CARIN Digital Insurance Card
2.0.0 - STU 2.0
CARIN Digital Insurance Card
2.0.0 - STU 2.0
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
| Page standards status: Informative |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="sbc-plan-type"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem sbc-plan-type</b></p><a name="sbc-plan-type"> </a><a name="hcsbc-plan-type"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">HMO<a name="sbc-plan-type-HMO"> </a></td><td>Health Maintenance Organization (HMO)</td><td>A type of health insurance plan that requires members to get health care services from doctors and hospitals in the plan's network, except in an emergency</td></tr><tr><td style="white-space:nowrap">PPO<a name="sbc-plan-type-PPO"> </a></td><td>Preferred Provider Organization (PPO)</td><td>A type of health insurance plan where members pay less if they use providers in the plan's network, but can use out-of-network providers at higher cost</td></tr><tr><td style="white-space:nowrap">POS<a name="sbc-plan-type-POS"> </a></td><td>Point of Service (POS)</td><td>A type of health insurance plan where members pay less if they use doctors and hospitals in the plan's network and choose a primary care doctor to coordinate care</td></tr><tr><td style="white-space:nowrap">EPO<a name="sbc-plan-type-EPO"> </a></td><td>Exclusive Provider Organization (EPO)</td><td>A type of health insurance plan where services are covered only if members use doctors and providers in the plan's network, except in an emergency</td></tr><tr><td style="white-space:nowrap">HDHP<a name="sbc-plan-type-HDHP"> </a></td><td>High Deductible Health Plan (HDHP)</td><td>A health insurance plan with a higher deductible than traditional plans, often paired with a Health Savings Account</td></tr><tr><td style="white-space:nowrap">INDEMNITY<a name="sbc-plan-type-INDEMNITY"> </a></td><td>Indemnity Plan</td><td>A type of health insurance that allows members to see any doctor or hospital and pays a portion of the bill</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="claims"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/us/insurance-card/CodeSystem/sbc-plan-type"/>
<version value="2.0.0"/>
<name value="SBCPlanTypeCS"/>
<title value="SBC Plan Type Code System"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2026-02-03T01:43:53+00:00"/>
<publisher
value="HL7 International / Payer/Provider Information Exchange Work Group"/>
<contact>
<name
value="HL7 International / Payer/Provider Information Exchange Work Group"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/claims"/>
</telecom>
<telecom>
<system value="email"/>
<value value="pie@lists.HL7.org"/>
</telecom>
</contact>
<description
value="Code system for health insurance plan types displayed in Summary of Benefits and Coverage documents"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<content value="complete"/>
<count value="6"/>
<concept>
<code value="HMO"/>
<display value="Health Maintenance Organization (HMO)"/>
<definition
value="A type of health insurance plan that requires members to get health care services from doctors and hospitals in the plan's network, except in an emergency"/>
</concept>
<concept>
<code value="PPO"/>
<display value="Preferred Provider Organization (PPO)"/>
<definition
value="A type of health insurance plan where members pay less if they use providers in the plan's network, but can use out-of-network providers at higher cost"/>
</concept>
<concept>
<code value="POS"/>
<display value="Point of Service (POS)"/>
<definition
value="A type of health insurance plan where members pay less if they use doctors and hospitals in the plan's network and choose a primary care doctor to coordinate care"/>
</concept>
<concept>
<code value="EPO"/>
<display value="Exclusive Provider Organization (EPO)"/>
<definition
value="A type of health insurance plan where services are covered only if members use doctors and providers in the plan's network, except in an emergency"/>
</concept>
<concept>
<code value="HDHP"/>
<display value="High Deductible Health Plan (HDHP)"/>
<definition
value="A health insurance plan with a higher deductible than traditional plans, often paired with a Health Savings Account"/>
</concept>
<concept>
<code value="INDEMNITY"/>
<display value="Indemnity Plan"/>
<definition
value="A type of health insurance that allows members to see any doctor or hospital and pays a portion of the bill"/>
</concept>
</CodeSystem>
IG © 2026+ HL7 International / Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.insurance-card#2.0.0 based on FHIR 4.0.1. Generated 2026-02-03
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