HL7 Terminology (THO)
6.0.1 - Publication
This page is part of the HL7 Terminology (v6.0.1: 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
Active as of 2024-07-18 | Maturity Level: 2 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="coverage-class"/>
<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 coverage-class</b></p><a name="coverage-class"> </a><a name="hccoverage-class"> </a><a name="coverage-class-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/coverage-class</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">group<a name="coverage-class-group"> </a></td><td>Group</td><td>An employee group</td></tr><tr><td style="white-space:nowrap">subgroup<a name="coverage-class-subgroup"> </a></td><td>SubGroup</td><td>A sub-group of an employee group</td></tr><tr><td style="white-space:nowrap">plan<a name="coverage-class-plan"> </a></td><td>Plan</td><td>A specific suite of benefits.</td></tr><tr><td style="white-space:nowrap">subplan<a name="coverage-class-subplan"> </a></td><td>SubPlan</td><td>A subset of a specific suite of benefits.</td></tr><tr><td style="white-space:nowrap">class<a name="coverage-class-class"> </a></td><td>Class</td><td>A class of benefits.</td></tr><tr><td style="white-space:nowrap">subclass<a name="coverage-class-subclass"> </a></td><td>SubClass</td><td>A subset of a class of benefits.</td></tr><tr><td style="white-space:nowrap">sequence<a name="coverage-class-sequence"> </a></td><td>Sequence</td><td>A sequence number associated with a short-term continuance of the coverage.</td></tr><tr><td style="white-space:nowrap">rxbin<a name="coverage-class-rxbin"> </a></td><td>RX BIN</td><td>Pharmacy benefit manager's Business Identification Number.</td></tr><tr><td style="white-space:nowrap">rxpcn<a name="coverage-class-rxpcn"> </a></td><td>RX PCN</td><td>A Pharmacy Benefit Manager specified Processor Control Number.</td></tr><tr><td style="white-space:nowrap">rxid<a name="coverage-class-rxid"> </a></td><td>RX Id</td><td>A Pharmacy Benefit Manager specified Member ID.</td></tr><tr><td style="white-space:nowrap">rxgroup<a name="coverage-class-rxgroup"> </a></td><td>RX Group</td><td>A Pharmacy Benefit Manager specified Group number.</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="2"/>
</extension>
<url value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.1.1147"/>
</identifier>
<version value="1.0.1"/>
<name value="CoverageClassCodes"/>
<title value="Coverage Class Codes"/>
<status value="active"/>
<experimental value="false"/>
<date value="2024-07-18T15:46:48-06:00"/>
<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 Coverage Class 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/coverage-class"/>
<content value="complete"/>
<concept>
<code value="group"/>
<display value="Group"/>
<definition value="An employee group"/>
</concept>
<concept>
<code value="subgroup"/>
<display value="SubGroup"/>
<definition value="A sub-group of an employee group"/>
</concept>
<concept>
<code value="plan"/>
<display value="Plan"/>
<definition value="A specific suite of benefits."/>
</concept>
<concept>
<code value="subplan"/>
<display value="SubPlan"/>
<definition value="A subset of a specific suite of benefits."/>
</concept>
<concept>
<code value="class"/>
<display value="Class"/>
<definition value="A class of benefits."/>
</concept>
<concept>
<code value="subclass"/>
<display value="SubClass"/>
<definition value="A subset of a class of benefits."/>
</concept>
<concept>
<code value="sequence"/>
<display value="Sequence"/>
<definition
value="A sequence number associated with a short-term continuance of the coverage."/>
</concept>
<concept>
<code value="rxbin"/>
<display value="RX BIN"/>
<definition
value="Pharmacy benefit manager's Business Identification Number."/>
</concept>
<concept>
<code value="rxpcn"/>
<display value="RX PCN"/>
<definition
value="A Pharmacy Benefit Manager specified Processor Control Number."/>
</concept>
<concept>
<code value="rxid"/>
<display value="RX Id"/>
<definition value="A Pharmacy Benefit Manager specified Member ID."/>
</concept>
<concept>
<code value="rxgroup"/>
<display value="RX Group"/>
<definition value="A Pharmacy Benefit Manager specified Group number."/>
</concept>
</CodeSystem>