tr><td>00883<a name=\"carr-num-00883\"> </a></td><td>Ohio - Palmetto (eff. 2002)</td><td>Ohio - Palmetto (eff. 2002)</td></tr><tr><td>00884<a name=\"carr-num-00884\"> </a></td><td>West Virginia - Palmetto (eff. 2002)</td><td>West Virginia - Palmetto (eff. 2002)</td></tr><tr><td>00885<a name=\"carr-num-00885\"> </a></td><td>DMERC C - Palmetto (replaced by MAC #18003)</td><td>DMERC C - Palmetto (replaced by MAC #18003)</td></tr><tr><td>00889<a name=\"carr-num-00889\"> </a></td><td>South Dakota - Noridian (eff. 4/1/2006) (replaced by MAC # 03402)</td><td>South Dakota - Noridian (eff. 4/1/2006) (replaced by MAC # 03402)</td></tr><tr><td>00900<a name=\"carr-num-00900\"> </a></td><td>Texas - Trailblazer (term. 2008) (replaced by MAC # 04402)</td><td>Texas - Trailblazer (term. 2008) (replaced by MAC # 04402)</td></tr><tr><td>00901<a name=\"carr-num-00901\"> </a></td><td>Maryland - Trailblazer</td><td>Maryland - Trailblazer</td></tr><tr><td>00902<a name=\"carr-num-00902\"> </a></td><td>Delaware - Trailblazer</td><td>Delaware - Trailblazer</td></tr><tr><td>00903<a name=\"carr-num-00903\"> </a></td><td>District of Columbia - Trailblazer</td><td>District of Columbia - Trailblazer</td></tr><tr><td>00904<a name=\"carr-num-00904\"> </a></td><td>Virginia - Trailblazer (eff. 2000)</td><td>Virginia - Trailblazer (eff. 2000)</td></tr><tr><td>00910<a name=\"carr-num-00910\"> </a></td><td>Utah BS</td><td>Utah BS</td></tr><tr><td>00951<a name=\"carr-num-00951\"> </a></td><td>Wisconsin - Wisconsin Phy Svc</td><td>Wisconsin - Wisconsin Phy Svc</td></tr><tr><td>00952<a name=\"carr-num-00952\"> </a></td><td>Illinois - Wisconsin Phy Svc</td><td>Illinois - Wisconsin Phy Svc</td></tr><tr><td>00953<a name=\"carr-num-00953\"> </a></td><td>Michigan - Wisconsin Phy Svc</td><td>Michigan - Wisconsin Phy Svc</td></tr><tr><td>00954<a name=\"carr-num-00954\"> </a></td><td>Minnesota - Wisconsin Phy Svc (eff. 2000)</td><td>Minnesota - Wisconsin Phy Svc (eff. 2000)</td></tr><tr><td>00973<a name=\"carr-num-00973\"> </a></td><td>Puerto Rico - Triple S, Inc.</td><td>Puerto Rico - Triple S, Inc.</td></tr><tr><td>00974<a name=\"carr-num-00974\"> </a></td><td>Triple-S, Inc. - Virgin Islands</td><td>Triple-S, Inc. - Virgin Islands</td></tr><tr><td>02050<a name=\"carr-num-02050\"> </a></td><td>California - TOLIC (term. 2000)</td><td>California - TOLIC (term. 2000)</td></tr><tr><td>05130<a name=\"carr-num-05130\"> </a></td><td>Idaho - CIGNA</td><td>Idaho - CIGNA</td></tr><tr><td>05302<a name=\"carr-num-05302\"> </a></td><td>Western Missouri (eff. 3/2008)</td><td>Western Missouri (eff. 3/2008)</td></tr><tr><td>05440<a name=\"carr-num-05440\"> </a></td><td>Tennessee - CIGNA</td><td>Tennessee - CIGNA</td></tr><tr><td>05535<a name=\"carr-num-05535\"> </a></td><td>North Carolina - CIGNA</td><td>North Carolina - CIGNA</td></tr><tr><td>05655<a name=\"carr-num-05655\"> </a></td><td>DMERC-D Alaska - CIGNA (replaced by MAC #19003)</td><td>DMERC-D Alaska - CIGNA (replaced by MAC #19003)</td></tr><tr><td>10071<a name=\"carr-num-10071\"> </a></td><td>Railroad Board Travelers (term. 2000)</td><td>Railroad Board Travelers (term. 2000)</td></tr><tr><td>10230<a name=\"carr-num-10230\"> </a></td><td>Connecticut - Metra Health (term. 2000)</td><td>Connecticut - Metra Health (term. 2000)</td></tr><tr><td>10240<a name=\"carr-num-10240\"> </a></td><td>Minnesota - Metra Health (term. 2000)</td><td>Minnesota - Metra Health (term. 2000)</td></tr><tr><td>10250<a name=\"carr-num-10250\"> </a></td><td>Mississippi - Metra Health (term. 2000)</td><td>Mississippi - Metra Health (term. 2000)</td></tr><tr><td>10490<a name=\"carr-num-10490\"> </a></td><td>Virginia - Metra Health (term. 2000)</td><td>Virginia - Metra Health (term. 2000)</td></tr><tr><td>10555<a name=\"carr-num-10555\"> </a></td><td>DMERC A - Travelers Insurance Co. (term. 2000)</td><td>DMERC A - Travelers Insurance Co. (term. 2000)</td></tr><tr><td>14330<a name=\"carr-num-14330\"> </a></td><td>New York - GHI</td><td>New York - GHI</td></tr><tr><td>16360<a name=\"carr-num-16360\"> </a></td><td>Ohio - Nationwide Insurance Co. (term. 2002)</td><td>Ohio - Nationwide Insurance Co. (term. 2002)</td></tr><tr><td>16510<a name=\"carr-num-16510\"> </a></td><td>West Virginia - Nationwide Insur Co. (term. 2002)</td><td>West Virginia - Nationwide Insur Co. (term. 2002)</td></tr><tr><td>31140<a name=\"carr-num-31140\"> </a></td><td>N. California - National Heritage Ins.</td><td>N. California - National Heritage Ins.</td></tr><tr><td>31142<a name=\"carr-num-31142\"> </a></td><td>Maine - National Heritage Ins.