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{ "resourceType" : "CodeSystem", "id" : "benefit-type", "meta" : { "lastUpdated" : "2020-04-09T17:10:28.568-04:00", "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n \n <h2>Benefit Type Codes</h2>\n \n <div>\n \n <p>This value set includes a smattering of Benefit type codes.</p>\n\n \n </div>\n \n <p>\n \n <b>Copyright Statement:</b> This is an example set.\n \n </p>\n \n <p>This code system http://terminology.hl7.org/CodeSystem/benefit-type defines the following codes:</p>\n \n <table class=\"codes\">\n \n <tr>\n \n <td style=\"white-space:nowrap\">\n \n <b>Code</b>\n \n </td>\n \n <td>\n \n <b>Display</b>\n \n </td>\n \n <td>\n \n <b>Definition</b>\n \n </td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">benefit\n \n <a name=\"benefit-type-benefit\"> </a>\n \n </td>\n \n <td>Benefit</td>\n \n <td>Maximum benefit allowable.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">deductible\n \n <a name=\"benefit-type-deductible\"> </a>\n \n </td>\n \n <td>Deductible</td>\n \n <td>Cost to be incurred before benefits are applied</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">visit\n \n <a name=\"benefit-type-visit\"> </a>\n \n </td>\n \n <td>Visit</td>\n \n <td>Service visit</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">room\n \n <a name=\"benefit-type-room\"> </a>\n \n </td>\n \n <td>Room</td>\n \n <td>Type of room</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">copay\n \n <a name=\"benefit-type-copay\"> </a>\n \n </td>\n \n <td>Copayment per service</td>\n \n <td>Copayment per service</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">copay-percent\n \n <a name=\"benefit-type-copay-percent\"> </a>\n \n </td>\n \n <td>Copayment Percent per service</td>\n \n <td>Copayment percentage per service</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">copay-maximum\n \n <a name=\"benefit-type-copay-maximum\"> </a>\n \n </td>\n \n <td>Copayment maximum per service</td>\n \n <td>Copayment maximum per service</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">vision-exam\n \n <a name=\"benefit-type-vision-exam\"> </a>\n \n </td>\n \n <td>Vision Exam</td>\n \n <td>Vision Exam</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">vision-glasses\n \n <a name=\"benefit-type-vision-glasses\"> </a>\n \n </td>\n \n <td>Vision Glasses</td>\n \n <td>Frames and lenses</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">vision-contacts\n \n <a name=\"benefit-type-vision-contacts\"> </a>\n \n </td>\n \n <td>Vision Contacts Coverage</td>\n \n <td>Contact Lenses</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">medical-primarycare\n \n <a name=\"benefit-type-medical-primarycare\"> </a>\n \n </td>\n \n <td>Medical Primary Health Coverage</td>\n \n <td>Medical Primary Health Coverage</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">pharmacy-dispense\n \n <a name=\"benefit-type-pharmacy-dispense\"> </a>\n \n </td>\n \n <td>Pharmacy Dispense Coverage</td>\n \n <td>Pharmacy Dispense Coverage</td>\n \n </tr>\n \n </table>\n \n </div>" }, "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "fm" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "draft" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 1 } ], "url" : "http://terminology.hl7.org/CodeSystem/benefit-type", "identifier" : [ { "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.4.642.1.1176" } ], "version" : "4.2.0", "name" : "BenefitTypeCodes", "title" : "Benefit Type Codes", "status" : "draft", "experimental" : false, "date" : "2020-05-09T12:49:00-04:00", "publisher" : "Financial Management", "contact" : [ { "telecom" : [ { "system" : "url", "value" : "http://hl7.org/fhir" } ] } ], "description" : "This value set includes a smattering of Benefit type codes.", "copyright" : "This is an example set.", "caseSensitive" : true, "valueSet" : "http://terminology.hl7.org/ValueSet/benefit-type", "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" } ] }