Coverage Class Codes
draftContentcompleteURL
http://terminology.hl7.org/CodeSystem/coverage-classCopied!
Version1.0.0Copied!
Date2024-03-09T11:11:30-07:00PublisherHealth Level Seven InternationalDescriptionThis value set includes Coverage Class codes.
Concepts
Select a concept to view details
This case-sensitive code system http://terminology.hl7.org/CodeSystem/coverage-class defines the following codes:
{
"description" : "This value set includes Coverage Class codes.",
"date" : "2024-03-09T11:11:30-07:00",
"meta" : {
"lastUpdated" : "2020-04-09T21:10:28.568+00:00",
"profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ]
},
"publisher" : "Health Level Seven International",
"content" : "complete",
"property" : null,
"name" : "CoverageClassCodes",
"copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
"experimental" : false,
"resourceType" : "CodeSystem",
"title" : "Coverage Class Codes",
"extension" : [ {
"valueCode" : "fm",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
}, {
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 2
}, {
"extension" : [ {
"valueString" : "concept",
"url" : "path"
}, {
"url" : "count",
"valueInteger" : 11
} ],
"url" : "http://health-samurai.io/extensions/excised-data"
}, {
"url" : "http://health-samurai.io/extensions/source",
"valueCode" : "db"
} ],
"status" : "draft",
"id" : "8848b7af-183c-4ef1-9b2d-d115e2515d90",
"valueSet" : "http://terminology.hl7.org/ValueSet/coverage-class",
"url" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"identifier" : [ {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.1.1147"
} ],
"caseSensitive" : true,
"version" : "1.0.0",
"contact" : [ {
"telecom" : [ {
"system" : "url",
"value" : "http://hl7.org"
}, {
"system" : "email",
"value" : "hq@HL7.org"
} ]
} ],
"text" : {
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/coverage-class</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">group<a name=\"coverage-class-group\"> </a></td><td>Group</td><td>An employee group</td></tr><tr><td style=\"white-space:nowrap\">subgroup<a name=\"coverage-class-subgroup\"> </a></td><td>SubGroup</td><td>A sub-group of an employee group</td></tr><tr><td style=\"white-space:nowrap\">plan<a name=\"coverage-class-plan\"> </a></td><td>Plan</td><td>A specific suite of benefits.</td></tr><tr><td style=\"white-space:nowrap\">subplan<a name=\"coverage-class-subplan\"> </a></td><td>SubPlan</td><td>A subset of a specific suite of benefits.</td></tr><tr><td style=\"white-space:nowrap\">class<a name=\"coverage-class-class\"> </a></td><td>Class</td><td>A class of benefits.</td></tr><tr><td style=\"white-space:nowrap\">subclass<a name=\"coverage-class-subclass\"> </a></td><td>SubClass</td><td>A subset of a class of benefits.</td></tr><tr><td style=\"white-space:nowrap\">sequence<a name=\"coverage-class-sequence\"> </a></td><td>Sequence</td><td>A sequence number associated with a short-term continuance of the coverage.</td></tr><tr><td style=\"white-space:nowrap\">rxbin<a name=\"coverage-class-rxbin\"> </a></td><td>RX BIN</td><td>Pharmacy benefit manager's Business Identification Number.</td></tr><tr><td style=\"white-space:nowrap\">rxpcn<a name=\"coverage-class-rxpcn\"> </a></td><td>RX PCN</td><td>A Pharmacy Benefit Manager specified Processor Control Number.</td></tr><tr><td style=\"white-space:nowrap\">rxid<a name=\"coverage-class-rxid\"> </a></td><td>RX Id</td><td>A Pharmacy Benefit Manager specified Member ID.</td></tr><tr><td style=\"white-space:nowrap\">rxgroup<a name=\"coverage-class-rxgroup\"> </a></td><td>RX Group</td><td>A Pharmacy Benefit Manager specified Group number.</td></tr></table></div>",
"status" : "generated"
}
}