Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2025-07-30 |
{
"resourceType" : "CodeSystem",
"id" : "benefit-category",
"meta" : {
"versionId" : "12"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem benefit-category</b></p><a name=\"benefit-category\"> </a><a name=\"hcbenefit-category\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 12</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/benefit-category</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><td><b>Arabic (ar)</b></td></tr><tr><td style=\"white-space:nowrap\">14<a name=\"benefit-category-14\"> </a></td><td>Dental Care</td><td>Dental Care.</td><td>رعاية الأسنان</td></tr><tr><td style=\"white-space:nowrap\">15<a name=\"benefit-category-15\"> </a></td><td>Dental Crowns</td><td>Dental Crowns.</td><td>تركيبات الأسنان</td></tr><tr><td style=\"white-space:nowrap\">19<a name=\"benefit-category-19\"> </a></td><td>Medically Related Transportation</td><td>Medically Related Transportation.</td><td>انتقال لسبب طبي</td></tr><tr><td style=\"white-space:nowrap\">4<a name=\"benefit-category-4\"> </a></td><td>Diagnostic XRay</td><td>Diagnostic XRay.</td><td>أشعة سينية تشخيصية</td></tr><tr><td style=\"white-space:nowrap\">3<a name=\"benefit-category-3\"> </a></td><td>Consultation</td><td>Consultation.</td><td>استشارة طبية</td></tr><tr><td style=\"white-space:nowrap\">28<a name=\"benefit-category-28\"> </a></td><td>Vision Coverage</td><td>Vision Coverage.</td><td>تغطية نظر/نظارات طبية</td></tr><tr><td style=\"white-space:nowrap\">27<a name=\"benefit-category-27\"> </a></td><td>Hearing Coverage</td><td>Hearing Coverage.</td><td>تغطية سمع</td></tr><tr><td style=\"white-space:nowrap\">17<a name=\"benefit-category-17\"> </a></td><td>Hospital Room and Board</td><td>Hospital Room and Board.</td><td>غرفة مع تكاليف إقامة بالمستشفى</td></tr><tr><td style=\"white-space:nowrap\">9<a name=\"benefit-category-9\"> </a></td><td>Restorative</td><td>Restorative.</td><td>ترميم الأسنان</td></tr><tr><td style=\"white-space:nowrap\">5<a name=\"benefit-category-5\"> </a></td><td>Diagnostic Lab</td><td>Diagnostic Lab.</td><td>مختبر تشخيصي</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"benefit-category-2\"> </a></td><td>Surgical</td><td>Surgical.</td><td>جراحي</td></tr><tr><td style=\"white-space:nowrap\">25<a name=\"benefit-category-25\"> </a></td><td>Medical Coverage</td><td>Medical Coverage.</td><td>تغطية طبية</td></tr><tr><td style=\"white-space:nowrap\">13<a name=\"benefit-category-13\"> </a></td><td>Health Benefit Plan Coverage</td><td>Health Benefit Plan Coverage.</td><td>تغطية خطة المزايا الصحية</td></tr><tr><td style=\"white-space:nowrap\">18<a name=\"benefit-category-18\"> </a></td><td>Major Medical</td><td>Major Medical.</td><td>تخصص طبي</td></tr><tr><td style=\"white-space:nowrap\">10<a name=\"benefit-category-10\"> </a></td><td>Endodontics</td><td>Endodontics.</td><td>علاج جذور الأسنان</td></tr><tr><td style=\"white-space:nowrap\">12<a name=\"benefit-category-12\"> </a></td><td>Adjunctive Dental Services</td><td>Adjunctive Dental Services.</td><td>خدمات طب الأسنان المساعدة</td></tr><tr><td style=\"white-space:nowrap\">24<a name=\"benefit-category-24\"> </a></td><td>Renal Dialysis</td><td>Renal dialysis.</td><td>غسيل كلوي</td></tr><tr><td style=\"white-space:nowrap\">16<a name=\"benefit-category-16\"> </a></td><td>Dental Accident</td><td>Dental Accident.</td><td>حادثة بالأسنان</td></tr><tr><td style=\"white-space:nowrap\">11<a name=\"benefit-category-11\"> </a></td><td>Maxillofacial Prosthetics</td><td>Maxillofacial Prosthetics.</td><td>الأطراف الاصطناعية للوجه والفكين</td></tr><tr><td style=\"white-space:nowrap\">23<a name=\"benefit-category-23\"> </a></td><td>Maternity</td><td>Maternity.</td><td>أمومة</td></tr><tr><td style=\"white-space:nowrap\">22<a name=\"benefit-category-22\"> </a></td><td>Donor Procedures</td><td>Donor Procedures such as organ harvest.</td><td>عمليات التبرع بالأعضاء</td></tr><tr><td style=\"white-space:nowrap\">20<a name=\"benefit-category-20\"> </a></td><td>In-vitro Fertilization</td><td>In-vitro Fertilization.