• Include these codes as defined in http://terminology.hl7.org/CodeSystem/crd-coverage-detail version 📦1.0.0

  Code	Display	Definition
  allowed-quantity	Maximum quantity	Indicates limitations on the number of services/products allowed (possibly per time period). Value should be a Quantity
  allowed-period	Maximum allowed period	Indicates the maximum period of time that can be covered in a single order. Value should be a Period
  in-network-copay	Copay for in-network	Indicates a percentage co-pay to expect if delivered in-network. Value should be a Quantity.
  out-network-copay	Copay for out-of-network	Indicates a percentage co-pay to expect if delivered out-of-network. Value should be a Quantity.
  concurrent-review	Concurrent review	Additional payer-defined documentation will be required prior to claim payment. Value should be a boolean.
  appropriate-use-needed	Appropriate use	Payer-defined appropriate use process must be invoked to determine coverage. Value should be a boolean.
  policy-link	Policy Link	A URL pointing to the specific portion of a payer policy, coverage agreement or similar authoritative document that provides a portion of the basis for the decision documented in the coverage-information. Value should be a url.
  instructions	Instructions	Information to display to the user that gives guidance about what steps to take in achieving the recommended actions identified by this coverage-information (e.g. special instructions about requesting authorization, details about information needed, details about data retention, etc.). Value should be a string. (Category may vary.)

Expansion performed internally based on codesystem CRD Coverage Detail Codes v1.0.0 (CodeSystem)

This value set contains 8 concepts