LinuxForHealth FHIR Implementation Guide
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LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

: Payer Claim Type Codes - XML Representation

Active as of 2022-11-10

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="payer-claim-type"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>This code system <code>http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style="white-space:nowrap">absentee<a name="payer-claim-type-absentee"> </a></td><td>Absentee</td></tr><tr><td style="white-space:nowrap">adminfee<a name="payer-claim-type-adminfee"> </a></td><td>Administrative Fee</td></tr><tr><td style="white-space:nowrap">capitation<a name="payer-claim-type-capitation"> </a></td><td>Capitation Payment</td></tr><tr><td style="white-space:nowrap">eap<a name="payer-claim-type-eap"> </a></td><td>Employee Assistance (EAP)</td></tr><tr><td style="white-space:nowrap">emppremcont<a name="payer-claim-type-emppremcont"> </a></td><td>Employee Premium Contribution</td></tr><tr><td style="white-space:nowrap">financial<a name="payer-claim-type-financial"> </a></td><td>Financial information coming from the clinical data set</td></tr><tr><td style="white-space:nowrap">hearing<a name="payer-claim-type-hearing"> </a></td><td>Hearing</td></tr><tr><td style="white-space:nowrap">hra<a name="payer-claim-type-hra"> </a></td><td>Health Risk Appraisal (HRA)</td></tr><tr><td style="white-space:nowrap">lifeins<a name="payer-claim-type-lifeins"> </a></td><td>Life Insurance</td></tr><tr><td style="white-space:nowrap">institutional<a name="payer-claim-type-institutional"> </a></td><td>Institutional; Hospital, clinic and typically inpatient claims</td></tr><tr><td style="white-space:nowrap">ltd<a name="payer-claim-type-ltd"> </a></td><td>Long Term Disability (LTD)</td></tr><tr><td style="white-space:nowrap">medical<a name="payer-claim-type-medical"> </a></td><td>Medical claim; Institutional/Professional unknown</td></tr><tr><td style="white-space:nowrap">oral<a name="payer-claim-type-oral"> </a></td><td>Oral; Dental, Denture and Hygiene claims</td></tr><tr><td style="white-space:nowrap">pharmacy<a name="payer-claim-type-pharmacy"> </a></td><td>Pharmacy; Pharmacy claims for goods and services</td></tr><tr><td style="white-space:nowrap">premium<a name="payer-claim-type-premium"> </a></td><td>Premium Payment</td></tr><tr><td style="white-space:nowrap">premiuminc<a name="payer-claim-type-premiuminc"> </a></td><td>Premium Income (Revenue)</td></tr><tr><td style="white-space:nowrap">professional<a name="payer-claim-type-professional"> </a></td><td>Professional; Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting</td></tr><tr><td style="white-space:nowrap">std<a name="payer-claim-type-std"> </a></td><td>Short Term Disability (STD)</td></tr><tr><td style="white-space:nowrap">vision<a name="payer-claim-type-vision"> </a></td><td>Vision; Vision claims for professional services and products such as glasses and contact lenses</td></tr><tr><td style="white-space:nowrap">workercomp<a name="payer-claim-type-workercomp"> </a></td><td>Worker's Compensation</td></tr><tr><td style="white-space:nowrap">other<a name="payer-claim-type-other"> </a></td><td>Other</td></tr></table></div>
  </text>
  <url
       value="http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type"/>
  <version value="8.0.0"/>
  <name value="PayerClaimTypeCodeSystem"/>
  <title value="Payer Claim Type Codes"/>
  <status value="active"/>
  <date value="2022-11-10T16:00:46+00:00"/>
  <publisher value="LinuxForHealth Team"/>
  <description
               value="Payer codes for the coverage type under which the claim was paid"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="21"/>
  <concept>
    <code value="absentee"/>
    <display value="Absentee"/>
  </concept>
  <concept>
    <code value="adminfee"/>
    <display value="Administrative Fee"/>
  </concept>
  <concept>
    <code value="capitation"/>
    <display value="Capitation Payment"/>
  </concept>
  <concept>
    <code value="eap"/>
    <display value="Employee Assistance (EAP)"/>
  </concept>
  <concept>
    <code value="emppremcont"/>
    <display value="Employee Premium Contribution"/>
  </concept>
  <concept>
    <code value="financial"/>
    <display value="Financial information coming from the clinical data set"/>
  </concept>
  <concept>
    <code value="hearing"/>
    <display value="Hearing"/>
  </concept>
  <concept>
    <code value="hra"/>
    <display value="Health Risk Appraisal (HRA)"/>
  </concept>
  <concept>
    <code value="lifeins"/>
    <display value="Life Insurance"/>
  </concept>
  <concept>
    <code value="institutional"/>
    <display
             value="Institutional; Hospital, clinic and typically inpatient claims"/>
  </concept>
  <concept>
    <code value="ltd"/>
    <display value="Long Term Disability (LTD)"/>
  </concept>
  <concept>
    <code value="medical"/>
    <display value="Medical claim; Institutional/Professional unknown"/>
  </concept>
  <concept>
    <code value="oral"/>
    <display value="Oral; Dental, Denture and Hygiene claims"/>
  </concept>
  <concept>
    <code value="pharmacy"/>
    <display value="Pharmacy; Pharmacy claims for goods and services"/>
  </concept>
  <concept>
    <code value="premium"/>
    <display value="Premium Payment"/>
  </concept>
  <concept>
    <code value="premiuminc"/>
    <display value="Premium Income (Revenue)"/>
  </concept>
  <concept>
    <code value="professional"/>
    <display
             value="Professional; Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting"/>
  </concept>
  <concept>
    <code value="std"/>
    <display value="Short Term Disability (STD)"/>
  </concept>
  <concept>
    <code value="vision"/>
    <display
             value="Vision; Vision claims for professional services and products such as glasses and contact lenses"/>
  </concept>
  <concept>
    <code value="workercomp"/>
    <display value="Worker's Compensation"/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other"/>
  </concept>
</CodeSystem>