</td><td>تلقيح اصطناعي</td></tr><tr><td style=\"white-space:nowrap\">7<a name=\"benefit-category-7\"> </a></td><td>Diagnostic Dental</td><td>Diagnostic Dental.</td><td>تشخيصي-أسنان</td></tr><tr><td style=\"white-space:nowrap\">6<a name=\"benefit-category-6\"> </a></td><td>Renal Supplies</td><td>Renal Supplies excluding Dialysis.</td><td>مستلزمات للكلي باستثناء الغسيل الكلوي</td></tr><tr><td style=\"white-space:nowrap\">1<a name=\"benefit-category-1\"> </a></td><td>Medical Care</td><td>Medical Care.</td><td>رعاية طبية</td></tr><tr><td style=\"white-space:nowrap\">26<a name=\"benefit-category-26\"> </a></td><td>Dental Coverage</td><td>Dental Coverage.</td><td>تغطية أسنان</td></tr><tr><td style=\"white-space:nowrap\">21<a name=\"benefit-category-21\"> </a></td><td>MRI Scan</td><td>MRI Scan.</td><td>فحص بالرنين المغناطيسي</td></tr><tr><td style=\"white-space:nowrap\">8<a name=\"benefit-category-8\"> </a></td><td>Periodontics</td><td>Periodontics.</td><td>علاج اللثة</td></tr><tr><td style=\"white-space:nowrap\">30<a name=\"benefit-category-30\"> </a></td><td>OP Medical</td><td>OP Medical</td><td>طبي-مريض خارجي (عيادات خارجية)</td></tr><tr><td style=\"white-space:nowrap\">31<a name=\"benefit-category-31\"> </a></td><td>Max Copay</td><td>Max Copay</td><td>الحد الأقصى للمشاركة المالية</td></tr><tr><td style=\"white-space:nowrap\">29<a name=\"benefit-category-29\"> </a></td><td>Mental Health</td><td>Mental Health</td><td>صحة نفسية</td></tr><tr><td style=\"white-space:nowrap\">40<a name=\"benefit-category-40\"> </a></td><td>Ear Piercing of female newborn</td><td>Ear Piercing of female newborn</td><td>ثقب أذن الرضيعة الأنثي</td></tr><tr><td style=\"white-space:nowrap\">39<a name=\"benefit-category-39\"> </a></td><td>Circumcision of male newborn</td><td>Circumcision of male newborn</td><td>ختان الرضيع الذكر</td></tr><tr><td style=\"white-space:nowrap\">55<a name=\"benefit-category-55\"> </a></td><td>Rehabilitation</td><td>Rehabilitation</td><td>إعادة التأهيل</td></tr><tr><td style=\"white-space:nowrap\">48<a name=\"benefit-category-48\"> </a></td><td>Acquired valvular heart disease</td><td>Acquired valvular heart disease</td><td>مرض الصمامات القلبية المكتسب</td></tr><tr><td style=\"white-space:nowrap\">56<a name=\"benefit-category-56\"> </a></td><td>Pharmacy</td><td>Pharmacy</td><td>تغطية الأدوية</td></tr><tr><td style=\"white-space:nowrap\">35<a name=\"benefit-category-35\"> </a></td><td>Alzheimer's Disease</td><td>Alzheimer's Disease</td><td>مرض الزهايمر</td></tr><tr><td style=\"white-space:nowrap\">44<a name=\"benefit-category-44\"> </a></td><td>Outpatient Treatment expenses-for hospital out of the minimum unified network</td><td>Outpatient Treatment expenses-for hospital out of the minimum unified network</td><td>نفقات علاج المريض الخارجي للمستشفى-خارج الشبكة الموحدة الدنيا للمستشفيات</td></tr><tr><td style=\"white-space:nowrap\">49<a name=\"benefit-category-49\"> </a></td><td>Autism Management</td><td>Autism Management</td><td>التدبير العلاجي لمرض التوحد</td></tr><tr><td style=\"white-space:nowrap\">41<a name=\"benefit-category-41\"> </a></td><td>Dental Prosthesis</td><td>Dental Prosthesis</td><td>الاصطناعيات الخاصة بالأسنان</td></tr><tr><td style=\"white-space:nowrap\">54<a name=\"benefit-category-54\"> </a></td><td>Long term care</td><td>Long term care</td><td>رعاية المدى الطويل</td></tr><tr><td style=\"white-space:nowrap\">45<a name=\"benefit-category-45\"> </a></td><td>Outpatient Treatment expenses-for non-hospital out of the minimum unified network</td><td>Outpatient Treatment expenses-for non-hospital out of the minimum unified network</td><td>نفقات علاج المريض الخارجي-خارج الشبكة الموحدة الدنيا لغير المستشفيات</td></tr><tr><td style=\"white-space:nowrap\">34<a name=\"benefit-category-34\"> </a></td><td>Chronic Psychiatric Cases</td><td>Chronic Psychiatric Cases</td><td>الحالات النفسية المزمنة</td></tr><tr><td style=\"white-space:nowrap\">50<a name=\"benefit-category-50\"> </a></td><td>Disability Compensations</td><td>Disability Compensations</td><td>التعويضات الخاصة بالإعاقة</td></tr><tr><td style=\"white-space:nowrap\">52<a name=\"benefit-category-52\"> </a></td><td>Newborn Screening Programs for Hearing Impairment & critical congenital heart disease</td><td>Newborn Screening Programs for Hearing Impairment & critical congenital heart disease</td><td>برامج فحص المواليد الخاصة بالسمع والأمراض القلبية الخلقية</td></tr><tr><td style=\"white-space:nowrap\">36<a name=\"benefit-category-36\"> </a></td><td>Infertility & Related Procedures</td><td>Infertility & Related Procedures</td><td>علاج العقم والإجراءات التابعة له</td></tr><tr><td style=\"white-space:nowrap\">46<a name=\"benefit-category-46\"> </a></td><td>Companion Room and Board</td><td>Companion Room and Board</td><td>غرفة مع تكاليف إقامة بالمستشفي للمرافق</td></tr><tr><td style=\"white-space:nowrap\">42<a name=\"benefit-category-42\"> </a></td><td>Vision Surgery</td><td>Vision Surgery</td><td>جراحات تصحيح النظر</td></tr><tr><td style=\"white-space:nowrap\">47<a name=\"benefit-category-47\"> </a></td><td>Repatriation of Mortal Remains</td><td>Repatriation of Mortal Remains</td><td>إعادة الجثامين إلى البلد الام</td></tr><tr><td style=\"white-space:nowrap\">51<a name=\"benefit-category-51\"> </a></td><td>Obesity Surgery</td><td>Obesity Surgery</td><td>جراحات السمنة</td></tr><tr><td style=\"white-space:nowrap\">37<a name=\"benefit-category-37\"> </a></td><td>Orthodontic Treatment</td><td>Orthodontic Treatment</td><td>علاج تقويم الأسنان</td></tr><tr><td style=\"white-space:nowrap\">53<a name=\"benefit-category-53\"> </a></td><td>Home Healthcare</td><td>Home Healthcare</td><td>رعاية طبية منزلية</td></tr><tr><td style=\"white-space:nowrap\">32<a name=\"benefit-category-32\"> </a></td><td>Medical Equipment</td><td>Medical Equipment</td><td>أجهزة طبية</td></tr><tr><td style=\"white-space:nowrap\">43<a name=\"benefit-category-43\"> </a></td><td>Outpatient Treatment expenses-within minimum unified network</td><td>Outpatient Treatment expenses-within minimum unified network</td><td>نفقات علاج المريض الخارجي-داخل الشبكة الموحدة الدنيا</td></tr><tr><td style=\"white-space:nowrap\">33<a name=\"benefit-category-33\"> </a></td><td>Acute Psychiatric Cases</td><td>Acute Psychiatric Cases</td><td>الحالات النفسية الحادة</td></tr><tr><td style=\"white-space:nowrap\">38<a name=\"benefit-category-38\"> </a></td><td>Check ups</td><td>Check ups</td><td>فحوصات</td></tr><tr><td style=\"white-space:nowrap\">62<a name=\"benefit-category-62\"> </a></td><td>Basic Homecare coverage</td><td>Basic Homecare coverage</td><td>تغطية أساسية للرعاية المنزلية</td></tr><tr><td style=\"white-space:nowrap\">64<a name=\"benefit-category-64\"> </a></td><td>Hip and Knee Replacement</td><td>Hip and Knee Replacement</td><td>استبدال الورك والركبة</td></tr><tr><td style=\"white-space:nowrap\">67<a name=\"benefit-category-67\"> </a></td><td>Outpatient Treatment expenses - Primary clinic</td><td>Outpatient Treatment expenses - Primary clinic</td><td>نفقات علاج مريض خارجي-عيادة أولية</td></tr><tr><td style=\"white-space:nowrap\">79<a name=\"benefit-category-79\"> </a></td><td>Genetic diseases</td><td>Genetic diseases</td><td>الأمراض الوراثية/الجينية</td></tr><tr><td style=\"white-space:nowrap\">74<a name=\"benefit-category-74\"> </a></td><td>Complications arising from treatment of a covered benefit</td><td>Complications arising from treatment of a covered benefit</td><td>المضاعفات الناشئة عن علاج المزايا المغطاة</td></tr><tr><td style=\"white-space:nowrap\">80<a name=\"benefit-category-80\"> </a></td><td>Inpatient Medical Coverage</td><td>Inpatient Medical Coverage</td><td>التغطية الطبية للمرضى الداخليين</td></tr><tr><td style=\"white-space:nowrap\">82<a name=\"benefit-category-82\"> </a></td><td>Maternity Complications Coverage</td><td>Maternity Complications Coverage</td><td>تغطية مضاعفات الأمومة/الولادة</td></tr><tr><td style=\"white-space:nowrap\">77<a name=\"benefit-category-77\"> </a></td><td>Delivery of premature babies</td><td>Delivery of premature babies</td><td>ولادة الأطفال المبتسرين</td></tr><tr><td style=\"white-space:nowrap\">65<a name=\"benefit-category-65\"> </a></td><td>Impairment medical management</td><td>Impairment medical management</td><td>التحكم الطبي للإعاقة</td></tr><tr><td style=\"white-space:nowrap\">71<a name=\"benefit-category-71\"> </a></td><td>Psychiatry