HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.2.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Benefit Type Codes - XML Representation

Draft as of 2023-07-17 Maturity Level: 1

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="benefit-type"/>
  <meta>
    <lastUpdated value="2020-04-09T21:10:28.568+00:00"/>
    <profile
             value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>This code system <code>http://terminology.hl7.org/CodeSystem/benefit-type</code> 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">benefit<a name="benefit-type-benefit"> </a></td><td>Benefit</td><td>Maximum benefit allowable.</td></tr><tr><td style="white-space:nowrap">deductible<a name="benefit-type-deductible"> </a></td><td>Deductible</td><td>Cost to be incurred before benefits are applied</td></tr><tr><td style="white-space:nowrap">visit<a name="benefit-type-visit"> </a></td><td>Visit</td><td>Service visit</td></tr><tr><td style="white-space:nowrap">room<a name="benefit-type-room"> </a></td><td>Room</td><td>Type of room</td></tr><tr><td style="white-space:nowrap">copay<a name="benefit-type-copay"> </a></td><td>Copayment per service</td><td>Copayment per service</td></tr><tr><td style="white-space:nowrap">copay-percent<a name="benefit-type-copay-percent"> </a></td><td>Copayment Percent per service</td><td>Copayment percentage per service</td></tr><tr><td style="white-space:nowrap">copay-maximum<a name="benefit-type-copay-maximum"> </a></td><td>Copayment maximum per service</td><td>Copayment maximum per service</td></tr><tr><td style="white-space:nowrap">vision-exam<a name="benefit-type-vision-exam"> </a></td><td>Vision Exam</td><td>Vision Exam</td></tr><tr><td style="white-space:nowrap">vision-glasses<a name="benefit-type-vision-glasses"> </a></td><td>Vision Glasses</td><td>Frames and lenses</td></tr><tr><td style="white-space:nowrap">vision-contacts<a name="benefit-type-vision-contacts"> </a></td><td>Vision Contacts Coverage</td><td>Contact Lenses</td></tr><tr><td style="white-space:nowrap">medical-primarycare<a name="benefit-type-medical-primarycare"> </a></td><td>Medical Primary Health Coverage</td><td>Medical Primary Health Coverage</td></tr><tr><td style="white-space:nowrap">pharmacy-dispense<a name="benefit-type-pharmacy-dispense"> </a></td><td>Pharmacy Dispense Coverage</td><td>Pharmacy Dispense Coverage</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-fmm">
    <valueInteger value="1"/>
  </extension>
  <url value="http://terminology.hl7.org/CodeSystem/benefit-type"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.1.1176"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="BenefitTypeCodes"/>
  <title value="Benefit Type Codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2023-07-17T22:16:15-06:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description
               value="This value set includes a smattering of Benefit type codes."/>
  <copyright value="This is an example set."/>
  <caseSensitive value="true"/>
  <valueSet value="http://terminology.hl7.org/ValueSet/benefit-type"/>
  <content value="complete"/>
  <concept>
    <code value="benefit"/>
    <display value="Benefit"/>
    <definition value="Maximum benefit allowable."/>
  </concept>
  <concept>
    <code value="deductible"/>
    <display value="Deductible"/>
    <definition value="Cost to be incurred before benefits are applied"/>
  </concept>
  <concept>
    <code value="visit"/>
    <display value="Visit"/>
    <definition value="Service visit"/>
  </concept>
  <concept>
    <code value="room"/>
    <display value="Room"/>
    <definition value="Type of room"/>
  </concept>
  <concept>
    <code value="copay"/>
    <display value="Copayment per service"/>
    <definition value="Copayment per service"/>
  </concept>
  <concept>
    <code value="copay-percent"/>
    <display value="Copayment Percent per service"/>
    <definition value="Copayment percentage per service"/>
  </concept>
  <concept>
    <code value="copay-maximum"/>
    <display value="Copayment maximum per service"/>
    <definition value="Copayment maximum per service"/>
  </concept>
  <concept>
    <code value="vision-exam"/>
    <display value="Vision Exam"/>
    <definition value="Vision Exam"/>
  </concept>
  <concept>
    <code value="vision-glasses"/>
    <display value="Vision Glasses"/>
    <definition value="Frames and lenses"/>
  </concept>
  <concept>
    <code value="vision-contacts"/>
    <display value="Vision Contacts Coverage"/>
    <definition value="Contact Lenses"/>
  </concept>
  <concept>
    <code value="medical-primarycare"/>
    <display value="Medical Primary Health Coverage"/>
    <definition value="Medical Primary Health Coverage"/>
  </concept>
  <concept>
    <code value="pharmacy-dispense"/>
    <display value="Pharmacy Dispense Coverage"/>
    <definition value="Pharmacy Dispense Coverage"/>
  </concept>
</CodeSystem>