OID reference

ActHealthInsuranceTypeCode

2.16.840.1.113883.1.11.19857

Description

**Definition:** Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder),…

Full description and source information

Identification

Identifier and names

Parent
2.16.840.1.113883.1.11 (harmonizationValueSets)
Node code
19857
Node names
  • ActHealthInsuranceTypeCode
  • v3-ActHealthInsuranceTypeCode
Numeric OID
2.16.840.1.113883.1.11.19857
URN notation
urn:oid:2.16.840.1.113883.1.11.19857
ASN.1, OID-IRI and named path variants
ASN.1 notation

{2 16 840 1 113883 1 11 19857}

  • {joint-iso-itu-t(2) country(16) us(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-ActHealthInsuranceTypeCode(19857)}
  • {joint-iso-itu-t(2) country(16) us-joint(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-ActHealthInsuranceTypeCode(19857)}
  • {joint-iso-ccitt(2) country(16) us(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-ActHealthInsuranceTypeCode(19857)}
  • {joint-iso-ccitt(2) country(16) us-joint(840) organization(1) hl7(113883) internalHL7objects(1) harmonizationValueSets(11) v3-ActHealthInsuranceTypeCode(19857)}
OID-IRI notation
  • /2/16/840/1/113883/1/11/19857
  • /Country/840/1/113883/1/11/19857
  • /Joint-ISO-ITU-T/16/840/1/113883/1/11/19857
Named path variants
  • /joint-iso-itu-t/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/ActHealthInsuranceTypeCode
  • /joint-iso-itu-t/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/v3-ActHealthInsuranceTypeCode
  • /joint-iso-itu-t/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/ActHealthInsuranceTypeCode
  • /joint-iso-itu-t/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/v3-ActHealthInsuranceTypeCode
  • /joint-iso-itu-t/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/ActHealthInsuranceTypeCode
  • /joint-iso-itu-t/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/v3-ActHealthInsuranceTypeCode
  • /joint-iso-itu-t/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/ActHealthInsuranceTypeCode
  • /joint-iso-itu-t/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/v3-ActHealthInsuranceTypeCode
  • /joint-iso-ccitt/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/ActHealthInsuranceTypeCode
  • /joint-iso-ccitt/country/us/organization/hl7/internalHL7objects/harmonizationValueSets/v3-ActHealthInsuranceTypeCode
  • /joint-iso-ccitt/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/ActHealthInsuranceTypeCode
  • /joint-iso-ccitt/country/us/organization/HL7/internalHL7objects/harmonizationValueSets/v3-ActHealthInsuranceTypeCode
  • /joint-iso-ccitt/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/ActHealthInsuranceTypeCode
  • /joint-iso-ccitt/country/us-joint/organization/hl7/internalHL7objects/harmonizationValueSets/v3-ActHealthInsuranceTypeCode
  • /joint-iso-ccitt/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/ActHealthInsuranceTypeCode
  • /joint-iso-ccitt/country/us-joint/organization/HL7/internalHL7objects/harmonizationValueSets/v3-ActHealthInsuranceTypeCode

Meaning

Descriptions

1 unique

Identical descriptions are grouped. Different wording and device-specific notes are retained.

**Definition:** Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).

Sources for this description

HL7 Terminology

See 1 matching source record

Evidence

Source records

1 records

Matching descriptions are grouped; open a group to compare definitions and supporting files.

Records for description 1HL7 Terminology1 record · 1 source

Description 1

ActHealthInsuranceTypeCode, v3-ActHealthInsuranceTypeCode · activeHL7 Terminology1 source

Status in source: active.

Names: ActHealthInsuranceTypeCode, v3-ActHealthInsuranceTypeCode

Technical details
{
  "url": "http://terminology.hl7.org/ValueSet/v3-ActHealthInsuranceTypeCode",
  "date": "2014-03-26",
  "title": "ActHealthInsuranceTypeCode",
  "status": "active",
  "contact": [
    {
      "telecom": [
        {
          "value": "http://hl7.org",
          "system": "url"
        },
        {
          "value": "hq@HL7.org",
          "system": "email"
        }
      ]
    }
  ],
  "version": "3.0.0",
  "copyright": "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
  "publisher": "Health Level Seven International",
  "experimental": false,
  "resource_type": "ValueSet",
  "oid_identifier": {
    "value": "urn:oid:2.16.840.1.113883.1.11.19857",
    "system": "urn:ietf:rfc:3986"
  }
}

Registration

Registration authorities

First Registration Authority (inferred from ancestor 2.16.840.1.113883)

W. Ted Klein

Current Registration Authority (inferred from ancestor 2.16.840.1.113883.1.11)

Ted Klein

Siblings (1736)

