{ "description": "Codes for qualifier of copay amount", "_filename": "CodeSystem-usdf-CopayOptionCS.json", "package_name": "hl7.fhir.us.davinci-drug-formulary", "date": "2021-12-03T18:37:11+00:00", "publisher": "HL7 Pharmacy Working Group", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "content": "complete", "name": "CopayOptionCS", "type": null, "experimental": null, "resourceType": "CodeSystem", "title": "Codes for qualifier of copay amount", "package_version": "1.2.0", "status": "active", "id": "0a680cbd-6c26-43ee-946d-6470cce8491e", "kind": null, "count": 7, "url": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS", "concept": [ { "code": "after-deductible", "display": "After Deductible", "definition": "The consumer first pays the deductible, and after the deductible is met, the consumer is responsible only for the copay (this indicates that this benefit is subject to the deductible)." }, { "code": "before-deductible", "display": "Before Deductible", "definition": "The consumer first pays the copay, and any net remaining allowed charges accrue to the deductible (this indicates that this benefit is subject to the deductible)." }, { "code": "no-charge", "display": "No Charge", "definition": "No cost sharing is charged (this indicates that this benefit is not subject to the deductible)." }, { "code": "no-charge-after-deductible", "display": "No Charge After Deductible", "definition": "The consumer first pays the deductible, and after the deductible is met, no copayment is charged (this indicates that this benefit is subject to the deductible)." }, { "code": "charge", "display": "Charge", "definition": "The consumer always pays just the copay and the issuer pays the remainder of allowed charges (this indicates that this benefit is not subject to the deductible)." }, { "code": "not-applicable", "display": "Not Applicable", "definition": "Deductible is not applicable: Zero-deductible cost sharing represented by a co-pay value of 'Not applicable' and co-insurance value of 'No charge'." }, { "code": "deductible-waived", "display": "Deductible Waived", "definition": "The consumer pays the copay with deductible requirement waived." } ], "caseSensitive": true, "version": "1.2.0", "contact": [ { "name": "HL7 Pharmacy Working Group", "telecom": [ { "value": "http://www.hl7.org/Special/committees/medication", "system": "url" }, { "value": "pharmacy@lists.HL7.org", "system": "email" } ] } ] }