This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

Claim Type Codes - JSON Representation

(back to description)

Raw json

Source view

{
  "resourceType" : "CodeSystem",
  "id" : "claim-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>Claim Type Codes</h2>\n            \n      <div>\n              \n        <p>This value set includes Claim Type codes.</p>\n\n            \n      </div>\n            \n      <p>\n              \n        <b>Copyright Statement:</b> HL7 Inc.\n            \n      </p>\n            \n      <p>This code system http://terminology.hl7.org/CodeSystem/claim-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\">institutional\n                  \n            <a name=\"claim-type-institutional\"> </a>\n                \n          </td>\n                \n          <td>Institutional</td>\n                \n          <td>Hospital, clinic and typically inpatient claims.</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">oral\n                  \n            <a name=\"claim-type-oral\"> </a>\n                \n          </td>\n                \n          <td>Oral</td>\n                \n          <td>Dental, Denture and Hygiene claims.</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">pharmacy\n                  \n            <a name=\"claim-type-pharmacy\"> </a>\n                \n          </td>\n                \n          <td>Pharmacy</td>\n                \n          <td>Pharmacy claims for goods and services.</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">professional\n                  \n            <a name=\"claim-type-professional\"> </a>\n                \n          </td>\n                \n          <td>Professional</td>\n                \n          <td>Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">vision\n                  \n            <a name=\"claim-type-vision\"> </a>\n                \n          </td>\n                \n          <td>Vision</td>\n                \n          <td>Vision claims for professional services and products such as glasses and contact lenses.</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" : "trial-use"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/claim-type",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.1.1156"
    }
  ],
  "version" : "4.2.0",
  "name" : "ClaimTypeCodes",
  "title" : "Claim 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 Claim Type codes.",
  "copyright" : "HL7 Inc.",
  "caseSensitive" : true,
  "valueSet" : "http://terminology.hl7.org/ValueSet/claim-type",
  "content" : "complete",
  "concept" : [
    {
      "code" : "institutional",
      "display" : "Institutional",
      "definition" : "Hospital, clinic and typically inpatient claims."
    },
    {
      "code" : "oral",
      "display" : "Oral",
      "definition" : "Dental, Denture and Hygiene claims."
    },
    {
      "code" : "pharmacy",
      "display" : "Pharmacy",
      "definition" : "Pharmacy claims for goods and services."
    },
    {
      "code" : "professional",
      "display" : "Professional",
      "definition" : "Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting."
    },
    {
      "code" : "vision",
      "display" : "Vision",
      "definition" : "Vision claims for professional services and products such as glasses and contact lenses."
    }
  ]
}