Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot US

This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

ValueSet: PCT Advance Explanation of Benefit Type Value Set

Official URL: http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAEOBTypeVS Version: 2.0.0-ballot
Standards status: Trial-use Computable Name: PCTAEOBTypeVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.48.5

Codes to specify the type of AEOB

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

Expansion based on codesystem Claim Type Codes v0.1.0 (CodeSystem)

This value set contains 5 concepts.

CodeSystemDisplayDefinition
  institutionalhttp://terminology.hl7.org/CodeSystem/claim-typeInstitutional

Hospital, clinic and typically inpatient claims.

  professionalhttp://terminology.hl7.org/CodeSystem/claim-typeProfessional

Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.

  oralhttp://terminology.hl7.org/CodeSystem/claim-typeOral

Dental, Denture and Hygiene claims.

  pharmacyhttp://terminology.hl7.org/CodeSystem/claim-typePharmacy

Pharmacy claims for goods and services.

  visionhttp://terminology.hl7.org/CodeSystem/claim-typeVision

Vision claims for professional services and products such as glasses and contact lenses.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System 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)
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