{
  "resourceType" : "CodeSystem",
  "id" : "coverage-copay-type",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>This code system http://terminology.hl7.org/CodeSystem/coverage-copay-type defines the following codes:</p>\n            <table class=\"codes\">\n              <tr>\n                <td style=\"white-space:nowrap\">\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">gpvisit\n                  <a name=\"coverage-copay-type-gpvisit\"> </a>\n                </td>\n                <td>GP Office Visit</td>\n                <td>An office visit for a general practitioner of a discipline.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">spvisit\n                  <a name=\"coverage-copay-type-spvisit\"> </a>\n                </td>\n                <td>Specialist Office Visit</td>\n                <td>An office visit for a specialist practitioner of a discipline</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">emergency\n                  <a name=\"coverage-copay-type-emergency\"> </a>\n                </td>\n                <td>Emergency</td>\n                <td>An episode in an emergency department.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">inpthosp\n                  <a name=\"coverage-copay-type-inpthosp\"> </a>\n                </td>\n                <td>Inpatient Hospital</td>\n                <td>An episode of an Inpatient hospital stay.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">televisit\n                  <a name=\"coverage-copay-type-televisit\"> </a>\n                </td>\n                <td>Tele-visit</td>\n                <td>A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">urgentcare\n                  <a name=\"coverage-copay-type-urgentcare\"> </a>\n                </td>\n                <td>Urgent Care</td>\n                <td>A visit to an urgent care facility - typically a community care clinic.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">copaypct\n                  <a name=\"coverage-copay-type-copaypct\"> </a>\n                </td>\n                <td>Copay Percentage</td>\n                <td>A standard percentage applied to all classes or service or product not otherwise specified.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">copay\n                  <a name=\"coverage-copay-type-copay\"> </a>\n                </td>\n                <td>Copay Amount</td>\n                <td>A standard fixed currency amount applied to all classes or service or product not otherwise specified.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">deductible\n                  <a name=\"coverage-copay-type-deductible\"> </a>\n                </td>\n                <td>Deductible</td>\n                <td>The accumulated amount of patient payment before the coverage begins to pay for services.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">maxoutofpocket\n                  <a name=\"coverage-copay-type-maxoutofpocket\"> </a>\n                </td>\n                <td>Maximum out of pocket</td>\n                <td>The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.</td>\n              </tr>\n            </table>\n          </div>"
  },
  "extension" : [{
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r4b.r4"
    },
    {
      "url" : "version",
      "valueString" : "0.0.1-snapshot-2"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
  "version" : "4.3.0",
  "name" : "CoverageCoPayTypeCodes",
  "title" : "Coverage CoPay Type Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-09-13T16:38:45-04:00",
  "publisher" : "Financial Management",
  "contact" : [{
    "name" : "Financial Management",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm"
    }]
  }],
  "description" : "This codeset includes Coverage Copayment Type codes.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "copyright" : "HL7 Inc.",
  "caseSensitive" : true,
  "content" : "complete",
  "concept" : [{
    "code" : "gpvisit",
    "display" : "GP Office Visit",
    "definition" : "An office visit for a general practitioner of a discipline."
  },
  {
    "code" : "spvisit",
    "display" : "Specialist Office Visit",
    "definition" : "An office visit for a specialist practitioner of a discipline"
  },
  {
    "code" : "emergency",
    "display" : "Emergency",
    "definition" : "An episode in an emergency department."
  },
  {
    "code" : "inpthosp",
    "display" : "Inpatient Hospital",
    "definition" : "An episode of an Inpatient hospital stay."
  },
  {
    "code" : "televisit",
    "display" : "Tele-visit",
    "definition" : "A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."
  },
  {
    "code" : "urgentcare",
    "display" : "Urgent Care",
    "definition" : "A visit to an urgent care facility - typically a community care clinic."
  },
  {
    "code" : "copaypct",
    "display" : "Copay Percentage",
    "definition" : "A standard percentage applied to all classes or service or product not otherwise specified."
  },
  {
    "code" : "copay",
    "display" : "Copay Amount",
    "definition" : "A standard fixed currency amount applied to all classes or service or product not otherwise specified."
  },
  {
    "code" : "deductible",
    "display" : "Deductible",
    "definition" : "The accumulated amount of patient payment before the coverage begins to pay for services."
  },
  {
    "code" : "maxoutofpocket",
    "display" : "Maximum out of pocket",
    "definition" : "The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."
  }]
}