Claim Response SubType

Usage: ClaimResponse.subType

Code System http://pharmacyeclaims.ca/FHIR/CodeSystem/claim-response-subType


Value Set http://pharmacyeclaims.ca/FHIR/ValueSet/claim-response-subTyp

Conformance Rule: This will be used to convey the "type" of Claim/Claim Response in accordance with the Plan Type. Set value = "public" or "private" or "unknown".
Rationale: This value will be conveyed in downstream claim requests (eg secondary, tertiary), as part of the Prior Claim Response to assist in proper coordination of benefits. This will be mapped from prior claim responses

Code Description CPHA Field Length
public The plan type is public
private The plan type is private
patientAssistedCard The plan uses a patient Assisted Card
unknown The plan type is unknown, eg mapping from CPHA