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Resource CodeSystem/FHIR Server from package hl7.fhir.us.directory-attestation#current (47 ms)

Package hl7.fhir.us.directory-attestation
Type CodeSystem
Id Id
FHIR Version R4
Source http://hl7.org/fhir/us/directory-attestation/https://build.fhir.org/ig/HL7/fhir-directory-attestation/CodeSystem-InsuranceProductTypeCS.html
Url http://hl7.org/fhir/us/directory-attestation/CodeSystem/InsuranceProductTypeCS
Version 1.0.0-ballot
Status active
Date 2022-12-08T23:25:31+00:00
Name InsuranceProductTypeCS
Title Insurance Product Type Code System
Experimental False
Realm us
Authority hl7
Description A distinct package of health insurance coverage benefits that are offered using a particular product network type.
Content complete

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Narrative

Note: links and images are rebased to the (stated) source

This code system http://hl7.org/fhir/us/directory-attestation/CodeSystem/InsuranceProductTypeCS defines the following codes:

CodeDisplayDefinition
commppo Commercial PPOHealth insurance provided through a Preferred Provider Organization (PPO).
commhdhp Commercial HDHPHealth insurance provided through a High Deductible Health Plan (HDHP).
commpos Commercial POSHealth insurance provided through a Point-of-Service (POS) Plan.
commhmo Commercial HMOHealth insurance provided through a Health Maintenance Organization (HMO).
commepo Commercial EPOHealth insurance provided through a Exclusive Provider Organization(EPO).
medi MedicaidHealth insurance provided to eligible adults and children under the Federal Medicaid program
medihmo Medicaid HMOHealth insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO).
mediadv Medicare AdvantageHealth insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits.
mediadvhmo Medicare Advantage HMOHealth insurance offered by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits through a Health Maintenance Organization (HMO).
media Medicare Part AHealth insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
medib Medicare Part BHealth insurance provided under the Federal Medicfare program covering certain doctors' services, outpatient care, medical supplies, and preventive services.
medid Medicare Part DHealth insurance provided under the Federal Medicare program covering prescription drugs.
mediab Medicare A/BHealth insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, some home health care, certain doctors' services, outpatient care, medical supplies, and preventive services.
qhp Qualified Health PlanHealth insurance provided through and certified by the Health Insurance Marketplace that provides essential health benefits (EHBs), follows established limits on cost sharing, and meets other requirements outlined within the application process.
ihs Indian Health ServiceHealth care program provided to United States American Indians and Alaska Natives.
fep Federal Employee ProgramHealth insurance provided to employees of the Federal government.
tri TRICAREHealth care program provided to uniformed service members, retirees, and their families around the world.
va Veterans Affairs PlanHealth care program provided to eligible veterans.
dent Dental PlanHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity.
denthmo Dental HMOHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity provided through a Health Maintenance Organization (HMO).
vis Vision PlanHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes.
vishmo Vision HMOHealth insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes provided through a Health Maintenance Organization (HMO).