OIDNameDirect childrenDescendantsDescription
2.16.840.1.113883.1.11.19815 DependentCoveredPartyRoleType, v3-DependentCoveredPartyRoleType00
2.16.840.1.113883.1.11.19816 ParticipationExposureparticipation, v3-ParticipationExposureparticipation00
2.16.840.1.113883.1.11.19818 ActClassPolicy, v3-ActClassPolicy00
2.16.840.1.113883.1.11.19819 IssueFilterCode, v3-IssueFilterCode00
2.16.840.1.113883.1.11.19820 XActBillableCode, v3-xActBillableCode00
2.16.840.1.113883.1.11.19821 ActBillableModifierCode, v3-ActBillableModifierCode00
2.16.840.1.113883.1.11.19822 XActOrderableOrBillable, v3-xActOrderableOrBillable00
2.16.840.1.113883.1.11.19823 ContentProcessingMode, v3-ContentProcessingMode00
2.16.840.1.113883.1.11.19824 ActClassGenomicObservation, v3-ActClassGenomicObservation00
2.16.840.1.113883.1.11.19825 XActRelationshipRelatedAuthorizations, v3-xActRelationshipRelatedAuthorizations00
2.16.840.1.113883.1.11.19826 ControlActNullificationReasonCode, v3-ControlActNullificationReasonCode00
2.16.840.1.113883.1.11.19830 ResponsibleParty, v3-ResponsibleParty00
2.16.840.1.113883.1.11.19831 PowerOfAttorney, v3-PowerOfAttorney00
2.16.840.1.113883.1.11.19832 ActClassExposure, v3-ActClassExposure00
2.16.840.1.113883.1.11.19833 TransmissionRelationshipTypeCode, v3-TransmissionRelationshipTypeCode00
2.16.840.1.113883.1.11.19835 ActMoodCriterion, v3-ActMoodCriterion00
2.16.840.1.113883.1.11.19838 ActTaskMicrobiologyResultsReviewCode, v3-ActTaskMicrobiologyResultsReviewCode00
2.16.840.1.113883.1.11.19839 ActTaskOrderEntryCode, v3-ActTaskOrderEntryCode00
2.16.840.1.113883.1.11.19840 ActTaskMedicationListReviewCode, v3-ActTaskMedicationListReviewCode00
2.16.840.1.113883.1.11.19841 ActTaskRiskAssessmentInstrumentCode, v3-ActTaskRiskAssessmentInstrumentCode00
2.16.840.1.113883.1.11.19842 ActTaskClinicalNoteReviewCode, v3-ActTaskClinicalNoteReviewCode00
2.16.840.1.113883.1.11.19843 ActTaskPatientInformationReviewCode, v3-ActTaskPatientInformationReviewCode00
2.16.840.1.113883.1.11.19844 ActTaskClinicalNoteEntryCode, v3-ActTaskClinicalNoteEntryCode00
2.16.840.1.113883.1.11.19845 ActTaskPatientDocumentationCode, v3-ActTaskPatientDocumentationCode00
2.16.840.1.113883.1.11.19846 ActTaskCode, v3-ActTaskCode00
2.16.840.1.113883.1.11.19853 PayorRoleType, v3-PayorRoleType00
2.16.840.1.113883.1.11.19855 ActCoverageTypeCode, v3-ActCoverageTypeCode00
2.16.840.1.113883.1.11.19856 ActInsuranceTypeCode, v3-ActInsuranceTypeCode00
2.16.840.1.113883.1.11.19858 ActProgramTypeCode, v3-ActProgramTypeCode00
2.16.840.1.113883.1.11.19859 AutomobileInsurancePolicy, v3-AutomobileInsurancePolicy00
2.16.840.1.113883.1.11.19860 ManagedCarePolicy, v3-ManagedCarePolicy00
2.16.840.1.113883.1.11.19861 LifeInsurancePolicy, v3-LifeInsurancePolicy00
2.16.840.1.113883.1.11.19862 PublicHealthcareProgram, v3-PublicHealthcareProgram00
2.16.840.1.113883.1.11.19863 DiseaseProgram, v3-DiseaseProgram00
2.16.840.1.113883.1.11.19864 SubsidizedHealthProgram, v3-SubsidizedHealthProgram00
2.16.840.1.113883.1.11.19866 HL7AccommodationCode, v3-HL7AccommodationCode00
2.16.840.1.113883.1.11.19867 XBillableProduct, v3-xBillableProduct00
2.16.840.1.113883.1.11.19868 BiotherapeuticNonPersonLivingSubjectRoleType, v3-BiotherapeuticNon-personLivingSubjectRoleType00
2.16.840.1.113883.1.11.19869 AssignedNonPersonLivingSubjectRoleType, v3-AssignedNonPersonLivingSubjectRoleType00
2.16.840.1.113883.1.11.19871 ActCoverageReason, v3-ActCoverageReason00
2.16.840.1.113883.1.11.19877 CoverageSponsorRoleType, v3-CoverageSponsorRoleType00
2.16.840.1.113883.1.11.19883 UNSPSC, v3-UNSPSC00
2.16.840.1.113883.1.11.19884 UPC, v3-UPC00
2.16.840.1.113883.1.11.19885 GTIN, v3-GTIN00
2.16.840.1.113883.1.11.19886 ActPolicyType, v3-ActPolicyType00
2.16.840.1.113883.1.11.19887 XActClassCareProvisionEncounter, v3-xActClassCareProvisionEncounter00
2.16.840.1.113883.1.11.19888 XActClassCareProvisionObservation, v3-xActClassCareProvisionObservation00
2.16.840.1.113883.1.11.19889 XActClassCareProvisionProcedure, v3-xActClassCareProvisionProcedure00
2.16.840.1.113883.1.11.19890 XActStatusActiveComplete, v3-xActStatusActiveComplete00
2.16.840.1.113883.1.11.19891 XActStatusActiveSuspended, v3-xActStatusActiveSuspended00