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
| Official URL: http://hl7.org/fhir/us/insurance-card/ValueSet/C4DICCoverageClassVS | Version: 2.0.0 | |||
| Active as of 2025-10-01 | Computable Name: C4DICCoverageClassVS | |||
Copyright/Legal: This Valueset is not copyrighted. |
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This value set includes an extended set of coverage class codes.
References
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/coverage-classhttp://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCS
Expansion performed internally based on:
This value set contains 14 concepts
| Code | System | Display | Definition |
| group | http://terminology.hl7.org/CodeSystem/coverage-class | Group | An employee group |
| subgroup | http://terminology.hl7.org/CodeSystem/coverage-class | SubGroup | A sub-group of an employee group |
| plan | http://terminology.hl7.org/CodeSystem/coverage-class | Plan | A specific suite of benefits. |
| subplan | http://terminology.hl7.org/CodeSystem/coverage-class | SubPlan | A subset of a specific suite of benefits. |
| class | http://terminology.hl7.org/CodeSystem/coverage-class | Class | A class of benefits. |
| subclass | http://terminology.hl7.org/CodeSystem/coverage-class | SubClass | A subset of a class of benefits. |
| sequence | http://terminology.hl7.org/CodeSystem/coverage-class | Sequence | A sequence number associated with a short-term continuance of the coverage. |
| rxbin | http://terminology.hl7.org/CodeSystem/coverage-class | RX BIN | Pharmacy benefit manager's Business Identification Number. |
| rxpcn | http://terminology.hl7.org/CodeSystem/coverage-class | RX PCN | A Pharmacy Benefit Manager specified Processor Control Number. |
| rxid | http://terminology.hl7.org/CodeSystem/coverage-class | RX Id | A Pharmacy Benefit Manager specified Member ID. |
| rxgroup | http://terminology.hl7.org/CodeSystem/coverage-class | RX Group | A Pharmacy Benefit Manager specified Group number. |
| division | http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCS | Division | |
| network | http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCS | Network | |
| rxiin | http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCS | RxIIN |
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 |