This code system http://terminology.hl7.org/CodeSystem/coverage-copay-type defines the following codes:
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. |