This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions 
Responsible Owner: Financial Management Work Group |
Normative | Use Context: Country: World |
Official URL: http://hl7.org/fhir/ValueSet/claim-type
|
Version: 6.0.0-ballot3 | |||
| active as of 2025-11-17 | Computable Name: ClaimTypeCodes | |||
| Flags: | OID: 2.16.840.1.113883.4.642.3.558 | |||
This value set is used in the following places:
This value set includes Claim Type codes.
Generated Narrative: ValueSet claim-type
Last updated: 2025-11-17T19:23:40.261Z
http://terminology.hl7.org/CodeSystem/claim-type
version 📦1.0.1
This expansion generated 17 Nov 2025
ValueSet
Expansion performed internally based on codesystem Claim Type Codes v1.0.1 (CodeSystem) 
This value set contains 5 concepts
| System | Code | Display | Definition |
http://terminology.hl7.org/CodeSystem/claim-type |
institutional ![]() |
Institutional | Hospital, clinic and typically inpatient claims. |
http://terminology.hl7.org/CodeSystem/claim-type |
oral ![]() |
Oral | Dental, Denture and Hygiene claims. |
http://terminology.hl7.org/CodeSystem/claim-type |
pharmacy ![]() |
Pharmacy | Pharmacy claims for goods and services. |
http://terminology.hl7.org/CodeSystem/claim-type |
professional ![]() |
Professional | Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting. |
http://terminology.hl7.org/CodeSystem/claim-type |
vision ![]() |
Vision | Vision claims for professional services and products such as glasses and contact lenses. |
See the full registry of value sets defined as part of FHIR.
Explanation of the columns that may appear on this page:
| Lvl | A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information |
| Source | 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). If the code is in italics, this indicates that the code is not selectable ('Abstract') |
| 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 |