Healthcare Financial Services IG Edition 1
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CodeSystem: Benefit Type

Official URL: http://nphies.sa/terminology/CodeSystem/benefit-type Version: 0.3.0
Active as of 2025-06-23 Computable Name: BenefitType

Copyright/Legal: nphies 2020+ (https://nphies.sa)

A code to indicate the benefit classification.

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem benefit-type

version: 1; Last updated: 2020-11-11 17:23:47+0300

This case-sensitive code system http://nphies.sa/terminology/CodeSystem/benefit-type defines the following codes:

CodeDisplayDefinitionArabic (ar)
medical-primarycare Medical Primary Health Coverage Medical Primary Health Coverage رعاية طبية أولية
deductible Deductible Cost to be incurred before benefits are applied مستحق/خصم ماقبل التغطية
benefit Benefit Maximum benefit allowable منفعة تأمينية
visit Visit Service visit زيارة
room Room Type of room غرفة
copay Copayment per service Copayment per service تحمل/مشاركة مالية
vision-glasses Vision Glasses Frames and lenses نظارات طبية
vision-contacts Vision Contacts Coverage Contact Lenses عدسات لاصقة طبية
copay-percent Copayment Percent per service Copayment percentage per service النسبة المئوية للتحمل/مشاركة مالية
copay-maximum Copayment maximum per service Copayment maximum per service أقصى تحمل/مشاركة
vision-exam Vision Exam Vision Exam اختبار نظر-عيون
pharmacy-dispense Pharmacy Dispense Coverage Pharmacy Dispense Coverage صرف دواء-صيدلية
approval-limit Approval limit The service cost at which prior approval must be submitted الحد الأدنى لطلب الموافقة