Coverage Copay Type Codes - HL7 Terminology (THO) v5.3.0

HL7 Terminology (THO)
5.3.0 - Publication International flag

This page is part of the HL7 Terminology (v5.3.0: 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

CodeSystem: Coverage Copay Type Codes

Official URL: http://terminology.hl7.org/CodeSystem/coverage-copay-type			Version: 0.1.0
Draft as of 2023-09-08	Maturity Level: 2	Responsible: Financial Management	Computable Name: CoverageCopayTypeCodes
Other Identifiers: id: urn:oid:2.16.840.1.113883.4.642.1.1149
Copyright/Legal: This is an example set.

This value set includes sample Coverage Copayment Type codes.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive 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.