</td><td>Maine - National Heritage Ins.</td></tr><tr><td>31143<a name=\"carr-num-31143\"> </a></td><td>Massachusetts - National Heritage Ins.</td><td>Massachusetts - National Heritage Ins.</td></tr><tr><td>31144<a name=\"carr-num-31144\"> </a></td><td>New Hampshire - National Heritage Ins.</td><td>New Hampshire - National Heritage Ins.</td></tr><tr><td>31145<a name=\"carr-num-31145\"> </a></td><td>Vermont - National Heritage Ins.</td><td>Vermont - National Heritage Ins.</td></tr><tr><td>31146<a name=\"carr-num-31146\"> </a></td><td>So. California - NHIC (eff. 2000)</td><td>So. California - NHIC (eff. 2000)</td></tr><tr><td>80884<a name=\"carr-num-80884\"> </a></td><td>Contractor ID for Physician Risk Adjustment Data (data not sent through NCH, but through Palmetto) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Medicare Administrative Contractors (MACs) JURISDICTION 3 -- Part B MACs</td><td>Contractor ID for Physician Risk Adjustment Data (data not sent through NCH, but through Palmetto) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Medicare Administrative Contractors (MACs) JURISDICTION 3 -- Part B MACs</td></tr><tr><td>03102<a name=\"carr-num-03102\"> </a></td><td>Arizona (eff. 12/1/06) (replaces carrier #00832)</td><td>Arizona (eff. 12/1/06) (replaces carrier #00832)</td></tr><tr><td>03202<a name=\"carr-num-03202\"> </a></td><td>Montana (eff. 12/1/06) (replaces carrier #00751)</td><td>Montana (eff. 12/1/06) (replaces carrier #00751)</td></tr><tr><td>03302<a name=\"carr-num-03302\"> </a></td><td>N. Dakota (eff. 12/1/06) (replaces carrier #00820)</td><td>N. Dakota (eff. 12/1/06) (replaces carrier #00820)</td></tr><tr><td>03402<a name=\"carr-num-03402\"> </a></td><td>S. Dakota (eff. 12/1/06) (replaces carrier #00889)</td><td>S. Dakota (eff. 12/1/06) (replaces carrier #00889)</td></tr><tr><td>03502<a name=\"carr-num-03502\"> </a></td><td>Utah (eff. 12/1/06) (replaces carrier #00823)</td><td>Utah (eff. 12/1/06) (replaces carrier #00823)</td></tr><tr><td>03602<a name=\"carr-num-03602\"> </a></td><td>Wyoming (eff. 12/1/06) (replaces carrier #00825) JURISDICTION 4 -- Part B MACs</td><td>Wyoming (eff. 12/1/06) (replaces carrier #00825) JURISDICTION 4 -- Part B MACs</td></tr><tr><td>04102<a name=\"carr-num-04102\"> </a></td><td>Colorado (eff. 3/24/08) (replaces carrier #00824)</td><td>Colorado (eff. 3/24/08) (replaces carrier #00824)</td></tr><tr><td>04202<a name=\"carr-num-04202\"> </a></td><td>New Mexico (eff. 3/1/08 (replaces carrier #00521)</td><td>New Mexico (eff. 3/1/08 (replaces carrier #00521)</td></tr><tr><td>04302<a name=\"carr-num-04302\"> </a></td><td>Oklahoma (eff. 3/1/08) (replaces carrier #00522)</td><td>Oklahoma (eff. 3/1/08) (replaces carrier #00522)</td></tr><tr><td>04402<a name=\"carr-num-04402\"> </a></td><td>Texas (eff. 6/13/08) (replaces carrier #00900) JURISDICTION 5 -- Part B MACs</td><td>Texas (eff. 6/13/08) (replaces carrier #00900) JURISDICTION 5 -- Part B MACs</td></tr><tr><td>05102<a name=\"carr-num-05102\"> </a></td><td>Iowa (eff.2/1/08) (replaces carrier #00826)</td><td>Iowa (eff.2/1/08) (replaces carrier #00826)</td></tr><tr><td>05202<a name=\"carr-num-05202\"> </a></td><td>Kansas (eff. 3/1/08) (replaces carrier #00650)</td><td>Kansas (eff. 3/1/08) (replaces carrier #00650)</td></tr><tr><td>05302<a name=\"carr-num-05302\"> </a></td><td>W. Missouri (eff. 3/1/08) (replaces carrier #00651 or 00740)</td><td>W. Missouri (eff. 3/1/08) (replaces carrier #00651 or 00740)</td></tr><tr><td>05392<a name=\"carr-num-05392\"> </a></td><td>E. Missouri (eff. 6/1/08) (replaces carrier #00523)</td><td>E. Missouri (eff. 6/1/08) (replaces carrier #00523)</td></tr><tr><td>05402<a name=\"carr-num-05402\"> </a></td><td>Nebraska (eff. 3/1/08) (replaces carrier #00655) Durable Medical Equipment (DME) MACs</td><td>Nebraska (eff. 3/1/08) (replaces carrier #00655) Durable Medical Equipment (DME) MACs</td></tr><tr><td>16003<a name=\"carr-num-16003\"> </a></td><td>National Heritage Insur Co (NHIC) (eff. 7/1/06) (replaces carrier #00811)</td><td>National Heritage Insur Co (NHIC) (eff. 7/1/06) (replaces carrier #00811)</td></tr><tr><td>17003<a name=\"carr-num-17003\"> </a></td><td>Administar Federal, Inc. (eff. 7/1/06) (replaces carrier # 00635)</td><td>Administar Federal, Inc. (eff. 7/1/06) (replaces carrier # 00635)</td></tr><tr><td>18003<a name=\"carr-num-18003\"> </a></td><td>Palmetto GBA, LLC (eff. 6/1/07) (replaces carrier #00885)</td><td>Palmetto GBA, LLC (eff. 6/1/07) (replaces carrier #00885)</td></tr><tr><td>19003<a name=\"carr-num-19003\"> </a></td><td>Noridan Administrative Services (eff. 10/1/06) (replaces carrier #05655)</td><td>Noridan Administrative Services (eff. 10/1/06) (replaces carrier #05655)</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-num"];
