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

ValueSet: Claim Type Value Set

Official URL: http://linuxforhealth.org/fhir/cdm/ValueSet/claim-type Version: 8.0.0
Active as of 2022-11-10 Computable Name: ClaimTypeValueSet

Value set for the coverage type under which the claim was paid

References

Logical Definition (CLD)

 

Expansion

This value set contains 21 concepts

Expansion based on Payer Claim Type Codes v8.0.0 (CodeSystem)

CodeSystemDisplay
  absenteehttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeAbsentee
  adminfeehttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeAdministrative Fee
  capitationhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeCapitation Payment
  eaphttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeEmployee Assistance (EAP)
  emppremconthttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeEmployee Premium Contribution
  financialhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeFinancial information coming from the clinical data set
  hearinghttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeHearing
  hrahttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeHealth Risk Appraisal (HRA)
  lifeinshttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeLife Insurance
  institutionalhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeInstitutional; Hospital, clinic and typically inpatient claims
  ltdhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeLong Term Disability (LTD)
  medicalhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeMedical claim; Institutional/Professional unknown
  oralhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeOral; Dental, Denture and Hygiene claims
  pharmacyhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typePharmacy; Pharmacy claims for goods and services
  premiumhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typePremium Payment
  premiuminchttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typePremium Income (Revenue)
  professionalhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeProfessional; Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting
  stdhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeShort Term Disability (STD)
  visionhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeVision; Vision claims for professional services and products such as glasses and contact lenses
  workercomphttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeWorker's Compensation
  otherhttp://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-typeOther

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