CARIN Digital Insurance Card
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This page is part of the CARIN Digital Insurance Card (v1.1.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: C4DIC Extended Copay Type - XML Representation

Active as of 2024-04-16

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="C4DICExtendedCopayTypeCS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>This case-sensitive code system <code>http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCS</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style="white-space:nowrap">FamOutDed<a name="C4DICExtendedCopayTypeCS-FamOutDed"> </a></td><td>Family Out of Network Deductible</td></tr><tr><td style="white-space:nowrap">FamInDed<a name="C4DICExtendedCopayTypeCS-FamInDed"> </a></td><td>Family In Network Deductible</td></tr><tr><td style="white-space:nowrap">FamRxOutDed<a name="C4DICExtendedCopayTypeCS-FamRxOutDed"> </a></td><td>Family Pharmacy Out of Network Deductible</td></tr><tr><td style="white-space:nowrap">FamRxInDed<a name="C4DICExtendedCopayTypeCS-FamRxInDed"> </a></td><td>Family Pharmacy In Network Deductible</td></tr><tr><td style="white-space:nowrap">FamOutMax<a name="C4DICExtendedCopayTypeCS-FamOutMax"> </a></td><td>Family Out of Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">FamInMax<a name="C4DICExtendedCopayTypeCS-FamInMax"> </a></td><td>Family In Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">FamRxOutMax<a name="C4DICExtendedCopayTypeCS-FamRxOutMax"> </a></td><td>Family Pharmacy Out of Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">FamRxInMax<a name="C4DICExtendedCopayTypeCS-FamRxInMax"> </a></td><td>Family Pharmacy In Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">IndOutDed<a name="C4DICExtendedCopayTypeCS-IndOutDed"> </a></td><td>Invidual Out of Network Deductible</td></tr><tr><td style="white-space:nowrap">IndInDed<a name="C4DICExtendedCopayTypeCS-IndInDed"> </a></td><td>Individual In Network Deductible</td></tr><tr><td style="white-space:nowrap">IndRxOutDed<a name="C4DICExtendedCopayTypeCS-IndRxOutDed"> </a></td><td>Individual Pharmacy Out of Network Deductible</td></tr><tr><td style="white-space:nowrap">IndRxInDed<a name="C4DICExtendedCopayTypeCS-IndRxInDed"> </a></td><td>Individual Pharmacy In Network Deductible</td></tr><tr><td style="white-space:nowrap">IndOutMax<a name="C4DICExtendedCopayTypeCS-IndOutMax"> </a></td><td>Individual Out of Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">IndInMax<a name="C4DICExtendedCopayTypeCS-IndInMax"> </a></td><td>Individual In Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">IndRxOutMax<a name="C4DICExtendedCopayTypeCS-IndRxOutMax"> </a></td><td>Individual Pharmacy Out of Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">IndRxInMax<a name="C4DICExtendedCopayTypeCS-IndRxInMax"> </a></td><td>Individual Pharmacy In Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">rx<a name="C4DICExtendedCopayTypeCS-rx"> </a></td><td>Prescription</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="claims"/>
  </extension>
  <url
       value="http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCS"/>
  <version value="1.1.0"/>
  <name value="C4DICExtendedCopayTypeCS"/>
  <title value="C4DIC Extended Copay Type"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-04-16T17:37:30+00:00"/>
  <publisher
             value="HL7 International / Payer/Provider Information Exchange Work Group"/>
  <contact>
    <name
          value="HL7 International / Payer/Provider Information Exchange Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/claims"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="pie@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="This code system includes an extended set of Copay Type codes."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright value="This CodeSystem is not copyrighted."/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="17"/>
  <concept>
    <code value="FamOutDed"/>
    <display value="Family Out of Network Deductible"/>
  </concept>
  <concept>
    <code value="FamInDed"/>
    <display value="Family In Network Deductible"/>
  </concept>
  <concept>
    <code value="FamRxOutDed"/>
    <display value="Family Pharmacy Out of Network Deductible"/>
  </concept>
  <concept>
    <code value="FamRxInDed"/>
    <display value="Family Pharmacy In Network Deductible"/>
  </concept>
  <concept>
    <code value="FamOutMax"/>
    <display value="Family Out of Network Out of Pocket Maximum"/>
  </concept>
  <concept>
    <code value="FamInMax"/>
    <display value="Family In Network Out of Pocket Maximum"/>
  </concept>
  <concept>
    <code value="FamRxOutMax"/>
    <display value="Family Pharmacy Out of Network Out of Pocket Maximum"/>
  </concept>
  <concept>
    <code value="FamRxInMax"/>
    <display value="Family Pharmacy In Network Out of Pocket Maximum"/>
  </concept>
  <concept>
    <code value="IndOutDed"/>
    <display value="Invidual Out of Network Deductible"/>
  </concept>
  <concept>
    <code value="IndInDed"/>
    <display value="Individual In Network Deductible"/>
  </concept>
  <concept>
    <code value="IndRxOutDed"/>
    <display value="Individual Pharmacy Out of Network Deductible"/>
  </concept>
  <concept>
    <code value="IndRxInDed"/>
    <display value="Individual Pharmacy In Network Deductible"/>
  </concept>
  <concept>
    <code value="IndOutMax"/>
    <display value="Individual Out of Network Out of Pocket Maximum"/>
  </concept>
  <concept>
    <code value="IndInMax"/>
    <display value="Individual In Network Out of Pocket Maximum"/>
  </concept>
  <concept>
    <code value="IndRxOutMax"/>
    <display
             value="Individual Pharmacy Out of Network Out of Pocket Maximum"/>
  </concept>
  <concept>
    <code value="IndRxInMax"/>
    <display value="Individual Pharmacy In Network Out of Pocket Maximum"/>
  </concept>
  <concept>
    <code value="rx"/>
    <display value="Prescription"/>
  </concept>
</CodeSystem>