HL7.FHIR.US.DAVINCI-PDEX-PLAN-NET\Insurance Product Type

This page is part of the DaVinci PDEX Plan Net (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

CodeSystem: Insurance Product Type

Summary

Defining URL:

http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS

Version:

1.0.0

Name:

InsuranceProductTypeCS

Title:

Insurance Product Type

Status:

Active as of 2020-12-20T06:12:23+00:00

Definition:

A distinct package of health insurance coverage benefits that are offered using a particular product network type.

Publisher:

HL7 Financial Management Working Group

Content:

Complete: All the concepts defined by the code system are included in the code system resource

Source Resource:

XML / JSON / Turtle

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

InsuranceProductTypeVS

This code system http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS defines the following codes:

Code	Display	Definition
commppo	Commercial PPO	Health insurance provided through a Preferred Provider Organization (PPO).
commhdhp	Commercial HDHP	Health insurance provided through a High Deductible Health Plan (HDHP).
commpos	Commercial POS	Health insurance provided through a Point-of-Service (POS) Plan.
commhmo	Commercial HMO	Health insurance provided through a Health Maintenance Organization (HMO).
commepo	Commercial EPO	Health insurance provided through a Exclusive Provider Organization(EPO).
medi	Medicaid	Health insurance provided to eligible adults and children under the Federal Medicaid program
medihmo	Medicaid HMO	Health insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO).
mediadv	Medicare Advantage	Health insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits.
mediadvhmo	Medicare Advantage HMO	Health insurance offered by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits through a Health Maintenance Organization (HMO).
media	Medicare Part A	Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
medib	Medicare Part B	Health insurance provided under the Federal Medicfare program covering certain doctors' services, outpatient care, medical supplies, and preventive services.
medid	Medicare Part D	Health insurance provided under the Federal Medicare program covering prescription drugs.
mediab	Medicare A/B	Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, some home health care, certain doctors' services, outpatient care, medical supplies, and preventive services.
qhp	Qualified Health Plan	Health insurance provided through and certified by the Health Insurance Marketplace that provides essential health benefits (EHBs), follows established limits on cost sharing, and meets other requirements outlined within the application process.
ihs	Indian Health Service	Health care program provided to United States American Indians and Alaska Natives.
fep	Federal Employee Program	Health insurance provided to employees of the Federal government.
tri	TRICARE	Health care program provided to uniformed service members, retirees, and their families around the world.
va	Veterans Affairs Plan	Health care program provided to eligible veterans.
dent	Dental Plan	Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity.
denthmo	Dental HMO	Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity provided through a Health Maintenance Organization (HMO).
vis	Vision Plan	Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes.
vishmo	Vision HMO	Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes provided through a Health Maintenance Organization (HMO).