CARIN Digital Insurance Card
1.1.0 - STU 1.1 United States of America flag

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

ValueSet: C4DIC Coverage Class (Experimental)

Official URL: http://hl7.org/fhir/us/insurance-card/ValueSet/C4DICCoverageClassVS Version: 1.1.0
Active as of 2024-04-16 Computable Name: C4DICCoverageClassVS

Copyright/Legal: This Valueset is not copyrighted.

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

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-classGroup

An employee group

  subgrouphttp://terminology.hl7.org/CodeSystem/coverage-classSubGroup

A sub-group of an employee group

  planhttp://terminology.hl7.org/CodeSystem/coverage-classPlan

A specific suite of benefits.

  subplanhttp://terminology.hl7.org/CodeSystem/coverage-classSubPlan

A subset of a specific suite of benefits.

  classhttp://terminology.hl7.org/CodeSystem/coverage-classClass

A class of benefits.

  subclasshttp://terminology.hl7.org/CodeSystem/coverage-classSubClass

A subset of a class of benefits.

  sequencehttp://terminology.hl7.org/CodeSystem/coverage-classSequence

A sequence number associated with a short-term continuance of the coverage.

  rxbinhttp://terminology.hl7.org/CodeSystem/coverage-classRX BIN

Pharmacy benefit manager's Business Identification Number.

  rxpcnhttp://terminology.hl7.org/CodeSystem/coverage-classRX PCN

A Pharmacy Benefit Manager specified Processor Control Number.

  rxidhttp://terminology.hl7.org/CodeSystem/coverage-classRX Id

A Pharmacy Benefit Manager specified Member ID.

  rxgrouphttp://terminology.hl7.org/CodeSystem/coverage-classRX Group

A 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
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