Source

{
  "resourceType" : "CodeSystem",
  "id" : "InsuranceProductTypeCS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://hl7.org/fhir/us/directory-attestation/CodeSystem/InsuranceProductTypeCS</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">commppo<a name=\"InsuranceProductTypeCS-commppo\"> </a></td><td>Commercial PPO</td><td>Health insurance provided through a Preferred Provider Organization (PPO).</td></tr><tr><td style=\"white-space:nowrap\">commhdhp<a name=\"InsuranceProductTypeCS-commhdhp\"> </a></td><td>Commercial HDHP</td><td>Health insurance provided through a High Deductible Health Plan (HDHP).</td></tr><tr><td style=\"white-space:nowrap\">commpos<a name=\"InsuranceProductTypeCS-commpos\"> </a></td><td>Commercial POS</td><td>Health insurance provided through a Point-of-Service (POS) Plan.</td></tr><tr><td style=\"white-space:nowrap\">commhmo<a name=\"InsuranceProductTypeCS-commhmo\"> </a></td><td>Commercial HMO</td><td>Health insurance provided through a Health Maintenance Organization (HMO).</td></tr><tr><td style=\"white-space:nowrap\">commepo<a name=\"InsuranceProductTypeCS-commepo\"> </a></td><td>Commercial EPO</td><td>Health insurance provided through a Exclusive Provider Organization(EPO).</td></tr><tr><td style=\"white-space:nowrap\">medi<a name=\"InsuranceProductTypeCS-medi\"> </a></td><td>Medicaid</td><td>Health insurance provided to eligible adults and children under the Federal Medicaid program</td></tr><tr><td style=\"white-space:nowrap\">medihmo<a name=\"InsuranceProductTypeCS-medihmo\"> </a></td><td>Medicaid HMO</td><td>Health insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO).</td></tr><tr><td style=\"white-space:nowrap\">mediadv<a name=\"InsuranceProductTypeCS-mediadv\"> </a></td><td>Medicare Advantage</td><td>Health insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits.</td></tr><tr><td style=\"white-space:nowrap\">mediadvhmo<a name=\"InsuranceProductTypeCS-mediadvhmo\"> </a></td><td>Medicare Advantage HMO</td><td>Health insurance offered by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits through a Health Maintenance Organization (HMO).</td></tr><tr><td style=\"white-space:nowrap\">media<a name=\"InsuranceProductTypeCS-media\"> </a></td><td>Medicare Part A</td><td>Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.</td></tr><tr><td style=\"white-space:nowrap\">medib<a name=\"InsuranceProductTypeCS-medib\"> </a></td><td>Medicare Part B</td><td>Health insurance provided under the Federal Medicfare program covering certain doctors' services, outpatient care, medical supplies, and preventive services.</td></tr><tr><td style=\"white-space:nowrap\">medid<a name=\"InsuranceProductTypeCS-medid\"> </a></td><td>Medicare Part D</td><td>Health insurance provided under the Federal Medicare program covering prescription drugs.</td></tr><tr><td style=\"white-space:nowrap\">mediab<a name=\"InsuranceProductTypeCS-mediab\"> </a></td><td>Medicare A/B</td><td>Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, some home health care, certain doctors' services, outpatient care, medical supplies, and preventive services.</td></tr><tr><td style=\"white-space:nowrap\">qhp<a name=\"InsuranceProductTypeCS-qhp\"> </a></td><td>Qualified Health Plan</td><td>Health insurance provided through and certified by the Health Insurance Marketplace that provides essential health benefits (EHBs), follows established limits on cost sharing, and meets other requirements outlined within the application process.</td></tr><tr><td style=\"white-space:nowrap\">ihs<a name=\"InsuranceProductTypeCS-ihs\"> </a></td><td>Indian Health Service</td><td>Health care program provided to United States American Indians and Alaska Natives.</td></tr><tr><td style=\"white-space:nowrap\">fep<a name=\"InsuranceProductTypeCS-fep\"> </a></td><td>Federal Employee Program</td><td>Health insurance provided to employees of the Federal government.</td></tr><tr><td style=\"white-space:nowrap\">tri<a name=\"InsuranceProductTypeCS-tri\"> </a></td><td>TRICARE</td><td>Health care program provided to uniformed service members, retirees, and their families around the world.</td></tr><tr><td style=\"white-space:nowrap\">va<a name=\"InsuranceProductTypeCS-va\"> </a></td><td>Veterans Affairs Plan</td><td>Health care program provided to eligible veterans.</td></tr><tr><td style=\"white-space:nowrap\">dent<a name=\"InsuranceProductTypeCS-dent\"> </a></td><td>Dental Plan</td><td>Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity.</td></tr><tr><td style=\"white-space:nowrap\">denthmo<a name=\"InsuranceProductTypeCS-denthmo\"> </a></td><td>Dental HMO</td><td>Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity provided through a Health Maintenance Organization (HMO).</td></tr><tr><td style=\"white-space:nowrap\">vis<a name=\"InsuranceProductTypeCS-vis\"> </a></td><td>Vision Plan</td><td>Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes.</td></tr><tr><td style=\"white-space:nowrap\">vishmo<a name=\"InsuranceProductTypeCS-vishmo\"> </a></td><td>Vision HMO</td><td>Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes provided through a Health Maintenance Organization (HMO).</td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/us/directory-attestation/CodeSystem/InsuranceProductTypeCS",
  "version" : "1.0.0-ballot",
  "name" : "InsuranceProductTypeCS",
