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Capability Statement |
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Operations |
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FHIR 5.0.0 © HL7.org |
FHIRsmith 0.8.5 |
Server Home |
TX Home |
Capability Statement |
Terminology Capabilities |
Operations |
Problems |
TX: ValueSet medical-management-type | Profile | http://hl7.org/fhir/StructureDefinition/shareablevalueset |
| Language | en |
| Defining URL | http://terminology.hl7.org/ValueSet/medical-management-type |
| Version | 1.0.0 |
| Name | MedicalManagementType |
| Title | Medical Management Type |
| Status | active |
| Definition |
This value set includes types of medical management requirements or processes used by health insurers (payers) that may impact whether a service or item is covered or reimbursement rates. |
| Publisher | Health Level Seven International |
| Committee | fm |
| 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.html |
| EXT_FMM_LEVEL | 1 |
| Code | System | Display |
|---|---|---|
| concurrent-review | http://terminology.hl7.org/CodeSystem/medical-management-type |
Concurrent Review |
| prior-auth | http://terminology.hl7.org/CodeSystem/medical-management-type |
Prior Authorization |
| step-therapy | http://terminology.hl7.org/CodeSystem/medical-management-type |
Step Therapy (Fail First) |