DaVinci Payer Data Exchange (PDex) US Drug Formulary STU 1

This page is part of the US Drug Formulary (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

CoinsuranceOptionCS

{
  "resourceType" : "CodeSystem",
  "id" : "usdf-CoinsuranceOptionCS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p><b>CoinsuranceOptionCS CodeSystem</b></p>\n<p>Qualifier for coinsurance rate</p>\n</div>"
  },
  "url" : "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS",
  "version" : "1.0.0",
  "name" : "CoinsuranceOptionCS",
  "title" : "Coinsurance Option CS",
  "status" : "draft",
  "date" : "2020-01-17T00:00:00+00:00",
  "publisher" : "HL7 Pharmacy WG",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/medication/"
        }
      ]
    }
  ],
  "description" : "Qualifier for coinsurance rate",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 3,
  "concept" : [
    {
      "code" : "after-deductible",
      "display" : "After Deductible",
      "definition" : "The consumer first pays the deductible, and afterthe deductible is met, the consumer pays the coinsurance portion of allowed charges (this indicates that this benefit is subject to the deductible)."
    },
    {
      "code" : "no-charge",
      "display" : "No Charge",
      "definition" : "No cost sharing is charged (this indicates that this benefit is not subject to the deductible)."
    },
    {
      "code" : "no-charge-after-deductible",
      "display" : "No Charge After Deductible",
      "definition" : "The consumer first pays the deductible, and after thedeductible is met, no coinsurance is charged (this indicates that this benefit is subject to the deductible)"
    }
  ]
}