National Directory of Healthcare Providers & Services (NDH) Implementation Guide
2.0.0-current - ci-build US

National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 2.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

ConceptMap: Plan-Net to NDH Insurance Product Type ConceptMap

Official URL: http://hl7.org/fhir/us/ndh/ConceptMap/PlanNetToNdhInsuranceProductTypeCM Version: 2.0.0-current
Standards status: Trial-use Maturity Level: 4 Computable Name: PlanNetToNdhInsuranceProductType

Maps Plan-Net Insurance Product Type codes to NDH Insurance Product Type codes used from THO.

This ConceptMap should not be needed, but Plan-Net replicates the codeSystem that is in THO. FHIR-57453 requests Plan-Net change. If that is done, then this ConceptMap should be retired.

Language: en

Mapping from Insurance Product Type VS to Insurance Product Type


Group 1 Mapping from Insurance Product Type to Insurance Product Type

Source CodeRelationshipTarget Code
commppo (Commercial PPO)is equal tocommppo (Commercial PPO)
commhdhp (Commercial HDHP)is equal tocommhdhp (Commercial HDHP)
commpos (Commercial POS)is equal tocommpos (Commercial POS)
commhmo (Commercial HMO)is equal tocommhmo (Commercial HMO)
commepo (Commercial EPO)is equal tocommepo (Commercial EPO)
medi (Medicaid)is equal tomedi (Medicaid)
medihmo (Medicaid HMO)is equal tomedihmo (Medicaid HMO)
mediadv (Medicare Advantage)is equal tomediadv (Medicare Advantage)
mediadvhmo (Medicare Advantage HMO)is equal tomediadvhmo (Medicare Advantage HMO)
media (Medicare Part A)is equal tomedia (Medicare Part A)
medib (Medicare Part B)is equal tomedib (Medicare Part B)
medid (Medicare Part D)is equal tomedid (Medicare Part D)
mediab (Medicare A/B)is equal tomediab (Medicare A/B)
qhp (Qualified Health Plan)is equal toqhp (Qualified Health Plan)
ihs (Indian Health Service)is equal toihs (Indian Health Service)
fep (Federal Employee Program)is equal tofep (Federal Employee Program)
tri (TRICARE)is equal totri (TRICARE)
va (Veterans Affairs Plan)is equal tova (Veterans Affairs Plan)
dent (Dental Plan)is equal todent (Dental Plan)
denthmo (Dental HMO)is equal todenthmo (Dental HMO)
vis (Vision Plan)is equal tovis (Vision Plan)
vishmo (Vision HMO)is equal tovishmo (Vision HMO)