HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 5.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

CodeSystem: Benefit Type Codes

Official URL: http://terminology.hl7.org/CodeSystem/benefit-type Version: 1.0.0
Draft as of 2024-02-16 Maturity Level: 1 Responsible: Health Level Seven International Computable Name: BenefitTypeCodes
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.4.642.1.1176

Copyright/Legal: 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

This value set includes a smattering of Benefit type codes.

This Code system is referenced in the content logical definition of the following value sets:

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

CodeDisplayDefinition
benefit BenefitMaximum benefit allowable.
deductible DeductibleCost to be incurred before benefits are applied
visit VisitService visit
room RoomType of room
copay Copayment per serviceCopayment per service
copay-percent Copayment Percent per serviceCopayment percentage per service
copay-maximum Copayment maximum per serviceCopayment maximum per service
vision-exam Vision ExamVision Exam
vision-glasses Vision GlassesFrames and lenses
vision-contacts Vision Contacts CoverageContact Lenses
medical-primarycare Medical Primary Health CoverageMedical Primary Health Coverage
pharmacy-dispense Pharmacy Dispense CoveragePharmacy Dispense Coverage

History

DateActionCustodianAuthorComment
2023-11-14reviseTSMGMarc DuteauAdd standard copyright and contact to internal content; up-476
2020-10-14reviseVocabulary WGGrahame GrieveReset Version after migration to UTG
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.