HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Claim Type Codes

Summary

Defining URL:http://terminology.hl7.org/ValueSet/claim-type
Version:4.1.0
Name:ClaimTypeCodes
Status:draft
Title:Claim Type Codes
Definition:

This value set includes Claim Type codes.

Publisher:Financial Management
Committee:Financial Management
OID:2.16.840.1.113883.4.642.3.558 (for OID based terminology systems)
Copyright:

HL7 Inc.

Maturity:2
Source Resource:XML / JSON / Turtle

References

This value set is not used

Content Logical Definition

Logical Definition (CLD)

 

Expansion

This value set contains 5 concepts

Expansion based on Claim Type Codes v4.2.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/claim-type

CodeDisplayDefinition
institutionalInstitutionalHospital, clinic and typically inpatient claims.
oralOralDental, Denture and Hygiene claims.
pharmacyPharmacyPharmacy claims for goods and services.
professionalProfessionalTypically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
visionVisionVision claims for professional services and products such as glasses and contact lenses.

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
Source 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

DateActionAuthorCustodianComment
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.