  fhir:CodeSystem.identifier [
     fhir:Identifier.value [ fhir:value "https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-num.html" ]
  ];
  fhir:CodeSystem.version [ fhir:value "1.1.1"];
  fhir:CodeSystem.name [ fhir:value "Carrier or MAC Number"];
  fhir:CodeSystem.title [ fhir:value "Carrier or MAC Number"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2018-11-27T15:56:35+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "CMS Blue Button 2.0 Team"];
  fhir:CodeSystem.description [ fhir:value "The identification number assigned by CMS to a carrier authorized to process claims from a physician or supplier. Effective July 2006, the Medicare Administrative Contractors (MACs) began replacing the existing carriers and started processing physician or supplier claim records for states assigned to its jurisdiction. Source: https://bluebutton.cms.gov/resources/variables/carr_num"];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.valueSet [ fhir:value "https://bluebutton.cms.gov/assets/ig/ValueSet-carr-num"];
  fhir:CodeSystem.hierarchyMeaning [ fhir:value "is-a"];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "00510" ];
     fhir:CodeSystem.concept.display [ fhir:value "Alabama - CAHABA" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Alabama - CAHABA" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "00511" ];
     fhir:CodeSystem.concept.display [ fhir:value "Georgia - CAHABA" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Georgia - CAHABA" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "00512" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mississippi - CAHABA (eff. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Mississippi - CAHABA (eff. 2000)" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "00520" ];
     fhir:CodeSystem.concept.display [ fhir:value "Arkansas BC/BS" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Arkansas BC/BS" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "00521" ];
     fhir:CodeSystem.concept.display [ fhir:value "New Mexico - Arkansas BC/BS (term. 2008) (replaced by MAC #04202)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New Mexico - Arkansas BC/BS (term. 2008) (replaced by MAC #04202)" ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "00522" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oklahoma - Arkansas BC/BS (term. 2008) (replaced by MAC #04302)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oklahoma - Arkansas BC/BS (term. 2008) (replaced by MAC #04302)" ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "00523" ];
     fhir:CodeSystem.concept.display [ fhir:value "Missouri East - Arkansas BC/BS (term. 2008) (replaced by MAC #05392)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Missouri East - Arkansas BC/BS (term. 2008) (replaced by MAC #05392)" ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "00524" ];
     fhir:CodeSystem.concept.display [ fhir:value "Rhode Island - Arkansas BC/BS (eff. 2004)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Rhode Island - Arkansas BC/BS (eff. 2004)" ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "00528" ];
     fhir:CodeSystem.concept.display [ fhir:value "Louisiana - Arkansas BS" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Louisiana - Arkansas BS" ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "00590" ];
     fhir:CodeSystem.concept.display [ fhir:value "Florida - First Coast" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Florida - First Coast" ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "00591" ];
     fhir:CodeSystem.concept.display [ fhir:value "Connecticut - First Coast (eff. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Connecticut - First Coast (eff. 2000)" ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "00630" ];
     fhir:CodeSystem.concept.display [ fhir:value "Indiana - Administar" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indiana - Administar" ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "00635" ];
     fhir:CodeSystem.concept.display [ fhir:value "DMERC-B - Administar (replaced by MAC #17003)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "DMERC-B - Administar (replaced by MAC #17003)" ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "00640" ];
