HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

CodeSystem: Coverage Class Codes

Official URL: http://terminology.hl7.org/CodeSystem/coverage-class Version: 1.0.0
Draft as of 2024-03-09 Maturity Level: 2 Responsible: Health Level Seven International Computable Name: CoverageClassCodes
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.4.642.1.1147

Copyright/Legal: This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license

This value set includes Coverage Class codes.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system http://terminology.hl7.org/CodeSystem/coverage-class defines the following codes:

CodeDisplayDefinition
group GroupAn employee group
subgroup SubGroupA sub-group of an employee group
plan PlanA specific suite of benefits.
subplan SubPlanA subset of a specific suite of benefits.
class ClassA class of benefits.
subclass SubClassA subset of a class of benefits.
sequence SequenceA sequence number associated with a short-term continuance of the coverage.
rxbin RX BINPharmacy benefit manager's Business Identification Number.
rxpcn RX PCNA Pharmacy Benefit Manager specified Processor Control Number.
rxid RX IdA Pharmacy Benefit Manager specified Member ID.
rxgroup RX GroupA Pharmacy Benefit Manager specified Group number.

History

DateActionAuthorCustodianComment
2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.