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 Coverage Class

Summary

Defining URL:http://hl7.org/fhir/us/insurance-card/ValueSet/C4DICCoverageClassVS
Version:0.1.0
Name:C4DICCoverageClassVS
Title:C4DIC Coverage Class
Status:Active as of 12/6/21 10:19 PM
Definition:

This value set includes an extended set of coverage class 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 14 concepts

CodeSystemDisplayDefinition
grouphttp://terminology.hl7.org/CodeSystem/coverage-classGroupAn employee group
subgrouphttp://terminology.hl7.org/CodeSystem/coverage-classSubGroupA sub-group of an employee group
planhttp://terminology.hl7.org/CodeSystem/coverage-classPlanA specific suite of benefits.
subplanhttp://terminology.hl7.org/CodeSystem/coverage-classSubPlanA subset of a specific suite of benefits.
classhttp://terminology.hl7.org/CodeSystem/coverage-classClassA class of benefits.
subclasshttp://terminology.hl7.org/CodeSystem/coverage-classSubClassA subset of a class of benefits.
sequencehttp://terminology.hl7.org/CodeSystem/coverage-classSequenceA sequence number associated with a short-term continuance of the coverage.
rxbinhttp://terminology.hl7.org/CodeSystem/coverage-classRX BINPharmacy benefit manager's Business Identification Number.
rxpcnhttp://terminology.hl7.org/CodeSystem/coverage-classRX PCNA Pharmacy Benefit Manager specified Processor Control Number.
rxidhttp://terminology.hl7.org/CodeSystem/coverage-classRX IdA Pharmacy Benefit Manager specified Member ID.
rxgrouphttp://terminology.hl7.org/CodeSystem/coverage-classRX GroupA Pharmacy Benefit Manager specified Group number.
divisionhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCSDivision
networkhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCSNetwork
rxiinhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCSRxIIN

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