     fhir:CodeSystem.concept.display [ fhir:value "Iowa - Wellmark, Inc." ];
     fhir:CodeSystem.concept.definition [ fhir:value "Iowa - Wellmark, Inc." ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "00645" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nebraska - Iowa BS" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Nebraska - Iowa BS" ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "00650" ];
     fhir:CodeSystem.concept.display [ fhir:value "Kansas BCBS (term. 2008) (replaced by MAC #05202)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Kansas BCBS (term. 2008) (replaced by MAC #05202)" ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "00655" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nebraska - Kansas BC/BS (term. 2008) (replaced by MAC #05402)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Nebraska - Kansas BC/BS (term. 2008) (replaced by MAC #05402)" ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "00660" ];
     fhir:CodeSystem.concept.display [ fhir:value "Kentucky - Administar" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Kentucky - Administar" ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "00740" ];
     fhir:CodeSystem.concept.display [ fhir:value "Western Missouri - Kansas BS (term.2008) (replaced by MAC #05302)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Western Missouri - Kansas BS (term.2008) (replaced by MAC #05302)" ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "00751" ];
     fhir:CodeSystem.concept.display [ fhir:value "Montana BC/BS (replaced by MAC # 03202)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Montana BC/BS (replaced by MAC # 03202)" ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "00801" ];
     fhir:CodeSystem.concept.display [ fhir:value "New York - Healthnow" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New York - Healthnow" ]
  ], [
     fhir:index 21;
     fhir:CodeSystem.concept.code [ fhir:value "00803" ];
     fhir:CodeSystem.concept.display [ fhir:value "New York - Empire BS" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New York - Empire BS" ]
  ], [
     fhir:index 22;
     fhir:CodeSystem.concept.code [ fhir:value "00805" ];
     fhir:CodeSystem.concept.display [ fhir:value "New Jersey - Empire BS" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New Jersey - Empire BS" ]
  ], [
     fhir:index 23;
     fhir:CodeSystem.concept.code [ fhir:value "00811" ];
     fhir:CodeSystem.concept.display [ fhir:value "DMERC (A) - Healthnow (eff. 2000) (replaced by MAC #16003)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "DMERC (A) - Healthnow (eff. 2000) (replaced by MAC #16003)" ]
  ], [
     fhir:index 24;
     fhir:CodeSystem.concept.code [ fhir:value "00820" ];
     fhir:CodeSystem.concept.display [ fhir:value "North Dakota - Noridian (replaced by MAC #03302)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "North Dakota - Noridian (replaced by MAC #03302)" ]
  ], [
     fhir:index 25;
     fhir:CodeSystem.concept.code [ fhir:value "00823" ];
     fhir:CodeSystem.concept.display [ fhir:value "Utah - Noridian (eff. 12/1/2005) (replaced by MAC #03502)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Utah - Noridian (eff. 12/1/2005) (replaced by MAC #03502)" ]
  ], [
     fhir:index 26;
     fhir:CodeSystem.concept.code [ fhir:value "00824" ];
     fhir:CodeSystem.concept.display [ fhir:value "Colorado - Noridian (term. 2008) (replaced by MAC #04102)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Colorado - Noridian (term. 2008) (replaced by MAC #04102)" ]
  ], [
     fhir:index 27;
     fhir:CodeSystem.concept.code [ fhir:value "00825" ];
     fhir:CodeSystem.concept.display [ fhir:value "Wyoming - Noridian (replaced by MAC #03602)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Wyoming - Noridian (replaced by MAC #03602)" ]
  ], [
     fhir:index 28;
     fhir:CodeSystem.concept.code [ fhir:value "00826" ];
     fhir:CodeSystem.concept.display [ fhir:value "Iowa - Noridian (term. 2008) (replaced by MAC #05102)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Iowa - Noridian (term. 2008) (replaced by MAC #05102)" ]
  ], [
     fhir:index 29;
     fhir:CodeSystem.concept.code [ fhir:value "00831" ];
     fhir:CodeSystem.concept.display [ fhir:value "Alaska - Noridian" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Alaska - Noridian" ]
  ], [
     fhir:index 30;
     fhir:CodeSystem.concept.code [ fhir:value "00832" ];
     fhir:CodeSystem.concept.display [ fhir:value "Arizona - Noridian (replaced by MAC # 03102)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Arizona - Noridian (replaced by MAC # 03102)" ]
