{
"description": "This value set includes a smattering of Benefit type codes.",
"_filename": "CodeSystem-benefit-type.json",
"package_name": "hl7.terminology.r4",
"date": "2025-07-07T07:35:25-06:00",
"meta": {
"profile": [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
"lastUpdated": "2024-04-24T00:00:00+00:00"
},
"publisher": "Health Level Seven International",
"content": "complete",
"name": "BenefitTypeCodes",
"copyright": "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "Benefit Type Codes",
"package_version": "6.5.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
} ],
"status": "active",
"id": "0cb45d87-228f-428c-9f13-8086caf4f074",
"valueSet": "http://terminology.hl7.org/ValueSet/benefit-type",
"kind": null,
"url": "http://terminology.hl7.org/CodeSystem/benefit-type",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.1.1176",
"system": "urn:ietf:rfc:3986"
} ],
"concept": [ {
"code": "benefit",
"display": "Benefit",
"definition": "Maximum benefit allowable."
}, {
"code": "deductible",
"display": "Deductible",
"definition": "Cost to be incurred before benefits are applied"
}, {
"code": "visit",
"display": "Visit",
"definition": "Service visit"
}, {
"code": "room",
"display": "Room",
"definition": "Type of room"
}, {
"code": "copay",
"display": "Copayment per service",
"definition": "Copayment per service"
}, {
"code": "copay-percent",
"display": "Copayment Percent per service",
"definition": "Copayment percentage per service"
}, {
"code": "copay-maximum",
"display": "Copayment maximum per service",
"definition": "Copayment maximum per service"
}, {
"code": "vision-exam",
"display": "Vision Exam",
"definition": "Vision Exam"
}, {
"code": "vision-glasses",
"display": "Vision Glasses",
"definition": "Frames and lenses"
}, {
"code": "vision-contacts",
"display": "Vision Contacts Coverage",
"definition": "Contact Lenses"
}, {
"code": "medical-primarycare",
"display": "Medical Primary Health Coverage",
"definition": "Medical Primary Health Coverage"
}, {
"code": "pharmacy-dispense",
"display": "Pharmacy Dispense Coverage",
"definition": "Pharmacy Dispense Coverage"
} ],
"caseSensitive": true,
"version": "1.0.1",
"contact": [ {
"telecom": [ {
"value": "http://hl7.org",
"system": "url"
}, {
"value": "hq@HL7.org",
"system": "email"
} ]
} ]
}