LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
| 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
http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type
This value set contains 21 concepts
Expansion based on Payer Claim Type Codes v8.0.0 (CodeSystem)
| Code | System | Display |
| absentee | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Absentee |
| adminfee | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Administrative Fee |
| capitation | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Capitation Payment |
| eap | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Employee Assistance (EAP) |
| emppremcont | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Employee Premium Contribution |
| financial | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Financial information coming from the clinical data set |
| hearing | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Hearing |
| hra | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Health Risk Appraisal (HRA) |
| lifeins | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Life Insurance |
| institutional | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Institutional; Hospital, clinic and typically inpatient claims |
| ltd | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Long Term Disability (LTD) |
| medical | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Medical claim; Institutional/Professional unknown |
| oral | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Oral; Dental, Denture and Hygiene claims |
| pharmacy | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Pharmacy; Pharmacy claims for goods and services |
| premium | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Premium Payment |
| premiuminc | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Premium Income (Revenue) |
| professional | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Professional; Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting |
| std | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Short Term Disability (STD) |
| vision | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Vision; Vision claims for professional services and products such as glasses and contact lenses |
| workercomp | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Worker's Compensation |
| other | http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type | Other |
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 |