  ], [
     fhir:index 31;
     fhir:CodeSystem.concept.code [ fhir:value "00833" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hawaii - Noridian" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hawaii - Noridian" ]
  ], [
     fhir:index 32;
     fhir:CodeSystem.concept.code [ fhir:value "00834" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nevada - Noridian" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Nevada - Noridian" ]
  ], [
     fhir:index 33;
     fhir:CodeSystem.concept.code [ fhir:value "00835" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oregon - Noridian" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oregon - Noridian" ]
  ], [
     fhir:index 34;
     fhir:CodeSystem.concept.code [ fhir:value "00836" ];
     fhir:CodeSystem.concept.display [ fhir:value "Washington - Noridian" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Washington - Noridian" ]
  ], [
     fhir:index 35;
     fhir:CodeSystem.concept.code [ fhir:value "00865" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pennsylvania - Highmark" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Pennsylvania - Highmark" ]
  ], [
     fhir:index 36;
     fhir:CodeSystem.concept.code [ fhir:value "00870" ];
     fhir:CodeSystem.concept.display [ fhir:value "Rhode Island BS (term. 2004)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Rhode Island BS (term. 2004)" ]
  ], [
     fhir:index 37;
     fhir:CodeSystem.concept.code [ fhir:value "00880" ];
     fhir:CodeSystem.concept.display [ fhir:value "South Carolina - Palmetto" ];
     fhir:CodeSystem.concept.definition [ fhir:value "South Carolina - Palmetto" ]
  ], [
     fhir:index 38;
     fhir:CodeSystem.concept.code [ fhir:value "00882" ];
     fhir:CodeSystem.concept.display [ fhir:value "RRB - South Carolina PGBA (eff. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "RRB - South Carolina PGBA (eff. 2000)" ]
  ], [
     fhir:index 39;
     fhir:CodeSystem.concept.code [ fhir:value "00883" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ohio - Palmetto (eff. 2002)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ohio - Palmetto (eff. 2002)" ]
  ], [
     fhir:index 40;
     fhir:CodeSystem.concept.code [ fhir:value "00884" ];
     fhir:CodeSystem.concept.display [ fhir:value "West Virginia - Palmetto (eff. 2002)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "West Virginia - Palmetto (eff. 2002)" ]
  ], [
     fhir:index 41;
     fhir:CodeSystem.concept.code [ fhir:value "00885" ];
     fhir:CodeSystem.concept.display [ fhir:value "DMERC C - Palmetto (replaced by MAC #18003)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "DMERC C - Palmetto (replaced by MAC #18003)" ]
  ], [
     fhir:index 42;
     fhir:CodeSystem.concept.code [ fhir:value "00889" ];
     fhir:CodeSystem.concept.display [ fhir:value "South Dakota - Noridian (eff. 4/1/2006) (replaced by MAC # 03402)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "South Dakota - Noridian (eff. 4/1/2006) (replaced by MAC # 03402)" ]
  ], [
     fhir:index 43;
     fhir:CodeSystem.concept.code [ fhir:value "00900" ];
     fhir:CodeSystem.concept.display [ fhir:value "Texas - Trailblazer (term. 2008) (replaced by MAC # 04402)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Texas - Trailblazer (term. 2008) (replaced by MAC # 04402)" ]
  ], [
     fhir:index 44;
     fhir:CodeSystem.concept.code [ fhir:value "00901" ];
     fhir:CodeSystem.concept.display [ fhir:value "Maryland - Trailblazer" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Maryland - Trailblazer" ]
  ], [
     fhir:index 45;
     fhir:CodeSystem.concept.code [ fhir:value "00902" ];
     fhir:CodeSystem.concept.display [ fhir:value "Delaware - Trailblazer" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Delaware - Trailblazer" ]
  ], [
     fhir:index 46;
     fhir:CodeSystem.concept.code [ fhir:value "00903" ];
     fhir:CodeSystem.concept.display [ fhir:value "District of Columbia - Trailblazer" ];
     fhir:CodeSystem.concept.definition [ fhir:value "District of Columbia - Trailblazer" ]
  ], [
     fhir:index 47;
     fhir:CodeSystem.concept.code [ fhir:value "00904" ];
     fhir:CodeSystem.concept.display [ fhir:value "Virginia - Trailblazer (eff. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Virginia - Trailblazer (eff. 2000)" ]
  ], [
     fhir:index 48;
     fhir:CodeSystem.concept.code [ fhir:value "00910" ];
