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

## : C4DIC Extended Copay Type - XML Representation

Page standards status: Trial-use | Maturity Level: 2

Raw xml | Download

    <CodeSystem xmlns="http://hl7.org/fhir">
      <id value="C4DICExtendedCopayTypeCS"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem C4DICExtendedCopayTypeCS</b></p><a name="C4DICExtendedCopayTypeCS"> </a><a name="hcC4DICExtendedCopayTypeCS"> </a><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/C4DICExtendedCopayTypeCS</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">FamOutDed<a name="C4DICExtendedCopayTypeCS-FamOutDed"> </a></td><td>Family Out of Network Deductible</td><td>Family Out of Network Deductible</td></tr><tr><td style="white-space:nowrap">FamInDed<a name="C4DICExtendedCopayTypeCS-FamInDed"> </a></td><td>Family In Network Deductible</td><td>Family In Network Deductible</td></tr><tr><td style="white-space:nowrap">FamRxOutDed<a name="C4DICExtendedCopayTypeCS-FamRxOutDed"> </a></td><td>Family Pharmacy Out of Network Deductible</td><td>Family Pharmacy Out of Network Deductible</td></tr><tr><td style="white-space:nowrap">FamRxInDed<a name="C4DICExtendedCopayTypeCS-FamRxInDed"> </a></td><td>Family Pharmacy In Network Deductible</td><td>Family Pharmacy In Network Deductible</td></tr><tr><td style="white-space:nowrap">FamOutMax<a name="C4DICExtendedCopayTypeCS-FamOutMax"> </a></td><td>Family Out of Network Out of Pocket Maximum</td><td>Family Out of Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">FamInMax<a name="C4DICExtendedCopayTypeCS-FamInMax"> </a></td><td>Family In Network Out of Pocket Maximum</td><td>Family In Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">FamRxOutMax<a name="C4DICExtendedCopayTypeCS-FamRxOutMax"> </a></td><td>Family Pharmacy Out of Network Out of Pocket Maximum</td><td>Family Pharmacy Out of Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">FamRxInMax<a name="C4DICExtendedCopayTypeCS-FamRxInMax"> </a></td><td>Family Pharmacy In Network Out of Pocket Maximum</td><td>Family Pharmacy In Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">IndOutDed<a name="C4DICExtendedCopayTypeCS-IndOutDed"> </a></td><td>Invidual Out of Network Deductible</td><td>Individual Out of Network Deductible</td></tr><tr><td style="white-space:nowrap">IndInDed<a name="C4DICExtendedCopayTypeCS-IndInDed"> </a></td><td>Individual In Network Deductible</td><td>Individual In Network Deductible</td></tr><tr><td style="white-space:nowrap">IndRxOutDed<a name="C4DICExtendedCopayTypeCS-IndRxOutDed"> </a></td><td>Individual Pharmacy Out of Network Deductible</td><td>Individual Pharmacy Out of Network Deductible</td></tr><tr><td style="white-space:nowrap">IndRxInDed<a name="C4DICExtendedCopayTypeCS-IndRxInDed"> </a></td><td>Individual Pharmacy In Network Deductible</td><td>Individual Pharmacy In Network Deductible</td></tr><tr><td style="white-space:nowrap">IndOutMax<a name="C4DICExtendedCopayTypeCS-IndOutMax"> </a></td><td>Individual Out of Network Out of Pocket Maximum</td><td>Individual Out of Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">IndInMax<a name="C4DICExtendedCopayTypeCS-IndInMax"> </a></td><td>Individual In Network Out of Pocket Maximum</td><td>Individual In Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">IndRxOutMax<a name="C4DICExtendedCopayTypeCS-IndRxOutMax"> </a></td><td>Individual Pharmacy Out of Network Out of Pocket Maximum</td><td>Individual Pharmacy Out of Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">IndRxInMax<a name="C4DICExtendedCopayTypeCS-IndRxInMax"> </a></td><td>Individual Pharmacy In Network Out of Pocket Maximum</td><td>Individual Pharmacy In Network Out of Pocket Maximum</td></tr><tr><td style="white-space:nowrap">rx<a name="C4DICExtendedCopayTypeCS-rx"> </a></td><td>Prescription</td><td>Prescription</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-fmm">
        <valueInteger value="2">
          <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>
        </valueInteger>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use">
          <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://terminology.hl7.org/CodeSystem/C4DICExtendedCopayTypeCS"/>
