HRSA COVID Claims Payer Mapping

As part of the Families First Coronavirus Response Act, the Paycheck Protection Program and Health Care Enhancement Act, and the Coronavirus Aid, Relief, and Economic Security (CARES) Act , the U.S. Department of Health and Human Services (HHS) will provide claims reimbursement to health care providers generally at Medicare rates for testing uninsured individuals for COVID-19 and treating uninsured individuals with a COVID-19 diagnosis.

The Tennessee Department of Health emailed a letter on September 17, 2020, with instructions on payer mapping and payer ID/health plan ID for these types of claims.  The letter can be found here.  Please report the data to THA/HIDINet using the following payer code and payer ID/health plan ID for the uninsured patients


Field Description/Field #:  Payer Name Code – Primary / # 165

Position:  1440-1443

Payer Code:  Z

Field Description/Field #:  Payer ID/Health Plan ID – Primary / # 168

Position:  1452-1466

Payer ID/Health Plan ID:  95964