     fhir:CodeSystem.concept.display [ fhir:value "Utah BS" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Utah BS" ]
  ], [
     fhir:index 49;
     fhir:CodeSystem.concept.code [ fhir:value "00951" ];
     fhir:CodeSystem.concept.display [ fhir:value "Wisconsin - Wisconsin Phy Svc" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Wisconsin - Wisconsin Phy Svc" ]
  ], [
     fhir:index 50;
     fhir:CodeSystem.concept.code [ fhir:value "00952" ];
     fhir:CodeSystem.concept.display [ fhir:value "Illinois - Wisconsin Phy Svc" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Illinois - Wisconsin Phy Svc" ]
  ], [
     fhir:index 51;
     fhir:CodeSystem.concept.code [ fhir:value "00953" ];
     fhir:CodeSystem.concept.display [ fhir:value "Michigan - Wisconsin Phy Svc" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Michigan - Wisconsin Phy Svc" ]
  ], [
     fhir:index 52;
     fhir:CodeSystem.concept.code [ fhir:value "00954" ];
     fhir:CodeSystem.concept.display [ fhir:value "Minnesota - Wisconsin Phy Svc (eff. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Minnesota - Wisconsin Phy Svc (eff. 2000)" ]
  ], [
     fhir:index 53;
     fhir:CodeSystem.concept.code [ fhir:value "00973" ];
     fhir:CodeSystem.concept.display [ fhir:value "Puerto Rico - Triple S, Inc." ];
     fhir:CodeSystem.concept.definition [ fhir:value "Puerto Rico - Triple S, Inc." ]
  ], [
     fhir:index 54;
     fhir:CodeSystem.concept.code [ fhir:value "00974" ];
     fhir:CodeSystem.concept.display [ fhir:value "Triple-S, Inc. - Virgin Islands" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Triple-S, Inc. - Virgin Islands" ]
  ], [
     fhir:index 55;
     fhir:CodeSystem.concept.code [ fhir:value "02050" ];
     fhir:CodeSystem.concept.display [ fhir:value "California - TOLIC (term. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "California - TOLIC (term. 2000)" ]
  ], [
     fhir:index 56;
     fhir:CodeSystem.concept.code [ fhir:value "05130" ];
     fhir:CodeSystem.concept.display [ fhir:value "Idaho - CIGNA" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Idaho - CIGNA" ]
  ], [
     fhir:index 57;
     fhir:CodeSystem.concept.code [ fhir:value "05302" ];
     fhir:CodeSystem.concept.display [ fhir:value "Western Missouri (eff. 3/2008)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Western Missouri (eff. 3/2008)" ]
  ], [
     fhir:index 58;
     fhir:CodeSystem.concept.code [ fhir:value "05440" ];
     fhir:CodeSystem.concept.display [ fhir:value "Tennessee - CIGNA" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Tennessee - CIGNA" ]
  ], [
     fhir:index 59;
     fhir:CodeSystem.concept.code [ fhir:value "05535" ];
     fhir:CodeSystem.concept.display [ fhir:value "North Carolina - CIGNA" ];
     fhir:CodeSystem.concept.definition [ fhir:value "North Carolina - CIGNA" ]
  ], [
     fhir:index 60;
     fhir:CodeSystem.concept.code [ fhir:value "05655" ];
     fhir:CodeSystem.concept.display [ fhir:value "DMERC-D Alaska - CIGNA (replaced by MAC #19003)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "DMERC-D Alaska - CIGNA (replaced by MAC #19003)" ]
  ], [
     fhir:index 61;
     fhir:CodeSystem.concept.code [ fhir:value "10071" ];
     fhir:CodeSystem.concept.display [ fhir:value "Railroad Board Travelers (term. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Railroad Board Travelers (term. 2000)" ]
  ], [
     fhir:index 62;
     fhir:CodeSystem.concept.code [ fhir:value "10230" ];
     fhir:CodeSystem.concept.display [ fhir:value "Connecticut - Metra Health (term. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Connecticut - Metra Health (term. 2000)" ]
  ], [
     fhir:index 63;
     fhir:CodeSystem.concept.code [ fhir:value "10240" ];
     fhir:CodeSystem.concept.display [ fhir:value "Minnesota - Metra Health (term. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Minnesota - Metra Health (term. 2000)" ]
  ], [
     fhir:index 64;
     fhir:CodeSystem.concept.code [ fhir:value "10250" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mississippi - Metra Health (term. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Mississippi - Metra Health (term. 2000)" ]
  ], [
     fhir:index 65;
     fhir:CodeSystem.concept.code [ fhir:value "10490" ];
     fhir:CodeSystem.concept.display [ fhir:value "Virginia - Metra Health (term. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Virginia - Metra Health (term. 2000)" ]
  ], [
     fhir:index 66;
     fhir:CodeSystem.concept.code [ fhir:value "10555" ];
