CARIN Digital Insurance Card
2.0.0-ballot - STU 2 Ballot

CARIN Digital Insurance Card - Downloaded Version 2.0.0-ballot See the Directory of published versions

## ValueSet: C4DIC Coverage Class

Official URL: http://hl7.org/fhir/us/insurance-card/ValueSet/C4DICCoverageClassVS | Version: 2.0.0-ballot
Standards status: Trial-use | Maturity Level: 2 | Computable Name: C4DICCoverageClassVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.9.48.3
Copyright/Legal: This Valueset is not copyrighted.

This value set includes an extended set of coverage class codes.

References

- C4DIC Coverage

### Guidance on Displaying RxIIN (formerly RxBIN) on Digital Insurance Cards

The American National Standards Institute (ANSI) has transitioned the Issuer Identification Number (IIN), formerly known as the Bank Identification Number (BIN), from a six-digit to an eight-digit format in accordance with ISO/IEC 7812-1. This change is being adopted across the pharmacy ecosystem, including in the NCPDP Telecommunication Standard Version F6 © and the Pharmacy/Combination ID Card Standard Version 7.1 ©.

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- Include all codes defined in `http://terminology.hl7.org/CodeSystem/coverage-class` version 📍1.0.1
- Include all codes defined in `http://terminology.hl7.org/CodeSystem/C4DICExtendedCoverageClassCS` version 📦2.0.0-ballot

### Expansion

Expansion performed internally based on:

- codesystem C4DIC Extended Coverage Class v2.0.0-ballot (CodeSystem)
- codesystem Coverage Class Codes v1.0.1 (CodeSystem)

This value set contains 15 concepts

System | Code | Display (en) | Definition | JSON | XML
`http://terminology.hl7.org/CodeSystem/coverage-class` | group | Group | An employee group |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | subgroup | SubGroup | A sub-group of an employee group |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | plan | Plan | A specific suite of benefits. |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | subplan | SubPlan | A subset of a specific suite of benefits. |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | class | Class | A class of benefits. |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | subclass | SubClass | A subset of a class of benefits. |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | sequence | Sequence | A sequence number associated with a short-term continuance of the coverage. |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | rxbin | RX BIN | Pharmacy benefit manager's Business Identification Number. |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | rxpcn | RX PCN | A Pharmacy Benefit Manager specified Processor Control Number. |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | rxid | RX Id | A Pharmacy Benefit Manager specified Member ID. |  |
`http://terminology.hl7.org/CodeSystem/coverage-class` | rxgroup | RX Group | A Pharmacy Benefit Manager specified Group number. |  |
`http://terminology.hl7.org/CodeSystem/C4DICExtendedCoverageClassCS` | division | Division | Division |  |
`http://terminology.hl7.org/CodeSystem/C4DICExtendedCoverageClassCS` | network | Network | The primary network or network tier associated with the coverage |  |
`http://terminology.hl7.org/CodeSystem/C4DICExtendedCoverageClassCS` | alternatenetwork | Alternate Network | Secondary or additional networks or network tiers associated with the coverage |  |
`http://terminology.hl7.org/CodeSystem/C4DICExtendedCoverageClassCS` | rxiin | RxIIN | RxIIN |  |

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