coverage</td><td>Psychiatry coverage</td><td>تغطية الطب النفسي</td></tr><tr><td style=\"white-space:nowrap\">60<a name=\"benefit-category-60\"> </a></td><td>Advanced Obesity Medical Management</td><td>Advanced Obesity Medical Management</td><td>تغطية متقدمة للتحكم الطبي للسمنة</td></tr><tr><td style=\"white-space:nowrap\">68<a name=\"benefit-category-68\"> </a></td><td>Outpatient Treatment expenses - specialized clinic with referral</td><td>Outpatient Treatment expenses - specialized clinic with referral</td><td>نفقات علاج مريض خارجي-عيادة متخصصة من خلال تحويل</td></tr><tr><td style=\"white-space:nowrap\">84<a name=\"benefit-category-84\"> </a></td><td>Telemedicine</td><td>Telemedicine</td><td>التطبيب عن بعد عبر الهاتف</td></tr><tr><td style=\"white-space:nowrap\">58<a name=\"benefit-category-58\"> </a></td><td>Advanced Dental Coverage</td><td>Advanced Dental Coverage</td><td>تغطية أسنان متقدمه شاملة علاج جذور الاسنان</td></tr><tr><td style=\"white-space:nowrap\">61<a name=\"benefit-category-61\"> </a></td><td>Basic and Preventive Dental Coverage</td><td>Basic and Preventive Dental Coverage</td><td>تغطية أسنان أساسية ووقائية</td></tr><tr><td style=\"white-space:nowrap\">69<a name=\"benefit-category-69\"> </a></td><td>Outpatient Treatment expenses - specialized clinic without referral</td><td>Outpatient Treatment expenses - specialized clinic without referral</td><td>نفقات علاج مريض خارجي-عيادة متخصصة بدون تحويل</td></tr><tr><td style=\"white-space:nowrap\">72<a name=\"benefit-category-72\"> </a></td><td>Renal transplant</td><td>Renal transplant</td><td>زراعة الكلى</td></tr><tr><td style=\"white-space:nowrap\">75<a name=\"benefit-category-75\"> </a></td><td>Congenital anomalies</td><td>Congenital anomalies</td><td>عيوب/تشوهات خلقية</td></tr><tr><td style=\"white-space:nowrap\">78<a name=\"benefit-category-78\"> </a></td><td>Emergency Service coverage</td><td>Emergency Service coverage</td><td>تغطية خدمة الطوارئ</td></tr><tr><td style=\"white-space:nowrap\">59<a name=\"benefit-category-59\"> </a></td><td>Advanced Homecare coverage</td><td>Advanced Homecare coverage</td><td>تغطية متقدمة للرعاية المنزلية</td></tr><tr><td style=\"white-space:nowrap\">83<a name=\"benefit-category-83\"> </a></td><td>New-born coverage</td><td>New-born coverage</td><td>تغطية المواليد</td></tr><tr><td style=\"white-space:nowrap\">63<a name=\"benefit-category-63\"> </a></td><td>Contraception Coverage (Birth Control)</td><td>Contraception Coverage (Birth Control)</td><td>تغطية منع الحمل</td></tr><tr><td style=\"white-space:nowrap\">66<a name=\"benefit-category-66\"> </a></td><td>OP Prescribed Generic and Invented Medicines - with no generic alternative available</td><td>OP Prescribed Generic and Invented Medicines - with no generic alternative available</td><td>أدوية عامة و حديثة موصوفة للمريض الخارجي وليس لها بديل نوعي عام</td></tr><tr><td style=\"white-space:nowrap\">73<a name=\"benefit-category-73\"> </a></td><td>Root canal dental coverage</td><td>Root canal dental coverage</td><td>تغطية جذور الأسنان</td></tr><tr><td style=\"white-space:nowrap\">57<a name=\"benefit-category-57\"> </a></td><td>OP Prescribed Invented Medicines - with generic alternative</td><td>OP Prescribed Invented Medicines - with generic alternative</td><td>أدوية أصلية للمريض ولها بديل نوعي</td></tr><tr><td style=\"white-space:nowrap\">76<a name=\"benefit-category-76\"> </a></td><td>Costs of national program for the early examination of newborn to limit impairment</td><td>Costs of national program for the early examination of newborn to limit impairment</td><td>تكاليف البرنامج المحلي للكشف المبكر للمواليد للحد من الإعاقة</td></tr><tr><td style=\"white-space:nowrap\">70<a name=\"benefit-category-70\"> </a></td><td>Pediatric vision coverage</td><td>Pediatric vision coverage</td><td>تغطية نظر أطفال</td></tr><tr><td style=\"white-space:nowrap\">81<a name=\"benefit-category-81\"> </a></td><td>Life sustaining and interventions altering medical outcomes</td><td>Life sustaining and interventions altering medical outcomes</td><td>الحفاظ على الحياة والتدخلات التي تغير النتائج الطبية</td></tr></table></div>"
},
