CARIN Digital Insurance Card
2.0.0-ballot - STU 2 Ballot United States of America flag

This page is part of the CARIN Digital Insurance Card (v2.0.0-ballot: STU2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.1.0. For a full list of available versions, see the Directory of published versions

CodeSystem: Cost Tier Code System (Experimental)

Official URL: http://hl7.org/fhir/us/insurance-card/CodeSystem/cost-tier Version: 2.0.0-ballot
Standards status: Informative Computable Name: CostTierCS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.9.16.7

Code system for cost-sharing tiers that distinguish multiple cost amounts for the same benefit and network status, based on provider designation or modality of care

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

This case-sensitive code system http://hl7.org/fhir/us/insurance-card/CodeSystem/cost-tier defines the following codes:

CodeDisplayDefinition
value-choice Value Choice Provider Cost sharing that applies when the service is delivered by a provider the plan has designated in its value or preferred-value tier
standard Standard Provider Cost sharing that applies when the service is delivered by an in-network provider without a special designation
virtual Virtual Visit Cost sharing that applies when the service is delivered virtually (telehealth modality) rather than in person