Coverage Copay Type Codes
draftContentcompleteURL
http://terminology.hl7.org/CodeSystem/coverage-copay-typeCopied!
Version0.1.0Copied!
Date2022-02-23T19:42:18-07:00PublisherFinancial ManagementDescriptionThis value set includes sample Coverage Copayment Type codes.
Concepts
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This code system http://terminology.hl7.org/CodeSystem/coverage-copay-type defines the following codes:
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://terminology.hl7.org/CodeSystem/coverage-copay-type 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\">gpvisit<a name=\"coverage-copay-type-gpvisit\"> </a></td><td>GP Office Visit</td><td>An office visit for a general practitioner of a discipline.</td></tr><tr><td style=\"white-space:nowrap\">spvisit<a name=\"coverage-copay-type-spvisit\"> </a></td><td>Specialist Office Visit</td><td>An office visit for a specialist practitioner of a discipline</td></tr><tr><td style=\"white-space:nowrap\">emergency<a name=\"coverage-copay-type-emergency\"> </a></td><td>Emergency</td><td>An episode in an emergency department.</td></tr><tr><td style=\"white-space:nowrap\">inpthosp<a name=\"coverage-copay-type-inpthosp\"> </a></td><td>Inpatient Hospital</td><td>An episode of an Inpatient hospital stay.</td></tr><tr><td style=\"white-space:nowrap\">televisit<a name=\"coverage-copay-type-televisit\"> </a></td><td>Tele-visit</td><td>A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.</td></tr><tr><td style=\"white-space:nowrap\">urgentcare<a name=\"coverage-copay-type-urgentcare\"> </a></td><td>Urgent Care</td><td>A visit to an urgent care facility - typically a community care clinic.</td></tr><tr><td style=\"white-space:nowrap\">copaypct<a name=\"coverage-copay-type-copaypct\"> </a></td><td>Copay Percentage</td><td>A standard percentage applied to all classes or service or product not otherwise specified.</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"coverage-copay-type-copay\"> </a></td><td>Copay Amount</td><td>A standard fixed currency amount applied to all classes or service or product not otherwise specified.</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"coverage-copay-type-deductible\"> </a></td><td>Deductible</td><td>The accumulated amount of patient payment before the coverage begins to pay for services.</td></tr><tr><td style=\"white-space:nowrap\">maxoutofpocket<a name=\"coverage-copay-type-maxoutofpocket\"> </a></td><td>Maximum out of pocket</td><td>The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.</td></tr></table></div>",
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