  "title" : "Insurance Product Type Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2022-12-08T23:25:31+00:00",
  "publisher" : "HL7 Patient Administration Working Group",
  "contact" : [
    {
      "name" : "HL7 Patient Administration Working Group",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.hl7.org/Special/committees/pafm"
        },
        {
          "system" : "email",
          "value" : "pafm@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "A distinct package of health insurance coverage benefits that are offered using a particular product network type.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "caseSensitive" : false,
  "content" : "complete",
  "count" : 22,
  "concept" : [
    {
      "code" : "commppo",
      "display" : "Commercial PPO",
      "definition" : "Health insurance provided through a Preferred Provider Organization (PPO)."
    },
    {
      "code" : "commhdhp",
      "display" : "Commercial HDHP",
      "definition" : "Health insurance provided through a High Deductible Health Plan (HDHP)."
    },
    {
      "code" : "commpos",
      "display" : "Commercial POS",
      "definition" : "Health insurance provided through a Point-of-Service (POS) Plan."
    },
    {
      "code" : "commhmo",
      "display" : "Commercial HMO",
      "definition" : "Health insurance provided through a Health Maintenance Organization (HMO)."
    },
    {
      "code" : "commepo",
      "display" : "Commercial EPO",
      "definition" : "Health insurance provided through a Exclusive Provider Organization(EPO)."
    },
    {
      "code" : "medi",
      "display" : "Medicaid",
      "definition" : "Health insurance provided to eligible adults and children under the Federal Medicaid program"
    },
    {
      "code" : "medihmo",
      "display" : "Medicaid HMO",
      "definition" : "Health insurance provided to eligible adults and children under the Federal Medicaid program through a Health Maintenance Organization (HMO)."
    },
    {
      "code" : "mediadv",
      "display" : "Medicare Advantage",
      "definition" : "Health insurance provided by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits."
    },
    {
      "code" : "mediadvhmo",
      "display" : "Medicare Advantage HMO",
      "definition" : "Health insurance offered by a private company that contracts with Medicare to provide all Medicare Part A and Part B benefits through a Health Maintenance Organization (HMO)."
    },
    {
      "code" : "media",
      "display" : "Medicare Part A",
      "definition" : "Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care."
    },
    {
      "code" : "medib",
      "display" : "Medicare Part B",
      "definition" : "Health insurance provided under the Federal Medicfare program covering certain doctors' services, outpatient care, medical supplies, and preventive services."
    },
    {
      "code" : "medid",
      "display" : "Medicare Part D",
      "definition" : "Health insurance provided under the Federal Medicare program covering prescription drugs."
    },
    {
      "code" : "mediab",
      "display" : "Medicare A/B",
      "definition" : "Health insurance provided under the Federal Medicare program covering inpatient hospital stays, care in a skilled nursing facility, hospice care, some home health care, certain doctors' services, outpatient care, medical supplies, and preventive services."
    },
    {
      "code" : "qhp",
      "display" : "Qualified Health Plan",
      "definition" : "Health insurance provided through and certified by the Health Insurance Marketplace that provides essential health benefits (EHBs), follows established limits on cost sharing, and meets other requirements outlined within the application process."
    },
    {
      "code" : "ihs",
      "display" : "Indian Health Service",
      "definition" : "Health care program provided to United States American Indians and Alaska Natives."
    },
    {
      "code" : "fep",
      "display" : "Federal Employee Program",
      "definition" : "Health insurance provided to employees of the Federal government."
    },
    {
      "code" : "tri",
      "display" : "TRICARE",
      "definition" : "Health care program provided to uniformed service members, retirees, and their families around the world."
    },
    {
      "code" : "va",
      "display" : "Veterans Affairs Plan",
      "definition" : "Health care program provided to eligible veterans."
    },
    {
      "code" : "dent",
      "display" : "Dental Plan",
      "definition" : "Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity."
    },
    {
      "code" : "denthmo",
      "display" : "Dental HMO",
      "definition" : "Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the oral cavity provided through a Health Maintenance Organization (HMO)."
    },
    {
      "code" : "vis",
      "display" : "Vision Plan",
      "definition" : "Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes."
    },
    {
      "code" : "vishmo",
      "display" : "Vision HMO",
      "definition" : "Health insurance provided to cover services related to the study, diagnosis, prevention, and treatment of diseases, disorders, and conditions of the eyes provided through a Health Maintenance Organization (HMO)."
    }
  ]
}

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