"url" : "http://nphies.sa/terminology/CodeSystem/benefit-category",
"version" : "0.3.0",
"name" : "BenefitCategory",
"title" : "Benefit Category",
"status" : "active",
"experimental" : false,
"date" : "2025-07-30T12:41:32+03:00",
"publisher" : "HL7 Saudi Arabia",
"contact" : [
{
"name" : "HL7 Saudi Arabia",
"telecom" : [
{
"system" : "url",
"value" : "http://test-project.org/test-publisher"
}
]
}
],
"description" : "A code to identify the general type of benefits under which products and services are provided.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "SA",
"display" : "Saudi Arabia"
}
]
}
],
"copyright" : "nphies 2020+ (https://nphies.sa)",
"caseSensitive" : true,
"compositional" : false,
"versionNeeded" : false,
"content" : "complete",
"concept" : [
{
"code" : "14",
"display" : "Dental Care",
"definition" : "Dental Care.",
"designation" : [
{
"language" : "ar",
"value" : "رعاية الأسنان"
}
]
},
{
"code" : "15",
"display" : "Dental Crowns",
"definition" : "Dental Crowns.",
"designation" : [
{
"language" : "ar",
"value" : "تركيبات الأسنان"
}
]
},
{
"code" : "19",
"display" : "Medically Related Transportation",
"definition" : "Medically Related Transportation.",
"designation" : [
{
"language" : "ar",
"value" : "انتقال لسبب طبي"
}
]
},
{
"code" : "4",
"display" : "Diagnostic XRay",
"definition" : "Diagnostic XRay.",
"designation" : [
{
"language" : "ar",
"value" : "أشعة سينية تشخيصية"
}
]
},
{
"code" : "3",
"display" : "Consultation",
"definition" : "Consultation.",
"designation" : [
{
"language" : "ar",
"value" : "استشارة طبية"
}
]
},
{
"code" : "28",
"display" : "Vision Coverage",
"definition" : "Vision Coverage.",
"designation" : [
{
"language" : "ar",
"value" : "تغطية نظر/نظارات طبية"
}
]
},
{
"code" : "27",
"display" : "Hearing Coverage",
"definition" : "Hearing Coverage.",
"designation" : [
{
"language" : "ar",
"value" : "تغطية سمع"
}
]
},
{
"code" : "17",
"display" : "Hospital Room and Board",
"definition" : "Hospital Room and Board.",
"designation" : [
{
"language" : "ar",
"value" : "غرفة مع تكاليف إقامة بالمستشفى"
}
]
},
{
"code" : "9",
"display" : "Restorative",
"definition" : "Restorative.",
"designation" : [
{
"language" : "ar",
"value" : "ترميم الأسنان"
}
]
},
{
"code" : "5",
"display" : "Diagnostic Lab",
"definition" : "Diagnostic Lab.",
"designation" : [
{
"language" : "ar",
"value" : "مختبر تشخيصي"
}
]
},
{
"code" : "2",
"display" : "Surgical",
"definition" : "Surgical.",
"designation" : [
{
"language" : "ar",
"value" : "جراحي"
}
]
},
{
"code" : "25",
"display" : "Medical Coverage",
"definition" : "Medical Coverage.",
"designation" : [
{
"language" : "ar",
"value" : "تغطية طبية"
}
]
},
{
"code" : "13",
"display" : "Health Benefit Plan Coverage",
"definition" : "Health Benefit Plan Coverage.",
"designation" : [
{
"language" : "ar",
"value" : "تغطية خطة المزايا الصحية"
}
]
},
{
"code" : "18",
"display" : "Major Medical",
"definition" : "Major Medical.",
"designation" : [
{
"language" : "ar",
"value" : "تخصص طبي"
}
]
},
{
"code" : "10",
"display" : "Endodontics",
"definition" : "Endodontics.",
"designation" : [
{
"language" : "ar",
"value" : "علاج جذور الأسنان"
}
]
},
{
"code" : "12",
"display" : "Adjunctive Dental Services",
"definition" : "Adjunctive Dental Services.",
"designation" : [
{
"language" : "ar",
"value" : "خدمات طب الأسنان المساعدة"
}
]
},
{
"code" : "24",
"display" : "Renal Dialysis",
"definition" : "Renal dialysis.",
"designation" : [
{
"language" : "ar",
"value" : "غسيل كلوي"
}
]
},
{
"code" : "16",
"display" : "Dental Accident",
"definition" : "Dental Accident.",
"designation" : [
{
"language" : "ar",
"value" : "حادثة بالأسنان"
}
]
},
{
"code" : "11",
"display" : "Maxillofacial Prosthetics",
"definition" : "Maxillofacial Prosthetics.",
"designation" : [
{
"language" : "ar",
"value" : "الأطراف الاصطناعية للوجه والفكين"
}
]
},
{
"code" : "23",
"display" : "Maternity",
"definition" : "Maternity.",
"designation" : [
{
"language" : "ar",
"value" : "أمومة"
}
]
},
{
"code" : "22",
"display" : "Donor Procedures",
"definition" : "Donor Procedures such as organ harvest.",
"designation" : [
{
"language" : "ar",
"value" : "عمليات التبرع بالأعضاء"
