Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot Saudi Arabia flag

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

ValueSet: Benefit Type

Official URL: http://nphies.sa/terminology/ValueSet/benefit-type Version: 0.3.0
Active as of 2024-08-13 Computable Name: BenefitType

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

Codes identfying the type of benefit components such as: deductible, copay, visit.

References

Logical Definition (CLD)

version: 8; Last updated: 2024-08-13 11:05:08+0300

 

Expansion

Expansion performed internally based on codesystem Benefit Type v0.3.0 (CodeSystem)

This value set contains 13 concepts

CodeSystemDisplay (en-US)Definition
  medical-primarycarehttp://nphies.sa/terminology/CodeSystem/benefit-typeMedical Primary Health CoverageMedical Primary Health Coverage
  deductiblehttp://nphies.sa/terminology/CodeSystem/benefit-typeDeductibleCost to be incurred before benefits are applied
  benefithttp://nphies.sa/terminology/CodeSystem/benefit-typeBenefitMaximum benefit allowable
  visithttp://nphies.sa/terminology/CodeSystem/benefit-typeVisitService visit
  roomhttp://nphies.sa/terminology/CodeSystem/benefit-typeRoomType of room
  copayhttp://nphies.sa/terminology/CodeSystem/benefit-typeCopayment per serviceCopayment per service
  vision-glasseshttp://nphies.sa/terminology/CodeSystem/benefit-typeVision GlassesFrames and lenses
  vision-contactshttp://nphies.sa/terminology/CodeSystem/benefit-typeVision Contacts CoverageContact Lenses
  copay-percenthttp://nphies.sa/terminology/CodeSystem/benefit-typeCopayment Percent per serviceCopayment percentage per service
  copay-maximumhttp://nphies.sa/terminology/CodeSystem/benefit-typeCopayment maximum per serviceCopayment maximum per service
  vision-examhttp://nphies.sa/terminology/CodeSystem/benefit-typeVision ExamVision Exam
  pharmacy-dispensehttp://nphies.sa/terminology/CodeSystem/benefit-typePharmacy Dispense CoveragePharmacy Dispense Coverage
  approval-limithttp://nphies.sa/terminology/CodeSystem/benefit-typeApproval limitThe service cost at which prior approval must be submitted

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