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Packagehl7.fhir.uv.xver-r4b.r4.r4b
Resource TypeCodeSystem
IdCodeSystem-claim-type.json
FHIR VersionR4B

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Narrative

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

This code system http://terminology.hl7.org/CodeSystem/claim-type defines the following codes:

Code Display Definition
institutional Institutional Hospital, clinic and typically inpatient claims.
oral Oral Dental, Denture and Hygiene claims.
pharmacy Pharmacy Pharmacy claims for goods and services.
professional Professional Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
vision Vision Vision claims for professional services and products such as glasses and contact lenses.

Source1

{
  "resourceType": "CodeSystem",
  "id": "claim-type",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4b.r4"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/claim-type",
  "version": "4.3.0",
  "name": "ClaimTypeCodes",
  "title": "Claim Type Codes",
  "status": "draft",
  "experimental": false,
  "date": "2025-09-13T16:38:45-04:00",
  "publisher": "Financial Management",
  "contact": [
    {
      "name": "Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "This value set includes Claim Type codes.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "copyright": "HL7 Inc.",
  "caseSensitive": true,
  "content": "complete",
  "concept": [
    {
      "code": "institutional",
      "display": "Institutional",
      "definition": "Hospital, clinic and typically inpatient claims."
    },
    {
      "code": "oral",
      "display": "Oral",
      "definition": "Dental, Denture and Hygiene claims."
    },
    {
      "code": "pharmacy",
      "display": "Pharmacy",
      "definition": "Pharmacy claims for goods and services."
    },
    {
      "code": "professional",
      "display": "Professional",
      "definition": "Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting."
    },
    {
      "code": "vision",
      "display": "Vision",
      "definition": "Vision claims for professional services and products such as glasses and contact lenses."
    }
  ]
}