}
]
},
{
"code" : "20",
"display" : "In-vitro Fertilization",
"definition" : "In-vitro Fertilization.",
"designation" : [
{
"language" : "ar",
"value" : "تلقيح اصطناعي"
}
]
},
{
"code" : "7",
"display" : "Diagnostic Dental",
"definition" : "Diagnostic Dental.",
"designation" : [
{
"language" : "ar",
"value" : "تشخيصي-أسنان"
}
]
},
{
"code" : "6",
"display" : "Renal Supplies",
"definition" : "Renal Supplies excluding Dialysis.",
"designation" : [
{
"language" : "ar",
"value" : "مستلزمات للكلي باستثناء الغسيل الكلوي"
}
]
},
{
"code" : "1",
"display" : "Medical Care",
"definition" : "Medical Care.",
"designation" : [
{
"language" : "ar",
"value" : "رعاية طبية"
}
]
},
{
"code" : "26",
"display" : "Dental Coverage",
"definition" : "Dental Coverage.",
"designation" : [
{
"language" : "ar",
"value" : "تغطية أسنان"
}
]
},
{
"code" : "21",
"display" : "MRI Scan",
"definition" : "MRI Scan.",
"designation" : [
{
"language" : "ar",
"value" : "فحص بالرنين المغناطيسي"
}
]
},
{
"code" : "8",
"display" : "Periodontics",
"definition" : "Periodontics.",
"designation" : [
{
"language" : "ar",
"value" : "علاج اللثة"
}
]
},
{
"code" : "30",
"display" : "OP Medical",
"definition" : "OP Medical",
"designation" : [
{
"language" : "ar",
"value" : "طبي-مريض خارجي (عيادات خارجية)"
}
]
},
{
"code" : "31",
"display" : "Max Copay",
"definition" : "Max Copay",
"designation" : [
{
"language" : "ar",
"value" : "الحد الأقصى للمشاركة المالية"
}
]
},
{
"code" : "29",
"display" : "Mental Health",
"definition" : "Mental Health",
"designation" : [
{
"language" : "ar",
"value" : "صحة نفسية"
}
]
},
{
"code" : "40",
"display" : "Ear Piercing of female newborn",
"definition" : "Ear Piercing of female newborn",
"designation" : [
{
"language" : "ar",
"value" : "ثقب أذن الرضيعة الأنثي"
}
]
},
{
"code" : "39",
"display" : "Circumcision of male newborn",
"definition" : "Circumcision of male newborn",
"designation" : [
{
"language" : "ar",
"value" : "ختان الرضيع الذكر"
}
]
},
{
"code" : "55",
"display" : "Rehabilitation",
"definition" : "Rehabilitation",
"designation" : [
{
"language" : "ar",
"value" : "إعادة التأهيل"
}
]
},
{
"code" : "48",
"display" : "Acquired valvular heart disease",
"definition" : "Acquired valvular heart disease",
"designation" : [
{
"language" : "ar",
"value" : "مرض الصمامات القلبية المكتسب"
}
]
},
{
"code" : "56",
"display" : "Pharmacy",
"definition" : "Pharmacy",
"designation" : [
{
"language" : "ar",
"value" : "تغطية الأدوية"
}
]
},
{
"code" : "35",
"display" : "Alzheimer's Disease",
"definition" : "Alzheimer's Disease",
"designation" : [
{
"language" : "ar",
"value" : "مرض الزهايمر"
}
]
},
{
"code" : "44",
"display" : "Outpatient Treatment expenses-for hospital out of the minimum unified network",
"definition" : "Outpatient Treatment expenses-for hospital out of the minimum unified network",
"designation" : [
{
"language" : "ar",
"value" : "نفقات علاج المريض الخارجي للمستشفى-خارج الشبكة الموحدة الدنيا للمستشفيات"
}
]
},
{
"code" : "49",
"display" : "Autism Management",
"definition" : "Autism Management",
"designation" : [
{
"language" : "ar",
"value" : "التدبير العلاجي لمرض التوحد"
}
]
},
{
"code" : "41",
"display" : "Dental Prosthesis",
"definition" : "Dental Prosthesis",
"designation" : [
{
"language" : "ar",
"value" : "الاصطناعيات الخاصة بالأسنان"
}
]
},
{
"code" : "54",
"display" : "Long term care",
"definition" : "Long term care",
"designation" : [
{
"language" : "ar",
"value" : "رعاية المدى الطويل"
}
]
},
{
"code" : "45",
"display" : "Outpatient Treatment expenses-for non-hospital out of the minimum unified network",
"definition" : "Outpatient Treatment expenses-for non-hospital out of the minimum unified network",
"designation" : [
{
"language" : "ar",
"value" : "نفقات علاج المريض الخارجي-خارج الشبكة الموحدة الدنيا لغير المستشفيات"
}
]
},
{
"code" : "34",
"display" : "Chronic Psychiatric Cases",
"definition" : "Chronic Psychiatric Cases",
"designation" : [
{
"language" : "ar",
"value" : "الحالات النفسية المزمنة"
}
]
},
{
"code" : "50",
"display" : "Disability Compensations",
"definition" : "Disability Compensations",
"designation" : [
{
"language" : "ar",
