Healthcare Financial Services IG Edition 1
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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

CodeSystem: Coverage Copay Type

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

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Cost category. This value set includes sample Coverage Copayment Type codes.

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

Generated Narrative: CodeSystem coverage-copay-type

version: 3; Last updated: 2024-08-15 11:54:20+0300

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

CodeDisplayDefinitionArabic (ar)
maxoutofpocket Maximum out of pocket The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually الحد الأقصى للمبلغ المدفوع من المريض
copay Copay Amount A standard fixed currency amount applied to all classes or service or product not otherwise specified. قيمة التحمل/المشاركة المالية
gpvisit GP Office Visit An office visit for a general practitioner of a discipline. زيارة للممارس العام
copaypct Copay Percentage A standard percentage applied to all classes or service or product not otherwise specified. النسبة المئوية للتحمل/المشاركة المالية
spvisit Specialist Office Visit An office visit for a specialist practitioner of a discipline زيارة للطبيب المتخصص
deductible Deductible The accumulated amount of patient payment before the coverage begins to pay for services. المستحق الذاتي/مستحق ما قبل التغطية
maxcopay maxcopay A maximum amout of payment for services which a patient is expected to incur per episode. أقصى قيمة تحمل/مشاركة مالية