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 - XML Representation

(back to description)

Raw xml

Source view

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="claim-type"/>
  <meta>
    <lastUpdated value="2020-04-09T17:10:28.568-04:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            
      <h2>Claim Type Codes</h2>
            
      <div>
              
        <p>This value set includes Claim Type codes.</p>

            
      </div>
            
      <p>
              
        <b>Copyright Statement:</b> HL7 Inc.
            
      </p>
            
      <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>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </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="4.2.0"/>
  <name value="ClaimTypeCodes"/>
  <title value="Claim Type Codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2020-05-09T12:49:00-04:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description value="This value set includes Claim Type codes."/>
  <copyright value="HL7 Inc."/>
  <caseSensitive value="true"/>
  <valueSet value="http://terminology.hl7.org/ValueSet/claim-type"/>
  <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>