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NEW YORK STATE DEPARTMENT OF HEALTH ... Code Pay Source 01 Self-Pay 02 Workers' Compensation 03 Medicare 04 Medicaid 06 Blue Cross 07 Other Government 08 Commercial Insurance Company 09 No Charge 10 Other 11 HMO (Other) 12 CHAMPUS/VA 13 No-Fault 14 Corrections (Federal, State, or Local) Obsolete 1/1/1996 15 Self-Insured, Self-Administered Plan ... ................
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