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

name
CoverageClassCodes
package
hl7.terminology.r5@6.3.0
content
complete
status
active
date
2025-05-01 01:35:10.0

Coverage Class Codes

This value set includes Coverage Class codes.

{
  "description" : "This value set includes Coverage Class codes.",
  "compose" : null,
  "package" : "hl7.terminology.r5@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" : "CoverageClassCodes",
  "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 Class 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" : "da734dda-58ff-5de4-bb9a-a1da1c1c8797",
  "valueSet" : "http://terminology.hl7.org/ValueSet/coverage-class",
  "url" : "http://terminology.hl7.org/CodeSystem/coverage-class",
  "identifier" : [ {
    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1147",
    "system" : "urn:ietf:rfc:3986"
  } ],
  "concept" : [ {
    "code" : "group",
    "display" : "Group",
    "definition" : "An employee group"
  }, {
    "code" : "subgroup",
    "display" : "SubGroup",
    "definition" : "A sub-group of an employee group"
  }, {
    "code" : "plan",
    "display" : "Plan",
    "definition" : "A specific suite of benefits."
  }, {
    "code" : "subplan",
    "display" : "SubPlan",
    "definition" : "A subset of a specific suite of benefits."
  }, {
    "code" : "class",
    "display" : "Class",
    "definition" : "A class of benefits."
  }, {
    "code" : "subclass",
    "display" : "SubClass",
    "definition" : "A subset of a class of benefits."
  }, {
    "code" : "sequence",
    "display" : "Sequence",
    "definition" : "A sequence number associated with a short-term continuance of the coverage."
  }, {
    "code" : "rxbin",
    "display" : "RX BIN",
    "definition" : "Pharmacy benefit manager's Business Identification Number."
  }, {
    "code" : "rxpcn",
    "display" : "RX PCN",
    "definition" : "A Pharmacy Benefit Manager specified Processor Control Number."
  }, {
    "code" : "rxid",
    "display" : "RX Id",
    "definition" : "A Pharmacy Benefit Manager specified Member ID."
  }, {
    "code" : "rxgroup",
    "display" : "RX Group",
    "definition" : "A Pharmacy Benefit Manager specified Group number."
  } ],
  "caseSensitive" : true,
  "version" : "1.0.1",
  "contact" : [ {
    "telecom" : [ {
      "value" : "http://hl7.org",
      "system" : "url"
    }, {
      "value" : "hq@HL7.org",
      "system" : "email"
    } ]
  } ]
}