http://terminology.hl7.org/CodeSystem/coverage-copay-type|1.0.1

name
CoverageCopayTypeCodes
package
hl7.terminology@6.3.0
content
complete
status
active
date
2025-05-01 01:35:10.0

Coverage Copay Type Codes

This value set includes sample Coverage Copayment Type codes.

{
  "description" : "This value set includes sample Coverage Copayment Type codes.",
  "compose" : null,
  "package" : "hl7.terminology@6.3.0",
  "date" : "2025-05-01T01:35:10Z",
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
    "lastUpdated" : "2024-04-24T00:00:00+00:00"
  },
  "publisher" : "Health Level Seven International",
  "content" : "complete",
  "name" : "CoverageCopayTypeCodes",
  "copyright" : "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",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Coverage Copay Type Codes",
  "supliment" : null,
  "extension" : [ {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  }, {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  } ],
  "status" : "active",
  "id" : "1d50a309-7a6e-5498-b188-65e8361d1184",
  "valueSet" : "http://terminology.hl7.org/ValueSet/coverage-copay-type",
  "url" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
  "identifier" : [ {
    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1149",
    "system" : "urn:ietf:rfc:3986"
  } ],
  "concept" : [ {
    "code" : "gpvisit",
    "display" : "GP Office Visit",
    "definition" : "An office visit for a general practitioner of a discipline."
  }, {
    "code" : "spvisit",
    "display" : "Specialist Office Visit",
    "definition" : "An office visit for a specialist practitioner of a discipline"
  }, {
    "code" : "emergency",
    "display" : "Emergency",
    "definition" : "An episode in an emergency department."
  }, {
    "code" : "inpthosp",
    "display" : "Inpatient Hospital",
    "definition" : "An episode of an Inpatient hospital stay."
  }, {
    "code" : "televisit",
    "display" : "Tele-visit",
    "definition" : "A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."
  }, {
    "code" : "urgentcare",
    "display" : "Urgent Care",
    "definition" : "A visit to an urgent care facility - typically a community care clinic."
  }, {
    "code" : "copaypct",
    "display" : "Copay Percentage",
    "definition" : "A standard percentage applied to all classes or service or product not otherwise specified."
  }, {
    "code" : "copay",
    "display" : "Copay Amount",
    "definition" : "A standard fixed currency amount applied to all classes or service or product not otherwise specified."
  }, {
    "code" : "deductible",
    "display" : "Deductible",
    "definition" : "The accumulated amount of patient payment before the coverage begins to pay for services."
  }, {
    "code" : "maxoutofpocket",
    "display" : "Maximum out of pocket",
    "definition" : "The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."
  } ],
  "caseSensitive" : true,
  "version" : "1.0.1",
  "contact" : [ {
    "telecom" : [ {
      "value" : "http://hl7.org",
      "system" : "url"
    }, {
      "value" : "hq@HL7.org",
      "system" : "email"
    } ]
  } ]
}