HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. 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

Active as of 2024-07-14 Maturity Level: 1

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="benefit-type"/>
  <meta>
    <lastUpdated value="2024-04-24T00:00:00+00:00"/>
    <profile
             value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem benefit-type</b></p><a name="benefit-type"> </a><a name="hcbenefit-type"> </a><a name="benefit-type-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2024-04-24 00:00:00+0000</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/R5/shareablecodesystem.html">Shareable CodeSystem</a></p></div><p>This case-sensitive 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="1.0.1"/>
  <name value="BenefitTypeCodes"/>
  <title value="Benefit Type Codes"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-07-14T15:19:17-06:00"/>
  <publisher value="Health Level Seven International"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="hq@HL7.org"/>
    </telecom>
  </contact>
  <description
               value="This value set includes a smattering of Benefit type codes."/>
  <copyright
             value="This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"/>
  <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>