      <version value="2.0.0"/>
      <name value="C4DICExtendedCopayTypeCS"/>
      <title value="C4DIC Extended Copay Type"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2026-03-20T01:21:28+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="This code system includes an extended set of Copay Type codes."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
        </coding>
      </jurisdiction>
      <copyright value="This CodeSystem is not copyrighted."/>
      <caseSensitive value="true"/>
      <content value="complete"/>
      <count value="17"/>
      <concept>
        <code value="FamOutDed"/>
        <display value="Family Out of Network Deductible"/>
        <definition value="Family Out of Network Deductible"/>
      </concept>
      <concept>
        <code value="FamInDed"/>
        <display value="Family In Network Deductible"/>
        <definition value="Family In Network Deductible"/>
      </concept>
      <concept>
        <code value="FamRxOutDed"/>
        <display value="Family Pharmacy Out of Network Deductible"/>
        <definition value="Family Pharmacy Out of Network Deductible"/>
      </concept>
      <concept>
        <code value="FamRxInDed"/>
        <display value="Family Pharmacy In Network Deductible"/>
        <definition value="Family Pharmacy In Network Deductible"/>
      </concept>
      <concept>
        <code value="FamOutMax"/>
        <display value="Family Out of Network Out of Pocket Maximum"/>
        <definition value="Family Out of Network Out of Pocket Maximum"/>
      </concept>
      <concept>
        <code value="FamInMax"/>
        <display value="Family In Network Out of Pocket Maximum"/>
        <definition value="Family In Network Out of Pocket Maximum"/>
      </concept>
      <concept>
        <code value="FamRxOutMax"/>
        <display value="Family Pharmacy Out of Network Out of Pocket Maximum"/>
        <definition value="Family Pharmacy Out of Network Out of Pocket Maximum"/>
      </concept>
      <concept>
        <code value="FamRxInMax"/>
        <display value="Family Pharmacy In Network Out of Pocket Maximum"/>
        <definition value="Family Pharmacy In Network Out of Pocket Maximum"/>
      </concept>
      <concept>
        <code value="IndOutDed"/>
        <display value="Invidual Out of Network Deductible"/>
        <definition value="Individual Out of Network Deductible"/>
      </concept>
      <concept>
        <code value="IndInDed"/>
        <display value="Individual In Network Deductible"/>
        <definition value="Individual In Network Deductible"/>
      </concept>
      <concept>
        <code value="IndRxOutDed"/>
        <display value="Individual Pharmacy Out of Network Deductible"/>
        <definition value="Individual Pharmacy Out of Network Deductible"/>
      </concept>
      <concept>
        <code value="IndRxInDed"/>
        <display value="Individual Pharmacy In Network Deductible"/>
        <definition value="Individual Pharmacy In Network Deductible"/>
      </concept>
      <concept>
        <code value="IndOutMax"/>
        <display value="Individual Out of Network Out of Pocket Maximum"/>
        <definition value="Individual Out of Network Out of Pocket Maximum"/>
      </concept>
      <concept>
        <code value="IndInMax"/>
        <display value="Individual In Network Out of Pocket Maximum"/>
        <definition value="Individual In Network Out of Pocket Maximum"/>
      </concept>
      <concept>
        <code value="IndRxOutMax"/>
        <display
                 value="Individual Pharmacy Out of Network Out of Pocket Maximum"/>
        <definition
                    value="Individual Pharmacy Out of Network Out of Pocket Maximum"/>
      </concept>
      <concept>
        <code value="IndRxInMax"/>
        <display value="Individual Pharmacy In Network Out of Pocket Maximum"/>
        <definition value="Individual Pharmacy In Network Out of Pocket Maximum"/>
      </concept>
      <concept>
        <code value="rx"/>
        <display value="Prescription"/>
        <definition value="Prescription"/>
      </concept>
    </CodeSystem>