HL7 Terminology (THO)
5.5.0 - Publication International flag

This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

ValueSet: Coverage Class Codes

Official URL: http://terminology.hl7.org/ValueSet/coverage-class Version: 1.0.0
Draft as of 2020-02-24 Maturity Level: 2 Responsible: Health Level Seven International Computable Name: CoverageClassCodes
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.4.642.3.1009

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 includes Coverage Class codes.


This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)



Expansion based on codesystem Coverage Class Codes v1.0.0 (CodeSystem)

This value set contains 11 concepts.


An employee group


A sub-group of an employee group


A specific suite of benefits.


A subset of a specific suite of benefits.


A class of benefits.


A subset of a class of benefits.


A sequence number associated with a short-term continuance of the coverage.

  rxbinhttp://terminology.hl7.org/CodeSystem/coverage-classRX BIN

Pharmacy benefit manager's Business Identification Number.

  rxpcnhttp://terminology.hl7.org/CodeSystem/coverage-classRX PCN

A Pharmacy Benefit Manager specified Processor Control Number.

  rxidhttp://terminology.hl7.org/CodeSystem/coverage-classRX Id

A Pharmacy Benefit Manager specified Member ID.

  rxgrouphttp://terminology.hl7.org/CodeSystem/coverage-classRX Group

A Pharmacy Benefit Manager specified Group number.

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


2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.