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 - JSON Representation

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

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    {
      "resourceType" : "CodeSystem",
      "id" : "C4DICExtendedCopayTypeCS",
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "claims"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
          "valueInteger" : 2,
          "_valueInteger" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use",
          "_valueCode" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"
              }
            ]
          }
        }
      ],
      "url" : "http://terminology.hl7.org/CodeSystem/C4DICExtendedCopayTypeCS",
      "version" : "2.0.0",
      "name" : "C4DICExtendedCopayTypeCS",
      "title" : "C4DIC Extended Copay Type",
      "status" : "active",
      "experimental" : false,
      "date" : "2026-03-20T01:21:28+00:00",
      "publisher" : "HL7 International / Payer/Provider Information Exchange Work Group",
      "contact" : [
        {
          "name" : "HL7 International / Payer/Provider Information Exchange Work Group",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/claims"
            },
            {
              "system" : "email",
              "value" : "pie@lists.HL7.org"
            }
          ]
        }
      ],
      "description" : "This code system includes an extended set of Copay Type codes.",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "copyright" : "This CodeSystem is not copyrighted.",
      "caseSensitive" : true,
      "content" : "complete",
      "count" : 17,
      "concept" : [
        {
          "code" : "FamOutDed",
          "display" : "Family Out of Network Deductible",
          "definition" : "Family Out of Network Deductible"
        },
        {
          "code" : "FamInDed",
          "display" : "Family In Network Deductible",
          "definition" : "Family In Network Deductible"
        },
        {
          "code" : "FamRxOutDed",
          "display" : "Family Pharmacy Out of Network Deductible",
          "definition" : "Family Pharmacy Out of Network Deductible"
        },
        {
          "code" : "FamRxInDed",
          "display" : "Family Pharmacy In Network Deductible",
          "definition" : "Family Pharmacy In Network Deductible"
        },
        {
          "code" : "FamOutMax",
          "display" : "Family Out of Network Out of Pocket Maximum",
          "definition" : "Family Out of Network Out of Pocket Maximum"
        },
        {
          "code" : "FamInMax",
          "display" : "Family In Network Out of Pocket Maximum",
          "definition" : "Family In Network Out of Pocket Maximum"
        },
        {
          "code" : "FamRxOutMax",
          "display" : "Family Pharmacy Out of Network Out of Pocket Maximum",
          "definition" : "Family Pharmacy Out of Network Out of Pocket Maximum"
        },
        {
          "code" : "FamRxInMax",
          "display" : "Family Pharmacy In Network Out of Pocket Maximum",
          "definition" : "Family Pharmacy In Network Out of Pocket Maximum"
        },
        {
          "code" : "IndOutDed",
          "display" : "Invidual Out of Network Deductible",
          "definition" : "Individual Out of Network Deductible"
        },
        {
          "code" : "IndInDed",
          "display" : "Individual In Network Deductible",
          "definition" : "Individual In Network Deductible"
        },
        {
          "code" : "IndRxOutDed",
          "display" : "Individual Pharmacy Out of Network Deductible",
          "definition" : "Individual Pharmacy Out of Network Deductible"
        },
        {
          "code" : "IndRxInDed",
          "display" : "Individual Pharmacy In Network Deductible",
          "definition" : "Individual Pharmacy In Network Deductible"
        },
        {
          "code" : "IndOutMax",
          "display" : "Individual Out of Network Out of Pocket Maximum",
          "definition" : "Individual Out of Network Out of Pocket Maximum"
        },
        {
          "code" : "IndInMax",
          "display" : "Individual In Network Out of Pocket Maximum",
          "definition" : "Individual In Network Out of Pocket Maximum"
        },
        {
          "code" : "IndRxOutMax",
          "display" : "Individual Pharmacy Out of Network Out of Pocket Maximum",
          "definition" : "Individual Pharmacy Out of Network Out of Pocket Maximum"
        },
        {
          "code" : "IndRxInMax",
          "display" : "Individual Pharmacy In Network Out of Pocket Maximum",
          "definition" : "Individual Pharmacy In Network Out of Pocket Maximum"
        },
        {
          "code" : "rx",
          "display" : "Prescription",
          "definition" : "Prescription"
        }
      ]
    }