Healthcare Financial Services IG Edition 1
0.3.0 - ci-build
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: Claim Type Codes
| Official URL: http://nphies.sa/terminology/ValueSet/claim-type | Version: 0.3.0 | |||
| Active as of 2024-09-01 | Computable Name: ClaimTypeCodes | |||
Copyright/Legal: nphies 2020+ (https://nphies.sa) |
||||
Claim Type codes used to indicate the style of claim to support the requirements of different discipline such as: ‘institutional’, ‘pharmacy’, ‘oral’.
References
- Nphies Advanced Authorization
- Nphies Authorization (base)
- Nphies Claim (base)
- Nphies Claim Response
- Nphies Authorization Response
Logical Definition (CLD)
Generated Narrative: ValueSet claim-type
version: 8; Last updated: 2024-09-01 14:17:21+0300
- Include these codes as defined in
http://terminology.hl7.org/CodeSystem/claim-typeCode Display Definition institutional Institutional Hospital, clinic and typically inpatient claims. oral Dental Dental, Denture and Hygiene claims. pharmacy Pharmacy Pharmacy claims for goods and services. professional Professional Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting. vision Optical Vision claims for professional services and products such as glasses and contact lenses.
Expansion
ValueSet
Expansion performed internally based on codesystem Claim Type Codes v1.0.1 (CodeSystem)
This value set contains 5 concepts
| Code | System | Display (en-US) | Definition |
| institutional | http://terminology.hl7.org/CodeSystem/claim-type | Institutional | Hospital, clinic and typically inpatient claims. |
| oral | http://terminology.hl7.org/CodeSystem/claim-type | Dental | Dental, Denture and Hygiene claims. |
| pharmacy | http://terminology.hl7.org/CodeSystem/claim-type | Pharmacy | Pharmacy claims for goods and services. |
| professional | http://terminology.hl7.org/CodeSystem/claim-type | Professional | Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting. |
| vision | http://terminology.hl7.org/CodeSystem/claim-type | Optical | Vision claims for professional services and products such as glasses and contact lenses. |
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 |