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

name
BenefitTypeCodes
package
hl7.terminology.r4@6.3.0
content
complete
status
active
date
2025-05-01 01:35:10.0

Benefit Type Codes

This value set includes a smattering of Benefit type codes.

{
  "description" : "This value set includes a smattering of Benefit type codes.",
  "compose" : null,
  "package" : "hl7.terminology.r4@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" : "BenefitTypeCodes",
  "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" : "Benefit Type Codes",
  "supliment" : null,
  "extension" : [ {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  }, {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  } ],
  "status" : "active",
  "id" : "9a8dfa90-f535-57e4-8e80-b0572f02db88",
  "valueSet" : "http://terminology.hl7.org/ValueSet/benefit-type",
  "url" : "http://terminology.hl7.org/CodeSystem/benefit-type",
  "identifier" : [ {
    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1176",
    "system" : "urn:ietf:rfc:3986"
  } ],
  "concept" : [ {
    "code" : "benefit",
    "display" : "Benefit",
    "definition" : "Maximum benefit allowable."
  }, {
    "code" : "deductible",
    "display" : "Deductible",
    "definition" : "Cost to be incurred before benefits are applied"
  }, {
    "code" : "visit",
    "display" : "Visit",
    "definition" : "Service visit"
  }, {
    "code" : "room",
    "display" : "Room",
    "definition" : "Type of room"
  }, {
    "code" : "copay",
    "display" : "Copayment per service",
    "definition" : "Copayment per service"
  }, {
    "code" : "copay-percent",
    "display" : "Copayment Percent per service",
    "definition" : "Copayment percentage per service"
  }, {
    "code" : "copay-maximum",
    "display" : "Copayment maximum per service",
    "definition" : "Copayment maximum per service"
  }, {
    "code" : "vision-exam",
    "display" : "Vision Exam",
    "definition" : "Vision Exam"
  }, {
    "code" : "vision-glasses",
    "display" : "Vision Glasses",
    "definition" : "Frames and lenses"
  }, {
    "code" : "vision-contacts",
    "display" : "Vision Contacts Coverage",
    "definition" : "Contact Lenses"
  }, {
    "code" : "medical-primarycare",
    "display" : "Medical Primary Health Coverage",
    "definition" : "Medical Primary Health Coverage"
  }, {
    "code" : "pharmacy-dispense",
    "display" : "Pharmacy Dispense Coverage",
    "definition" : "Pharmacy Dispense Coverage"
  } ],
  "caseSensitive" : true,
  "version" : "1.0.1",
  "contact" : [ {
    "telecom" : [ {
      "value" : "http://hl7.org",
      "system" : "url"
    }, {
      "value" : "hq@HL7.org",
      "system" : "email"
    } ]
  } ]
}