Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0-ballot - STU 2 Ballot

Consumer Real-Time Pharmacy Benefit Check FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-rtpbc/ and changes regularly. See the Directory of published versions

## ValueSet: RTPBC Patient Pay Type Value Set

Official URL: http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-patient-pay-type | Version: 2.0.0-ballot | Highlight text changes?
Standards status: Trial-use Active as of 2020-05-23 | Maturity Level: 2 | Computable Name: RtbpcPatientPayTypeValueSet

This value set contains components of a patient's responsibility for a prescription product's cost.

References

- RTPBC Response Using ClaimResponse
- RTPBC Non-PHI Response Using ClaimResponse

### Logical Definition (CLD)

- Include all codes defined in `http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` version 📦2.0.0-ballot

### Expansion

Expansion performed internally based on codesystem RTPBC Patient Pay Type Code System (Temporary) v2.0.0-ballot (CodeSystem)

This value set contains 13 concepts

System | Code | Display (en) | Definition | JSON | XML
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | deductible | Deductible | Amount to be collected from a patient to be applied to a periodic deductible |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | accumulated-deductible | Accumulated deductible | Total deductible paid after amount associated with this request |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | remaining-deductible | Remaining deductible | Remaining deductible amount after payment associated with this request |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | coinsurance | Per prescription coinsurance | Amount to be collected from a patient to satisfy a per prescription coinsurance |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | copay | Copay | Amount to be collected from the patient to satisfy a per prescription copay |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | tax | Tax | Amount to be collected from the patient for sales tax |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | cash-price | Full product cash price | Full product cash price before discounts or coupons |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | coupon-discount | Coupon discount amount | Coupon discount reducing the amount to be collected from the patient |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | member-discount | Member discount amount | Member discount reducing the amount to be collected from the patient |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | other-discount | Other discount amount | Other discount reducing the amount to be collected from the patient |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | other-cost | Other cost | Other amount to be collected from the patient |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | eligible | Eligible amount | Amount that is considered for adjudication |  |
`http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary` | total | Total patient responsibility | Amount equalling the total patient responsibility for a prescription product's cost |  |

Description of the above table(s).