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Source1

{
  "resourceType": "CodeSystem",
  "id": "cost-tier",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "claims"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "informative",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/insurance-card/CodeSystem/cost-tier",
  "version": "2.0.0",
  "name": "CostTierCS",
  "title": "Cost Tier Code System",
  "status": "draft",
  "experimental": true,
  "date": "2026-06-25T21:16:04+00:00",
  "publisher": "HL7 International / Payer/Provider Information Exchange Work Group",
  "contact": [
    {
      "name": "HL7 International / Payer/Provider Information Exchange Work Group",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/claims"
        },
        {
          "system": "email",
          "value": "pie@lists.HL7.org"
        }
      ]
    }
  ],
  "description": "Code system for cost-sharing tiers that distinguish multiple cost amounts for the same benefit and network status, based on provider designation or modality of care",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "content": "complete",
  "count": 3,
  "concept": [
    {
      "code": "value-choice",
      "display": "Value Choice Provider",
      "definition": "Cost sharing that applies when the service is delivered by a provider the plan has designated in its value or preferred-value tier"
    },
    {
      "code": "standard",
      "display": "Standard Provider",
      "definition": "Cost sharing that applies when the service is delivered by an in-network provider without a special designation"
    },
    {
      "code": "virtual",
      "display": "Virtual Visit",
      "definition": "Cost sharing that applies when the service is delivered virtually (telehealth modality) rather than in person"
    }
  ]
}