HL7 Terminology
1.0.0 - Publication

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

Benefit Type Codes


Defining URL:http://terminology.hl7.org/ValueSet/benefit-type
Title:Benefit Type Codes

This value set includes a smattering of Benefit type codes.

Publisher:Financial Management
Committee:Financial Management
OID:2.16.840.1.113883.4.642.3.606 (for OID based terminology systems)

This is an example set.

Source Resource:XML / JSON / Turtle


This value set is not used

Content Logical Definition

Logical Definition (CLD)



This value set contains 12 concepts

Expansion based on Benefit Type Codes v4.2.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/benefit-type

benefitBenefitMaximum benefit allowable.
deductibleDeductibleCost to be incurred before benefits are applied
visitVisitService visit
roomRoomType of room
copayCopayment per serviceCopayment per service
copay-percentCopayment Percent per serviceCopayment percentage per service
copay-maximumCopayment maximum per serviceCopayment maximum per service
vision-examVision ExamVision Exam
vision-glassesVision GlassesFrames and lenses
vision-contactsVision Contacts CoverageContact Lenses
medical-primarycareMedical Primary Health CoverageMedical Primary Health Coverage
pharmacy-dispensePharmacy Dispense CoveragePharmacy Dispense Coverage

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code


2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.