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

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)

Generated Narrative: ValueSet benefit-type

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

 

Expansion

ValueSet

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 Coverage

Medical Primary Health Coverage

  deductiblehttp://nphies.sa/terminology/CodeSystem/benefit-typeDeductible

Cost to be incurred before benefits are applied

  benefithttp://nphies.sa/terminology/CodeSystem/benefit-typeBenefit

Maximum benefit allowable

  visithttp://nphies.sa/terminology/CodeSystem/benefit-typeVisit

Service visit

  roomhttp://nphies.sa/terminology/CodeSystem/benefit-typeRoom

Type of room

  copayhttp://nphies.sa/terminology/CodeSystem/benefit-typeCopayment per service

Copayment per service

  vision-glasseshttp://nphies.sa/terminology/CodeSystem/benefit-typeVision Glasses

Frames and lenses

  vision-contactshttp://nphies.sa/terminology/CodeSystem/benefit-typeVision Contacts Coverage

Contact Lenses

  copay-percenthttp://nphies.sa/terminology/CodeSystem/benefit-typeCopayment Percent per service

Copayment percentage per service

  copay-maximumhttp://nphies.sa/terminology/CodeSystem/benefit-typeCopayment maximum per service

Copayment maximum per service

  vision-examhttp://nphies.sa/terminology/CodeSystem/benefit-typeVision Exam

Vision Exam

  pharmacy-dispensehttp://nphies.sa/terminology/CodeSystem/benefit-typePharmacy Dispense Coverage

Pharmacy Dispense Coverage

  approval-limithttp://nphies.sa/terminology/CodeSystem/benefit-typeApproval limit

The 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