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

Coverage Class Codes - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="coverage-class"/>
  <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>Coverage Class Codes</h2>
            
      <div>
              
        <p>This value set includes Coverage Class codes.</p>

            
      </div>
            
      <p>
              
        <b>Copyright Statement:</b> HL7 Inc.
            
      </p>
            
      <p>This code system http://terminology.hl7.org/CodeSystem/coverage-class 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">group
                  
            <a name="coverage-class-group"> </a>
                
          </td>
                
          <td>Group</td>
                
          <td>An employee group</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">subgroup
                  
            <a name="coverage-class-subgroup"> </a>
                
          </td>
                
          <td>SubGroup</td>
                
          <td>A sub-group of an employee group</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">plan
                  
            <a name="coverage-class-plan"> </a>
                
          </td>
                
          <td>Plan</td>
                
          <td>A specific suite of benefits.</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">subplan
                  
            <a name="coverage-class-subplan"> </a>
                
          </td>
                
          <td>SubPlan</td>
                
          <td>A subset of a specific suite of benefits.</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">class
                  
            <a name="coverage-class-class"> </a>
                
          </td>
                
          <td>Class</td>
                
          <td>A class of benefits.</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">subclass
                  
            <a name="coverage-class-subclass"> </a>
                
          </td>
                
          <td>SubClass</td>
                
          <td>A subset of a class of benefits.</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">sequence
                  
            <a name="coverage-class-sequence"> </a>
                
          </td>
                
          <td>Sequence</td>
                
          <td>A sequence number associated with a short-term continuance of the coverage.</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">rxbin
                  
            <a name="coverage-class-rxbin"> </a>
                
          </td>
                
          <td>RX BIN</td>
                
          <td>Pharmacy benefit manager's Business Identification Number.</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">rxpcn
                  
            <a name="coverage-class-rxpcn"> </a>
                
          </td>
                
          <td>RX PCN</td>
                
          <td>A Pharmacy Benefit Manager specified Processor Control Number.</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">rxid
                  
            <a name="coverage-class-rxid"> </a>
                
          </td>
                
          <td>RX Id</td>
                
          <td>A Pharmacy Benefit Manager specified Member ID.</td>
              
        </tr>
              
        <tr>
                
          <td style="white-space:nowrap">rxgroup
                  
            <a name="coverage-class-rxgroup"> </a>
                
          </td>
                
          <td>RX Group</td>
                
          <td>A Pharmacy Benefit Manager specified Group number.</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/coverage-class"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.1.1147"/>
  </identifier>
  <version value="4.2.0"/>
  <name value="CoverageClassCodes"/>
  <title value="Coverage Class 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>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description value="This value set includes Coverage Class codes."/>
  <copyright value="HL7 Inc."/>
  <caseSensitive value="true"/>
  <valueSet value="http://terminology.hl7.org/ValueSet/coverage-class"/>
  <content value="complete"/>
  <concept>
    <code value="group"/>
    <display value="Group"/>
    <definition value="An employee group"/>
  </concept>
  <concept>
    <code value="subgroup"/>
    <display value="SubGroup"/>
    <definition value="A sub-group of an employee group"/>
  </concept>
  <concept>
    <code value="plan"/>
    <display value="Plan"/>
    <definition value="A specific suite of benefits."/>
  </concept>
  <concept>
    <code value="subplan"/>
    <display value="SubPlan"/>
    <definition value="A subset of a specific suite of benefits."/>
  </concept>
  <concept>
    <code value="class"/>
    <display value="Class"/>
    <definition value="A class of benefits."/>
  </concept>
  <concept>
    <code value="subclass"/>
    <display value="SubClass"/>
    <definition value="A subset of a class of benefits."/>
  </concept>
  <concept>
    <code value="sequence"/>
    <display value="Sequence"/>
    <definition
                value="A sequence number associated with a short-term continuance of the coverage."/>
  </concept>
  <concept>
    <code value="rxbin"/>
    <display value="RX BIN"/>
    <definition
                value="Pharmacy benefit manager&#39;s Business Identification Number."/>
  </concept>
  <concept>
    <code value="rxpcn"/>
    <display value="RX PCN"/>
    <definition
                value="A Pharmacy Benefit Manager specified Processor Control Number."/>
  </concept>
  <concept>
    <code value="rxid"/>
    <display value="RX Id"/>
    <definition value="A Pharmacy Benefit Manager specified Member ID."/>
  </concept>
  <concept>
    <code value="rxgroup"/>
    <display value="RX Group"/>
    <definition value="A Pharmacy Benefit Manager specified Group number."/>
  </concept>
</CodeSystem>