caseSensitivecompositionalcontentcopyrightdatedescriptionexperimentalhierarchyMeaningjurisdiction
jurisdiction[0]namepublisherpurposestatustitleurlversion- Values Differ
versionNeeded| Error | CodeSystem.version | Values for version differ: '6.0.0' vs '6.5.0' |
| Name | Value | Comments | |
|---|---|---|---|
| caseSensitive | true | ||
| compositional | |||
| content | complete | ||
| copyright | |||
| date | 2023-07-05 | ||
| description | This CodeSystem comprises codes that describes excluded coverage within a health insurance product. | ||
| experimental | false | ||
| hierarchyMeaning | |||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#IN | ||
| name | ClaimExclusion | ||
| publisher | National Resource Center for EHR Standards | ||
| purpose | |||
| status | draft | ||
| title | Claim Exclusion | ||
| url | https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-claim-exclusion | ||
| version | 6.0.0 | 6.5.0 |
|
| versionNeeded | |||
| Code | Display | Comments | |
|---|---|---|---|
| Excl01 | Pre-Existing Diseases | ||
| Excl02 | Specified disease/procedure waiting period | ||
| Excl03 | 30-day waiting period | ||
| Excl04 | Investigation Evaluation | ||
| Excl05 | Rest Cure,Rehabilitation and Respite Care | ||
| Excl06 | Obesity/Weight Control | ||
| Excl07 | Change-of-Gender treatments | ||
| Excl08 | Cosmetic or plastic Surgery | ||
| Excl09 | Hazardous or Adventure sports | ||
| Excl10 | Breach of law | ||
| Excl11 | Excluded Providers | ||
| Excl12 | Rehabilitation | ||
| Excl13 | Hydrotherapy | ||
| Excl14 | Non-prescription | ||
| Excl15 | Refractive Error | ||
| Excl16 | Unproven Treatments | ||
| Excl17 | Sterility and Infertility | ||
| Excl18 | Maternity Expenses | ||
| IIB13 | Fraudulent Claim |
| |
| IIB14 | Sum insured exhausted |
| |
| IIB15 | Withdrawal by the Insured |
| |
| IIB16 | Suppression of Material Information |
| |
| IIB17 | Waiting Period beyond 30 days |
| |
| IIB20 | Not covered under the Terms and Conditions of the contract |
| |