Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3

Codesystem-claim-type.xml

Financial Management Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

Definition for Code System ClaimTypeCodes

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="claim-type"/> 
  <meta> 
    <lastUpdated value="2021-03-11T17:06:20.662+11:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> This code system http://terminology.hl7.org/CodeSystem/claim-type 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">institutional
            <a name="claim-type-institutional"> </a> 
          </td> 
          <td> Institutional</td> 
          <td> Hospital, clinic and typically inpatient claims.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">oral
            <a name="claim-type-oral"> </a> 
          </td> 
          <td> Oral</td> 
          <td> Dental, Denture and Hygiene claims.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">pharmacy
            <a name="claim-type-pharmacy"> </a> 
          </td> 
          <td> Pharmacy</td> 
          <td> Pharmacy claims for goods and services.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">professional
            <a name="claim-type-professional"> </a> 
          </td> 
          <td> Professional</td> 
          <td> Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy,
             Speech Pathology, rehabilitative, consulting.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">vision
            <a name="claim-type-vision"> </a> 
          </td> 
          <td> Vision</td> 
          <td> Vision claims for professional services and products such as glasses and contact lenses.</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/> 
  </extension> 
  <url value="http://terminology.hl7.org/CodeSystem/claim-type"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.1156"/> 
  </identifier> 
  <version value="4.1.0"/> 
  <name value="ClaimTypeCodes"/> 
  <title value="Claim Type Codes"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <description value="This value set includes Claim Type codes."/> 
  <copyright value="HL7 Inc."/> 
  <caseSensitive value="true"/> 
  <content value="complete"/> 
  <concept> 
    <code value="institutional"/> 
    <display value="Institutional"/> 
    <definition value="Hospital, clinic and typically inpatient claims."/> 
  </concept> 
  <concept> 
    <code value="oral"/> 
    <display value="Oral"/> 
    <definition value="Dental, Denture and Hygiene claims."/> 
  </concept> 
  <concept> 
    <code value="pharmacy"/> 
    <display value="Pharmacy"/> 
    <definition value="Pharmacy claims for goods and services."/> 
  </concept> 
  <concept> 
    <code value="professional"/> 
    <display value="Professional"/> 
    <definition value="Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy,
     Speech Pathology, rehabilitative, consulting."/> 
  </concept> 
  <concept> 
    <code value="vision"/> 
    <display value="Vision"/> 
    <definition value="Vision claims for professional services and products such as glasses and contact lenses."/> 
  </concept> 
</CodeSystem> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.