CARIN Digital Insurance Card
2.0.0 - STU 2.0 United States of America flag

CARIN Digital Insurance Card, published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-digital-insurance-card/ and changes regularly. See the Directory of published versions

ValueSet: Cost Tier Value Set (Experimental)

Official URL: http://hl7.org/fhir/us/insurance-card/ValueSet/cost-tier Version: 2.0.0
Standards status: Informative Computable Name: CostTierVS

Value set of cost-sharing tiers used to distinguish multiple cost amounts for the same benefit and network status, such as provider designation tiers or virtual care

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem Cost Tier Code System v2.0.0 (CodeSystem)

This value set contains 3 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://hl7.org/fhir/us/insurance-card/CodeSystem/cost-tier  value-choiceValue Choice ProviderCost sharing that applies when the service is delivered by a provider the plan has designated in its value or preferred-value tier
http://hl7.org/fhir/us/insurance-card/CodeSystem/cost-tier  standardStandard ProviderCost sharing that applies when the service is delivered by an in-network provider without a special designation
http://hl7.org/fhir/us/insurance-card/CodeSystem/cost-tier  virtualVirtual VisitCost sharing that applies when the service is delivered virtually (telehealth modality) rather than in person

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code