LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
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/insurance-plan-benefit-type | Version: 8.0.0 | |||
| Active as of 2022-11-10 | Computable Name: InsurancePlanBenefitTypeValueSet | |||
The value set that indicates the specific types of costs (admin fees, premiums, etc.) that may be tied to a member based on their Insurance plan cost category
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type
This value set contains 6 concepts
Expansion based on Insurance Plan Benefit Type Codes v8.0.0 (CodeSystem)
| Code | System | Display | Definition |
| administrative-fee | http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type | Administrative Fee | Indicates the administrative fee for the component on the eligibility data |
| capitation-amount | http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type | Capitation Amount | Indicates the pre-paid amount, on the eligibility data, paid to plans or providers under risk-based managed care contracts |
| employee-contribution | http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type | Employee Contribution | Indicates the employee premium contribution for the component on the eligibility data |
| non-claim-payment | http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type | Non Claim Payment | Indicates the miscellaneous other non-claim payments on the eligibility data, not included in Administrative Fee, Capitation Amount, HMO Premium or Employee Contribution Amount |
| monthly-premium-billed | http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type | Monthly Premium Billed | Indicates the monthly premium billed for the component on the eligibility data |
| monthly-premium-paid | http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type | Monthly Premium Paid | Indicates the monthly premium paid for the component on the eligibility data |
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 |