Summary of Benefits and Coverage (SBC) FHIR Implementation Guide
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Summary of Benefits and Coverage (SBC) FHIR Implementation Guide, published by SBC FHIR Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jdjkelly/fhir-sbc/ and changes regularly. See the Directory of published versions

ValueSet: SBC Plan Type Value Set

Official URL: http://flexpa.com/fhir/sbc/ValueSet/sbc-plan-type Version: 0.1.0
Draft as of 2025-11-10 Computable Name: SBCPlanType

Value set containing health insurance plan types for Summary of Benefits and Coverage documents

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem SBC Plan Type Code System v0.1.0 (CodeSystem)

This value set contains 6 concepts

SystemCodeDisplay (en)JSONXML
http://flexpa.com/fhir/sbc/CodeSystem/sbc-plan-type  HMOHealth Maintenance Organization (HMO)
http://flexpa.com/fhir/sbc/CodeSystem/sbc-plan-type  PPOPreferred Provider Organization (PPO)
http://flexpa.com/fhir/sbc/CodeSystem/sbc-plan-type  POSPoint of Service (POS)
http://flexpa.com/fhir/sbc/CodeSystem/sbc-plan-type  EPOExclusive Provider Organization (EPO)
http://flexpa.com/fhir/sbc/CodeSystem/sbc-plan-type  HDHPHigh Deductible Health Plan (HDHP)
http://flexpa.com/fhir/sbc/CodeSystem/sbc-plan-type  INDEMNITYIndemnity Plan

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code