Consumer Real-Time Pharmacy Benefit Check
1.0.0 - STU1

This page is part of the Consumer Real-time Pharmacy Benefit Check (v1.0.0: STU 1) based on FHIR R4. 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

CodeSystem: RtpbcPatientPayTypeCodeSystem

Summary

Defining URL:http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type
Version:1.0.0
Name:RtpbcPatientPayTypeCodeSystem
Title:RTPBC Patient Pay Type Code System
Status:Active
Content:All the concepts defined by the code system are included in the code system resource
Definition:

This code system defines components of a patient's responsibility for a prescription product's cost.

Publisher:HL7 International - Pharmacy
Content Mode:Complete
Source Resource:XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

This code system http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type defines the following codes:

CodeDisplayDefinition
deductible DeductibleAmount to be collected from a patient to be applied to a periodic deductible
coinsurance Per prescription coinsuranceAmount to be collected from a patient to satisfy a per prescription coinsurance
copay CopayAmount to be collected from the patient to satisfy a per prescription copay
tax TaxAmount to be collected from the patient for sales tax
cash-price Full product cash priceFull product cash price before discounts or coupons
coupon-discount Coupon discount amountCoupon discount reducing the amount to be collected from the patient
member-discount Member discount amountMember discount reducing the amount to be collected from the patient
other-discount Other discount amountOther discount reducing the amount to be collected from the patient
other-cost Other costOther amount to be collected from the patient
eligible Eligible amountAmount that is considered for adjudication
total Total patient responsibilityAmount equalling the total patient responsibility for a prescription product's cost