"value" : "التعويضات الخاصة بالإعاقة"
}
]
},
{
"code" : "52",
"display" : "Newborn Screening Programs for Hearing Impairment & critical congenital heart disease",
"definition" : "Newborn Screening Programs for Hearing Impairment & critical congenital heart disease",
"designation" : [
{
"language" : "ar",
"value" : "برامج فحص المواليد الخاصة بالسمع والأمراض القلبية الخلقية"
}
]
},
{
"code" : "36",
"display" : "Infertility & Related Procedures",
"definition" : "Infertility & Related Procedures",
"designation" : [
{
"language" : "ar",
"value" : "علاج العقم والإجراءات التابعة له"
}
]
},
{
"code" : "46",
"display" : "Companion Room and Board",
"definition" : "Companion Room and Board",
"designation" : [
{
"language" : "ar",
"value" : "غرفة مع تكاليف إقامة بالمستشفي للمرافق"
}
]
},
{
"code" : "42",
"display" : "Vision Surgery",
"definition" : "Vision Surgery",
"designation" : [
{
"language" : "ar",
"value" : "جراحات تصحيح النظر"
}
]
},
{
"code" : "47",
"display" : "Repatriation of Mortal Remains",
"definition" : "Repatriation of Mortal Remains",
"designation" : [
{
"language" : "ar",
"value" : "إعادة الجثامين إلى البلد الام"
}
]
},
{
"code" : "51",
"display" : "Obesity Surgery",
"definition" : "Obesity Surgery",
"designation" : [
{
"language" : "ar",
"value" : "جراحات السمنة"
}
]
},
{
"code" : "37",
"display" : "Orthodontic Treatment",
"definition" : "Orthodontic Treatment",
"designation" : [
{
"language" : "ar",
"value" : "علاج تقويم الأسنان"
}
]
},
{
"code" : "53",
"display" : "Home Healthcare",
"definition" : "Home Healthcare",
"designation" : [
{
"language" : "ar",
"value" : "رعاية طبية منزلية"
}
]
},
{
"code" : "32",
"display" : "Medical Equipment",
"definition" : "Medical Equipment",
"designation" : [
{
"language" : "ar",
"value" : "أجهزة طبية"
}
]
},
{
"code" : "43",
"display" : "Outpatient Treatment expenses-within minimum unified network",
"definition" : "Outpatient Treatment expenses-within minimum unified network",
"designation" : [
{
"language" : "ar",
"value" : "نفقات علاج المريض الخارجي-داخل الشبكة الموحدة الدنيا"
}
]
},
{
"code" : "33",
"display" : "Acute Psychiatric Cases",
"definition" : "Acute Psychiatric Cases",
"designation" : [
{
"language" : "ar",
"value" : "الحالات النفسية الحادة"
}
]
},
{
"code" : "38",
"display" : "Check ups",
"definition" : "Check ups",
"designation" : [
{
"language" : "ar",
"value" : "فحوصات"
}
]
},
{
"code" : "62",
"display" : "Basic Homecare coverage",
"definition" : "Basic Homecare coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية أساسية للرعاية المنزلية"
}
]
},
{
"code" : "64",
"display" : "Hip and Knee Replacement",
"definition" : "Hip and Knee Replacement",
"designation" : [
{
"language" : "ar",
"value" : "استبدال الورك والركبة"
}
]
},
{
"code" : "67",
"display" : "Outpatient Treatment expenses - Primary clinic",
"definition" : "Outpatient Treatment expenses - Primary clinic",
"designation" : [
{
"language" : "ar",
"value" : "نفقات علاج مريض خارجي-عيادة أولية"
}
]
},
{
"code" : "79",
"display" : "Genetic diseases",
"definition" : "Genetic diseases",
"designation" : [
{
"language" : "ar",
"value" : "الأمراض الوراثية/الجينية"
}
]
},
{
"code" : "74",
"display" : "Complications arising from treatment of a covered benefit",
"definition" : "Complications arising from treatment of a covered benefit",
"designation" : [
{
"language" : "ar",
"value" : "المضاعفات الناشئة عن علاج المزايا المغطاة"
}
]
},
{
"code" : "80",
"display" : "Inpatient Medical Coverage",
"definition" : "Inpatient Medical Coverage",
"designation" : [
{
"language" : "ar",
"value" : "التغطية الطبية للمرضى الداخليين"
}
]
},
{
"code" : "82",
"display" : "Maternity Complications Coverage",
"definition" : "Maternity Complications Coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية مضاعفات الأمومة/الولادة"
}
]
},
{
"code" : "77",
"display" : "Delivery of premature babies",
"definition" : "Delivery of premature babies",
"designation" : [
{
"language" : "ar",
"value" : "ولادة الأطفال المبتسرين"
}
]
},
{
"code" : "65",
"display" : "Impairment medical management",
"definition" : "Impairment medical management",
"designation" : [
{
"language" : "ar",
