HL7 Terminology (THO)
6.1.0 - Publication
This page is part of the HL7 Terminology (v6.1.0: 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
Official URL: http://terminology.hl7.org/ValueSet/insurance-product-type | Version: 1.0.0 | |||
Active as of 2020-02-24 | Maturity Level: 2 | Responsible: Health Level Seven International | Computable Name: InsuranceProductType | |
Copyright/Legal: 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 |
This value set defines a set of codes for Insurance Product Type
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
Generated Narrative: ValueSet insurance-product-type
Last updated: 2020-02-24 12:41:39+1100
Profile: Shareable ValueSet
http://terminology.hl7.org/CodeSystem/insurance-product-type
Generated Narrative: ValueSet
Last updated: 2020-02-24 12:41:39+1100
Profile: Shareable ValueSet
Expansion based on codesystem Insurance Product Type v1.0.0 (CodeSystem)
This value set contains 22 concepts
Code | System | Display | Definition |
commppo | http://terminology.hl7.org/CodeSystem/insurance-product-type | Commercial PPO | Health insurance provided through a Preferred Provider Organization (PPO). |
commhdhp | http://terminology.hl7.org/CodeSystem/insurance-product-type | Commercial HDHP | Health insurance provided through a High Deductible Health Plan (HDHP). |
commpos | http://terminology.hl7.org/CodeSystem/insurance-product-type | Commercial POS | Health insurance provided through a Point-of-Service (POS) Plan. |
commhmo | http://terminology.hl7.org/CodeSystem/insurance-product-type | Commercial HMO | Health insurance provided through a Health Maintenance Organization (HMO). |
commepo | http://terminology.hl7.org/CodeSystem/insurance-product-type | Commercial EPO | Health insurance provided through a Exclusive Provider Organization(EPO) |
medi | http://terminology.hl7.org/CodeSystem/insurance-product-type | Medicaid | Health insurance provided to eligible adults and children under the Federal Medicaid program |
medihmo | http://terminology.hl7.org/CodeSystem/insurance-product-type | Medicaid HMO | Health insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO). |
mediadv | http://terminology.hl7.org/CodeSystem/insurance-product-type | Medicare Advantage | Health insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits. |
mediadvhmo | http://terminology.hl7.org/CodeSystem/insurance-product-type | Medicare Advantage HMO | Health insurance offered by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits through a Health Maintenance Organization (HMO). |
media | http://terminology.hl7.org/CodeSystem/insurance-product-type | Medicare Part A | Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. |
medib | http://terminology.hl7.org/CodeSystem/insurance-product-type | Medicare Part B | Health insurance provided under the Federal Medicfare program covering certain doctors' services, outpatient care, medical supplies, and preventive services. |
medid | http://terminology.hl7.org/CodeSystem/insurance-product-type | Medicare Part D | Health insurance provided under the Federal Medicare program covering prescription drugs. |
mediab | http://terminology.hl7.org/CodeSystem/insurance-product-type | Medicare A/B | Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, some home health care, certain doctors' services, outpatient care, medical supplies, and preventive services. |
qhp | http://terminology.hl7.org/CodeSystem/insurance-product-type | Qualified Health Plan | Health insurance provided through and certified by the Health Insurance Marketplace that provides essential health benefits (EHBs), follows established limits on cost sharing, and meets other requirements outlined within the application process. |
ihs | http://terminology.hl7.org/CodeSystem/insurance-product-type | Indian Health Service | Health care program provided to United States American Indians and Alaska Natives. |
fep | http://terminology.hl7.org/CodeSystem/insurance-product-type | Federal Employee Program | Health insurance provided to employees of the Federal government. |
tri | http://terminology.hl7.org/CodeSystem/insurance-product-type | TRICARE | Health care program provided to uniformed service members, retirees, and their families around the world. |
va | http://terminology.hl7.org/CodeSystem/insurance-product-type | Veterans Affairs Plan | Health care program provided to eligible veterans. |
dent | http://terminology.hl7.org/CodeSystem/insurance-product-type | Dental Plan | Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity. |
denthmo | http://terminology.hl7.org/CodeSystem/insurance-product-type | Dental HMO | Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity provided through a Health Maintenance Organization (HMO). |
vis | http://terminology.hl7.org/CodeSystem/insurance-product-type | Vision Plan | Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes. |
vishmo | http://terminology.hl7.org/CodeSystem/insurance-product-type | Vision HMO | Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes provided through a Health Maintenance Organization (HMO). |
Explanation of the columns that may appear on this page:
Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
Code | The code (used as the code in the resource instance) |
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
Definition | An explanation of the meaning of the concept |
Comments | Additional notes about how to use the code |
History
Date | Action | Custodian | Author | Comment |
2024-11-15 | create | pa | Ming Dunajick | Create the Insurance Product Type Code System and Insurance Product Type Value Set; up-500 |