This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 7.0.0. For a full list of available versions, see the Directory of published versions
Summary
| Defining URL: | http://terminology.hl7.org/ValueSet/coverage-copay-type |
| Version: | 4.1.0 |
| Name: | CoverageCopayTypeCodes |
| Status: | draft |
| Title: | Coverage Copay Type Codes |
| Definition: | This value set includes sample Coverage Copayment Type codes. |
| Publisher: | Financial Management |
| Committee: | Financial Management |
| OID: | 2.16.840.1.113883.4.642.3.527 (for OID based terminology systems) |
| Copyright: | This is an example set. |
| Maturity: | 2 |
| Source Resource: | XML / JSON / Turtle |
References
This value set is not used
http://terminology.hl7.org/CodeSystem/coverage-copay-type
This value set contains 10 concepts
Expansion based on Coverage Copay Type Codes v4.2.0 (CodeSystem)
All codes from system http://terminology.hl7.org/CodeSystem/coverage-copay-type
| Code | Display | Definition |
| gpvisit | GP Office Visit | An office visit for a general practitioner of a discipline. |
| spvisit | Specialist Office Visit | An office visit for a specialist practitioner of a discipline |
| emergency | Emergency | An episode in an emergency department. |
| inpthosp | Inpatient Hospital | An episode of an Inpatient hospital stay. |
| televisit | Tele-visit | A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference. |
| urgentcare | Urgent Care | A visit to an urgent care facility - typically a community care clinic. |
| copaypct | Copay Percentage | A standard percentage applied to all classes or service or product not otherwise specified. |
| copay | Copay Amount | A standard fixed currency amount applied to all classes or service or product not otherwise specified. |
| deductible | Deductible | The accumulated amount of patient payment before the coverage begins to pay for services. |
| maxoutofpocket | Maximum out of pocket | The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually. |
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 |
History
| Date | Action | Author | Custodian | Comment |
| 2020-05-06 | revise | Ted Klein | Vocabulary WG | Migrated to the UTG maintenance environment and publishing tooling. |