"value" : "التحكم الطبي للإعاقة"
}
]
},
{
"code" : "71",
"display" : "Psychiatry coverage",
"definition" : "Psychiatry coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية الطب النفسي"
}
]
},
{
"code" : "60",
"display" : "Advanced Obesity Medical Management",
"definition" : "Advanced Obesity Medical Management",
"designation" : [
{
"language" : "ar",
"value" : "تغطية متقدمة للتحكم الطبي للسمنة"
}
]
},
{
"code" : "68",
"display" : "Outpatient Treatment expenses - specialized clinic with referral",
"definition" : "Outpatient Treatment expenses - specialized clinic with referral",
"designation" : [
{
"language" : "ar",
"value" : "نفقات علاج مريض خارجي-عيادة متخصصة من خلال تحويل"
}
]
},
{
"code" : "84",
"display" : "Telemedicine",
"definition" : "Telemedicine",
"designation" : [
{
"language" : "ar",
"value" : "التطبيب عن بعد عبر الهاتف"
}
]
},
{
"code" : "58",
"display" : "Advanced Dental Coverage",
"definition" : "Advanced Dental Coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية أسنان متقدمه شاملة علاج جذور الاسنان"
}
]
},
{
"code" : "61",
"display" : "Basic and Preventive Dental Coverage",
"definition" : "Basic and Preventive Dental Coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية أسنان أساسية ووقائية"
}
]
},
{
"code" : "69",
"display" : "Outpatient Treatment expenses - specialized clinic without referral",
"definition" : "Outpatient Treatment expenses - specialized clinic without referral",
"designation" : [
{
"language" : "ar",
"value" : "نفقات علاج مريض خارجي-عيادة متخصصة بدون تحويل"
}
]
},
{
"code" : "72",
"display" : "Renal transplant",
"definition" : "Renal transplant",
"designation" : [
{
"language" : "ar",
"value" : "زراعة الكلى"
}
]
},
{
"code" : "75",
"display" : "Congenital anomalies",
"definition" : "Congenital anomalies",
"designation" : [
{
"language" : "ar",
"value" : "عيوب/تشوهات خلقية"
}
]
},
{
"code" : "78",
"display" : "Emergency Service coverage",
"definition" : "Emergency Service coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية خدمة الطوارئ"
}
]
},
{
"code" : "59",
"display" : "Advanced Homecare coverage",
"definition" : "Advanced Homecare coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية متقدمة للرعاية المنزلية"
}
]
},
{
"code" : "83",
"display" : "New-born coverage",
"definition" : "New-born coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية المواليد"
}
]
},
{
"code" : "63",
"display" : "Contraception Coverage (Birth Control)",
"definition" : "Contraception Coverage (Birth Control)",
"designation" : [
{
"language" : "ar",
"value" : "تغطية منع الحمل"
}
]
},
{
"code" : "66",
"display" : "OP Prescribed Generic and Invented Medicines - with no generic alternative available",
"definition" : "OP Prescribed Generic and Invented Medicines - with no generic alternative available",
"designation" : [
{
"language" : "ar",
"value" : "أدوية عامة و حديثة موصوفة للمريض الخارجي وليس لها بديل نوعي عام"
}
]
},
{
"code" : "73",
"display" : "Root canal dental coverage",
"definition" : "Root canal dental coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية جذور الأسنان"
}
]
},
{
"code" : "57",
"display" : "OP Prescribed Invented Medicines - with generic alternative",
"definition" : "OP Prescribed Invented Medicines - with generic alternative",
"designation" : [
{
"language" : "ar",
"value" : "أدوية أصلية للمريض ولها بديل نوعي"
}
]
},
{
"code" : "76",
"display" : "Costs of national program for the early examination of newborn to limit impairment",
"definition" : "Costs of national program for the early examination of newborn to limit impairment",
"designation" : [
{
"language" : "ar",
"value" : "تكاليف البرنامج المحلي للكشف المبكر للمواليد للحد من الإعاقة"
}
]
},
{
"code" : "70",
"display" : "Pediatric vision coverage",
"definition" : "Pediatric vision coverage",
"designation" : [
{
"language" : "ar",
"value" : "تغطية نظر أطفال"
}
]
},
{
"code" : "81",
"display" : "Life sustaining and interventions altering medical outcomes",
"definition" : "Life sustaining and interventions altering medical outcomes",
"designation" : [
{
"language" : "ar",
"value" : "الحفاظ على الحياة والتدخلات التي تغير النتائج الطبية"
}
]
}
]
}