FHIR IG Statistics: CodeSystem/ndhm-claim-exclusion

Resources that use this resource

Resources that this resource uses

No resources found

Narrative

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

Source

{
  "resourceType": "CodeSystem",
  "id": "ndhm-claim-exclusion",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-claim-exclusion",
  "version": "6.5.0",
  "name": "ClaimExclusion",
  "title": "Claim Exclusion",
  "status": "draft",
  "experimental": false,
  "date": "2023-07-05",
  "publisher": "National Resource Center for EHR Standards",
  "contact": [
    {
      "name": "National Resource Center for EHR Standards",
      "telecom": [
        {
          "system": "url",
          "value": "https://nrces.in/"
        }
      ]
    }
  ],
  "description": "This CodeSystem comprises codes that describes excluded coverage within a health insurance product.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "IN",
          "display": "India"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "content": "complete",
  "count": 24,
  "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"
    }
  ]
}