{"resourceType":"CodeSystem","id":"benefit-type","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem benefit-type</b></p><a name=\"benefit-type\"> </a><a name=\"hcbenefit-type\"> </a><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/benefit-type</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">benefit<a name=\"benefit-type-benefit\"> </a></td><td>Benefit</td><td>Maximum benefit allowable.</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"benefit-type-deductible\"> </a></td><td>Deductible</td><td>Cost to be incurred before benefits are applied</td></tr><tr><td style=\"white-space:nowrap\">visit<a name=\"benefit-type-visit\"> </a></td><td>Visit</td><td>Service visit</td></tr><tr><td style=\"white-space:nowrap\">room<a name=\"benefit-type-room\"> </a></td><td>Room</td><td>Type of room</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"benefit-type-copay\"> </a></td><td>Copayment per service</td><td>Copayment per service</td></tr><tr><td style=\"white-space:nowrap\">copay-percent<a name=\"benefit-type-copay-percent\"> </a></td><td>Copayment Percent per service</td><td>Copayment percentage per service</td></tr><tr><td style=\"white-space:nowrap\">copay-maximum<a name=\"benefit-type-copay-maximum\"> </a></td><td>Copayment maximum per service</td><td>Copayment maximum per service</td></tr><tr><td style=\"white-space:nowrap\">vision-exam<a name=\"benefit-type-vision-exam\"> </a></td><td>Vision Exam</td><td>Vision Exam</td></tr><tr><td style=\"white-space:nowrap\">vision-glasses<a name=\"benefit-type-vision-glasses\"> </a></td><td>Vision Glasses</td><td>Frames and lenses</td></tr><tr><td style=\"white-space:nowrap\">vision-contacts<a name=\"benefit-type-vision-contacts\"> </a></td><td>Vision Contacts Coverage</td><td>Contact Lenses</td></tr><tr><td style=\"white-space:nowrap\">medical-primarycare<a name=\"benefit-type-medical-primarycare\"> </a></td><td>Medical Primary Health Coverage</td><td>Medical Primary Health Coverage</td></tr><tr><td style=\"white-space:nowrap\">pharmacy-dispense<a name=\"benefit-type-pharmacy-dispense\"> </a></td><td>Pharmacy Dispense Coverage</td><td>Pharmacy Dispense Coverage</td></tr></table></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"draft"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":1},{"extension":[{"url":"packageId","valueId":"hl7.fhir.uv.xver-r4.r5"},{"url":"version","valueString":"0.1.0"},{"url":"uri","valueUri":"http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"}],"url":"http://hl7.org/fhir/StructureDefinition/package-source"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fm"}],"url":"http://terminology.hl7.org/CodeSystem/benefit-type","version":"4.0.1","name":"BenefitTypeCodes","title":"Benefit Type Codes","status":"draft","experimental":false,"date":"2026-03-20T13:38:33+11:00","publisher":"Financial Management","contact":[{"name":"Financial Management","telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/fm"}]}],"description":"This value set includes a smattering of Benefit type codes.","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"copyright":"This is an example set.","caseSensitive":true,"valueSet":"http://hl7.org/fhir/ValueSet/benefit-type|5.0.0","content":"complete","concept":[{"code":"benefit","display":"Benefit","definition":"Maximum benefit allowable."},{"code":"deductible","display":"Deductible","definition":"Cost to be incurred before benefits are applied"},{"code":"visit","display":"Visit","definition":"Service visit"},{"code":"room","display":"Room","definition":"Type of room"},{"code":"copay","display":"Copayment per service","definition":"Copayment per service"},{"code":"copay-percent","display":"Copayment Percent per service","definition":"Copayment percentage per service"},{"code":"copay-maximum","display":"Copayment maximum per service","definition":"Copayment maximum per service"},{"code":"vision-exam","display":"Vision Exam","definition":"Vision Exam"},{"code":"vision-glasses","display":"Vision Glasses","definition":"Frames and lenses"},{"code":"vision-contacts","display":"Vision Contacts Coverage","definition":"Contact Lenses"},{"code":"medical-primarycare","display":"Medical Primary Health Coverage","definition":"Medical Primary Health Coverage"},{"code":"pharmacy-dispense","display":"Pharmacy Dispense Coverage","definition":"Pharmacy Dispense Coverage"}]}