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TX: CodeSystem coverage-copay-type

Properties

Profile http://hl7.org/fhir/StructureDefinition/shareablecodesystem
Defining URL http://terminology.hl7.org/CodeSystem/coverage-copay-type
Version 4.0.1
Name CoverageCopayTypeCodes
Title Coverage Copay Type Codes
Status draft
Definition

This value set includes sample Coverage Copayment Type codes.

Publisher Financial Management
Committee fm
Copyright This is an example set.
EXT_FMM_LEVEL 2
Value Set Coverage Copay Type Codes

This case-sensitive code system http://terminology.hl7.org/CodeSystem/coverage-copay-type defines the following codes:

Code Display Definition
gpvisit GP Office Visit An office visit for a general practitioner of a discipline.
spvisit Specialist Office Visit An office visit for a specialist practitioner of a discipline
emergency Emergency An episode in an emergency department.
inpthosp Inpatient Hospital An episode of an Inpatient hospital stay.
televisit Tele-visit A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.
urgentcare Urgent Care A visit to an urgent care facility - typically a community care clinic.
copaypct Copay Percentage A standard percentage applied to all classes or service or product not otherwise specified.
copay Copay Amount A standard fixed currency amount applied to all classes or service or product not otherwise specified.
deductible Deductible The accumulated amount of patient payment before the coverage begins to pay for services.
maxoutofpocket Maximum out of pocket The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.