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

CoinsuranceOptionVS

CoinsuranceOptionVS ValueSet

Qualifier for coinsurance rate

Defining URL:http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet/usdf-CoinsuranceOptionVS
Version:1.0.0
Name:CoinsuranceOptionVS
Status:draft
Title:Coinsurance Option VS
Definition:

Qualifier for coinsurance rate

Publisher:HL7 Pharmacy WG
Source Resource:XML / JSON / Turtle
Downloads: XML, JSON, Turtle

Expansion

This value set contains 3 concepts

Expansion based on http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS version 1.0.0

All codes from system http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS

CodeDisplayDefinition
after-deductibleAfter DeductibleThe 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).
no-chargeNo ChargeNo cost sharing is charged (this indicates that this benefit is not subject to the deductible).
no-charge-after-deductibleNo Charge After DeductibleThe consumer first pays the deductible, and after thedeductible is met, no coinsurance is charged (this indicates that this benefit is subject to the deductible)

References

This value set is used by the following logical models, profiles and extensions: