Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

4.4.1.518 ValueSet http://hl7.org/fhir/ValueSet/benefit-type

Financial Management icon

Work Group

Maturity Level: 1

Draft

Use Context: Country: World, Not Intended for Production use

Official URL: `http://hl7.org/fhir/ValueSet/benefit-type`				Version: 5.0.0
draft as of 2023-03-26				Computable Name: BenefitTypeCodes
Flags: Experimental				OID: 2.16.840.1.113883.4.642.3.606

This value set is used in the following places:

Resource: CoverageEligibilityResponse.insurance.item.benefit.type (CodeableConcept / Example)
Resource: ExplanationOfBenefit.benefitBalance.financial.type (CodeableConcept / Example)

4.4.1.518.1 Definition

This value set includes a smattering of Benefit type codes.

4.4.1.518.2 Content Logical Definition

Include all codes defined in http://terminology.hl7.org/CodeSystem/benefit-type

4.4.1.518.3 Expansion

This expansion generated 26 Mar 2023

This value set contains 12 concepts

Expansion based on Benefit Type Codes v0.1.0 (CodeSystem) icon

Code	System	Display	Definition
benefit	http://terminology.hl7.org/CodeSystem/benefit-type	Benefit	Maximum benefit allowable.
deductible	http://terminology.hl7.org/CodeSystem/benefit-type	Deductible	Cost to be incurred before benefits are applied
visit	http://terminology.hl7.org/CodeSystem/benefit-type	Visit	Service visit
room	http://terminology.hl7.org/CodeSystem/benefit-type	Room	Type of room
copay	http://terminology.hl7.org/CodeSystem/benefit-type	Copayment per service	Copayment per service
copay-percent	http://terminology.hl7.org/CodeSystem/benefit-type	Copayment Percent per service	Copayment percentage per service
copay-maximum	http://terminology.hl7.org/CodeSystem/benefit-type	Copayment maximum per service	Copayment maximum per service
vision-exam	http://terminology.hl7.org/CodeSystem/benefit-type	Vision Exam	Vision Exam
vision-glasses	http://terminology.hl7.org/CodeSystem/benefit-type	Vision Glasses	Frames and lenses
vision-contacts	http://terminology.hl7.org/CodeSystem/benefit-type	Vision Contacts Coverage	Contact Lenses
medical-primarycare	http://terminology.hl7.org/CodeSystem/benefit-type	Medical Primary Health Coverage	Medical Primary Health Coverage
pharmacy-dispense	http://terminology.hl7.org/CodeSystem/benefit-type	Pharmacy Dispense Coverage	Pharmacy Dispense Coverage

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl

A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')

Display

The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code