     fhir:CodeSystem.concept.display [ fhir:value "DMERC A - Travelers Insurance Co. (term. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "DMERC A - Travelers Insurance Co. (term. 2000)" ]
  ], [
     fhir:index 67;
     fhir:CodeSystem.concept.code [ fhir:value "14330" ];
     fhir:CodeSystem.concept.display [ fhir:value "New York - GHI" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New York - GHI" ]
  ], [
     fhir:index 68;
     fhir:CodeSystem.concept.code [ fhir:value "16360" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ohio - Nationwide Insurance Co. (term. 2002)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ohio - Nationwide Insurance Co. (term. 2002)" ]
  ], [
     fhir:index 69;
     fhir:CodeSystem.concept.code [ fhir:value "16510" ];
     fhir:CodeSystem.concept.display [ fhir:value "West Virginia - Nationwide Insur Co. (term. 2002)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "West Virginia - Nationwide Insur Co. (term. 2002)" ]
  ], [
     fhir:index 70;
     fhir:CodeSystem.concept.code [ fhir:value "31140" ];
     fhir:CodeSystem.concept.display [ fhir:value "N. California - National Heritage Ins." ];
     fhir:CodeSystem.concept.definition [ fhir:value "N. California - National Heritage Ins." ]
  ], [
     fhir:index 71;
     fhir:CodeSystem.concept.code [ fhir:value "31142" ];
     fhir:CodeSystem.concept.display [ fhir:value "Maine - National Heritage Ins." ];
     fhir:CodeSystem.concept.definition [ fhir:value "Maine - National Heritage Ins." ]
  ], [
     fhir:index 72;
     fhir:CodeSystem.concept.code [ fhir:value "31143" ];
     fhir:CodeSystem.concept.display [ fhir:value "Massachusetts - National Heritage Ins." ];
     fhir:CodeSystem.concept.definition [ fhir:value "Massachusetts - National Heritage Ins." ]
  ], [
     fhir:index 73;
     fhir:CodeSystem.concept.code [ fhir:value "31144" ];
     fhir:CodeSystem.concept.display [ fhir:value "New Hampshire - National Heritage Ins." ];
     fhir:CodeSystem.concept.definition [ fhir:value "New Hampshire - National Heritage Ins." ]
  ], [
     fhir:index 74;
     fhir:CodeSystem.concept.code [ fhir:value "31145" ];
     fhir:CodeSystem.concept.display [ fhir:value "Vermont - National Heritage Ins." ];
     fhir:CodeSystem.concept.definition [ fhir:value "Vermont - National Heritage Ins." ]
  ], [
     fhir:index 75;
     fhir:CodeSystem.concept.code [ fhir:value "31146" ];
     fhir:CodeSystem.concept.display [ fhir:value "So. California - NHIC (eff. 2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "So. California - NHIC (eff. 2000)" ]
  ], [
     fhir:index 76;
     fhir:CodeSystem.concept.code [ fhir:value "80884" ];
     fhir:CodeSystem.concept.display [ fhir:value "Contractor ID for Physician Risk Adjustment Data (data not sent through NCH, but through Palmetto) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Medicare Administrative Contractors (MACs) JURISDICTION 3 -- Part B MACs" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Contractor ID for Physician Risk Adjustment Data (data not sent through NCH, but through Palmetto) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Medicare Administrative Contractors (MACs) JURISDICTION 3 -- Part B MACs" ]
  ], [
     fhir:index 77;
     fhir:CodeSystem.concept.code [ fhir:value "03102" ];
     fhir:CodeSystem.concept.display [ fhir:value "Arizona (eff. 12/1/06) (replaces carrier #00832)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Arizona (eff. 12/1/06) (replaces carrier #00832)" ]
  ], [
     fhir:index 78;
     fhir:CodeSystem.concept.code [ fhir:value "03202" ];
     fhir:CodeSystem.concept.display [ fhir:value "Montana (eff. 12/1/06) (replaces carrier #00751)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Montana (eff. 12/1/06) (replaces carrier #00751)" ]
  ], [
     fhir:index 79;
     fhir:CodeSystem.concept.code [ fhir:value "03302" ];
     fhir:CodeSystem.concept.display [ fhir:value "N. Dakota (eff. 12/1/06) (replaces carrier #00820)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "N. Dakota (eff. 12/1/06) (replaces carrier #00820)" ]
  ], [
     fhir:index 80;
     fhir:CodeSystem.concept.code [ fhir:value "03402" ];
     fhir:CodeSystem.concept.display [ fhir:value "S. Dakota (eff. 12/1/06) (replaces carrier #00889)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "S. Dakota (eff. 12/1/06) (replaces carrier #00889)" ]
  ], [
     fhir:index 81;
     fhir:CodeSystem.concept.code [ fhir:value "03502" ];
     fhir:CodeSystem.concept.display [ fhir:value "Utah (eff. 12/1/06) (replaces carrier #00823)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Utah (eff. 12/1/06) (replaces carrier #00823)" ]
