Healthcare Financial Services IG Edition 1
1.0.0 - STU
Healthcare Financial Services IG Edition 1
1.0.0 - STU
Healthcare Financial Services IG Edition 1 - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://nphies.sa/terminology/ValueSet/siteEligibility | Version: 1.0.0 | |||
| Active as of 2024-08-15 | Computable Name: SiteEligibility | |||
Copyright/Legal: nphies 2020+ ( https://nphies.sa ) |
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The valueset of codes used to convey Eligibility for services rendered at a specified service site.
References
version: 7; Last updated: 2024-08-15 14:37:44+0300
http://nphies.sa/terminology/CodeSystem/siteEligibility version 📦1.0.0
Expansion performed internally based on codesystem Site Eligibility v1.0.0 (CodeSystem)
This value set contains 8 concepts
| System | Code | Display (en) | JSON | XML |
http://nphies.sa/terminology/CodeSystem/siteEligibility | eligible | Eligible | ||
http://nphies.sa/terminology/CodeSystem/siteEligibility | not-active | Member's insurance policy is not active | ||
http://nphies.sa/terminology/CodeSystem/siteEligibility | not-covered | Policy does not cover the requested services | ||
http://nphies.sa/terminology/CodeSystem/siteEligibility | out-network | Provider outside member Network | ||
http://nphies.sa/terminology/CodeSystem/siteEligibility | provider-contract-suspended | Provider contract is suspended | ||
http://nphies.sa/terminology/CodeSystem/siteEligibility | coverage-suspended | Patient coverage is suspended | ||
http://nphies.sa/terminology/CodeSystem/siteEligibility | not-direct billing | Patient is not covered on direct billing basis | ||
http://nphies.sa/terminology/CodeSystem/siteEligibility | limit-exhausted | Patient policy/benefit limit is exhausted |
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 |