{
  "description": "This CodeSystem comprises codes that describes excluded coverage within a health insurance product.",
  "_filename": "CodeSystem-ndhm-claim-exclusion.json",
  "package_name": "ndhm.in",
  "date": "2023-07-05",
  "publisher": "National Resource Center for EHR Standards",
  "jurisdiction": [ {
    "coding": [ {
      "code": "IN",
      "system": "urn:iso:std:iso:3166",
      "display": "India"
    } ]
  } ],
  "content": "complete",
  "name": "ClaimExclusion",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "Claim Exclusion",
  "package_version": "6.5.0",
  "status": "draft",
  "id": "dffda8b3-d7ff-48fd-9212-52769782b362",
  "kind": null,
  "count": 24,
  "url": "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-claim-exclusion",
  "concept": [ {
    "code": "Excl01",
    "display": "Pre-Existing Diseases"
  }, {
    "code": "Excl02",
    "display": "Specified disease/procedure waiting period"
  }, {
    "code": "Excl03",
    "display": "30-day waiting period"
  }, {
    "code": "Excl04",
    "display": "Investigation Evaluation"
  }, {
    "code": "Excl05",
    "display": "Rest Cure,Rehabilitation and Respite Care"
  }, {
    "code": "Excl06",
    "display": "Obesity/Weight Control"
  }, {
    "code": "Excl07",
    "display": "Change-of-Gender treatments"
  }, {
    "code": "Excl08",
    "display": "Cosmetic or plastic Surgery"
  }, {
    "code": "Excl09",
    "display": "Hazardous or Adventure sports"
  }, {
    "code": "Excl10",
    "display": "Breach of law"
  }, {
    "code": "Excl11",
    "display": "Excluded Providers"
  }, {
    "code": "Excl12",
    "display": "Rehabilitation"
  }, {
    "code": "Excl13",
    "display": "Hydrotherapy"
  }, {
    "code": "Excl14",
    "display": "Non-prescription"
  }, {
    "code": "Excl15",
    "display": "Refractive Error"
  }, {
    "code": "Excl16",
    "display": "Unproven Treatments"
  }, {
    "code": "Excl17",
    "display": "Sterility and Infertility"
  }, {
    "code": "Excl18",
    "display": "Maternity Expenses"
  }, {
    "code": "IIB13",
    "display": "Fraudulent Claim"
  }, {
    "code": "IIB14",
    "display": "Sum insured exhausted"
  }, {
    "code": "IIB15",
    "display": "Withdrawal by the Insured"
  }, {
    "code": "IIB16",
    "display": "Suppression of Material Information"
  }, {
    "code": "IIB17",
    "display": "Waiting Period beyond 30 days"
  }, {
    "code": "IIB20",
    "display": "Not covered under the Terms and Conditions of the contract"
  } ],
  "caseSensitive": true,
  "version": "6.5.0",
  "contact": [ {
    "name": "National Resource Center for EHR Standards",
    "telecom": [ {
      "value": "https://nrces.in/",
      "system": "url"
    } ]
  } ]
}