CARIN Digital Insurance Card
0.1.0 - STU 1 Ballot

This page is part of the CARIN Digital Insurance Card (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

ValueSet: C4DIC Copay Type

Summary

Defining URL:http://hl7.org/fhir/us/insurance-card/ValueSet/C4DICCopayTypeVS
Version:0.1.0
Name:C4DICCopayTypeVS
Title:C4DIC Copay Type
Status:Active as of 12/6/21 10:19 PM
Definition:

This value set includes an extended set of copay type codes.

Publisher:HL7 Payer/Provider Information Exchange Working Group (PIE WG)
Copyright:

This Valueset is not copyrighted.

Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 27 concepts

CodeSystemDisplayDefinition
gpvisithttp://terminology.hl7.org/CodeSystem/coverage-copay-typeGP Office VisitAn office visit for a general practitioner of a discipline.
spvisithttp://terminology.hl7.org/CodeSystem/coverage-copay-typeSpecialist Office VisitAn office visit for a specialist practitioner of a discipline
emergencyhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeEmergencyAn episode in an emergency department.
inpthosphttp://terminology.hl7.org/CodeSystem/coverage-copay-typeInpatient HospitalAn episode of an Inpatient hospital stay.
televisithttp://terminology.hl7.org/CodeSystem/coverage-copay-typeTele-visitA visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.
urgentcarehttp://terminology.hl7.org/CodeSystem/coverage-copay-typeUrgent CareA visit to an urgent care facility - typically a community care clinic.
copaypcthttp://terminology.hl7.org/CodeSystem/coverage-copay-typeCopay PercentageA standard percentage applied to all classes or service or product not otherwise specified.
copayhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeCopay AmountA standard fixed currency amount applied to all classes or service or product not otherwise specified.
deductiblehttp://terminology.hl7.org/CodeSystem/coverage-copay-typeDeductibleThe accumulated amount of patient payment before the coverage begins to pay for services.
maxoutofpockethttp://terminology.hl7.org/CodeSystem/coverage-copay-typeMaximum out of pocketThe maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.
FamOutDedhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSFamily Out of Network Deductible
FamInDedhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSFamily In Network Deductible
FamRxOutDedhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSFamily Pharmacy Out of Network Deductible
FamRxInDedhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSFamily Pharmacy In Network Deductible
FamOutMaxhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSFamily Out of Network Out of Pocket Maximum
FamInMaxhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSFamily In Network Out of Pocket Maximum
FamRxOutMaxhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSFamily Pharmacy Out of Network Out of Pocket Maximum
FamRxInMaxhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSFamily Pharmacy In Network Out of Pocket Maximum
IndOutDedhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSInvidual Out of Network Deductible
IndInDedhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSIndividual In Network Deductible
IndRxOutDedhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSIndividual Pharmacy Out of Network Deductible
IndRxInDedhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSIndividual Pharmacy In Network Deductible
IndOutMaxhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSIndividual Out of Network Out of Pocket Maximum
IndInMaxhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSIndividual In Network Out of Pocket Maximum
IndRxOutMaxhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSIndividual Pharmacy Out of Network Out of Pocket Maximum
IndRxInMaxhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSIndividual Pharmacy In Network Out of Pocket Maximum
rxhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCSPrescription

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
Source 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