  ], [
     fhir:index 82;
     fhir:CodeSystem.concept.code [ fhir:value "03602" ];
     fhir:CodeSystem.concept.display [ fhir:value "Wyoming (eff. 12/1/06) (replaces carrier #00825) JURISDICTION 4 -- Part B MACs" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Wyoming (eff. 12/1/06) (replaces carrier #00825) JURISDICTION 4 -- Part B MACs" ]
  ], [
     fhir:index 83;
     fhir:CodeSystem.concept.code [ fhir:value "04102" ];
     fhir:CodeSystem.concept.display [ fhir:value "Colorado (eff. 3/24/08) (replaces carrier #00824)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Colorado (eff. 3/24/08) (replaces carrier #00824)" ]
  ], [
     fhir:index 84;
     fhir:CodeSystem.concept.code [ fhir:value "04202" ];
     fhir:CodeSystem.concept.display [ fhir:value "New Mexico (eff. 3/1/08 (replaces carrier #00521)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New Mexico (eff. 3/1/08 (replaces carrier #00521)" ]
  ], [
     fhir:index 85;
     fhir:CodeSystem.concept.code [ fhir:value "04302" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oklahoma (eff. 3/1/08) (replaces carrier #00522)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oklahoma (eff. 3/1/08) (replaces carrier #00522)" ]
  ], [
     fhir:index 86;
     fhir:CodeSystem.concept.code [ fhir:value "04402" ];
     fhir:CodeSystem.concept.display [ fhir:value "Texas (eff. 6/13/08) (replaces carrier #00900) JURISDICTION 5 -- Part B MACs" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Texas (eff. 6/13/08) (replaces carrier #00900) JURISDICTION 5 -- Part B MACs" ]
  ], [
     fhir:index 87;
     fhir:CodeSystem.concept.code [ fhir:value "05102" ];
     fhir:CodeSystem.concept.display [ fhir:value "Iowa (eff.2/1/08) (replaces carrier #00826)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Iowa (eff.2/1/08) (replaces carrier #00826)" ]
  ], [
     fhir:index 88;
     fhir:CodeSystem.concept.code [ fhir:value "05202" ];
     fhir:CodeSystem.concept.display [ fhir:value "Kansas (eff. 3/1/08) (replaces carrier #00650)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Kansas (eff. 3/1/08) (replaces carrier #00650)" ]
  ], [
     fhir:index 89;
     fhir:CodeSystem.concept.code [ fhir:value "05302" ];
     fhir:CodeSystem.concept.display [ fhir:value "W. Missouri (eff. 3/1/08) (replaces carrier #00651 or 00740)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "W. Missouri (eff. 3/1/08) (replaces carrier #00651 or 00740)" ]
  ], [
     fhir:index 90;
     fhir:CodeSystem.concept.code [ fhir:value "05392" ];
     fhir:CodeSystem.concept.display [ fhir:value "E. Missouri (eff. 6/1/08) (replaces carrier #00523)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "E. Missouri (eff. 6/1/08) (replaces carrier #00523)" ]
  ], [
     fhir:index 91;
     fhir:CodeSystem.concept.code [ fhir:value "05402" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nebraska (eff. 3/1/08) (replaces carrier #00655) Durable Medical Equipment (DME) MACs" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Nebraska (eff. 3/1/08) (replaces carrier #00655) Durable Medical Equipment (DME) MACs" ]
  ], [
     fhir:index 92;
     fhir:CodeSystem.concept.code [ fhir:value "16003" ];
     fhir:CodeSystem.concept.display [ fhir:value "National Heritage Insur Co (NHIC) (eff. 7/1/06) (replaces carrier #00811)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "National Heritage Insur Co (NHIC) (eff. 7/1/06) (replaces carrier #00811)" ]
  ], [
     fhir:index 93;
     fhir:CodeSystem.concept.code [ fhir:value "17003" ];
     fhir:CodeSystem.concept.display [ fhir:value "Administar Federal, Inc. (eff. 7/1/06) (replaces carrier # 00635)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Administar Federal, Inc. (eff. 7/1/06) (replaces carrier # 00635)" ]
  ], [
     fhir:index 94;
     fhir:CodeSystem.concept.code [ fhir:value "18003" ];
     fhir:CodeSystem.concept.display [ fhir:value "Palmetto GBA, LLC (eff. 6/1/07) (replaces carrier #00885)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Palmetto GBA, LLC (eff. 6/1/07) (replaces carrier #00885)" ]
  ], [
     fhir:index 95;
     fhir:CodeSystem.concept.code [ fhir:value "19003" ];
     fhir:CodeSystem.concept.display [ fhir:value "Noridan Administrative Services (eff. 10/1/06) (replaces carrier #05655)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Noridan Administrative Services (eff. 10/1/06) (replaces carrier #05655)" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.