Level/ Type | Code | Display Name | Code System | Code System Version | Designations | Description |
---|
0‑L | 1 | Medical Care | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Medical Care | Medical Care. |
0‑L | 2 | Surgical | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Surgical | Surgical. |
0‑L | 3 | Consultation | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Consultation | Consultation. |
0‑L | 4 | Diagnostic XRay | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Diagnostic XRay | Diagnostic XRay. |
0‑L | 5 | Diagnostic Lab | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Diagnostic Lab | Diagnostic Lab. |
0‑L | 14 | Renal Supplies | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Renal Supplies | Renal Supplies excluding Dialysis. |
0‑L | 23 | Diagnostic Dental | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Diagnostic Dental | Diagnostic Dental. |
0‑L | 24 | Periodontics | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Periodontics | Periodontics. |
0‑L | 25 | Restorative | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Restorative | Restorative. |
0‑L | 26 | Endodontics | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Endodontics | Endodontics. |
0‑L | 27 | Maxillofacial Prosthetics | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Maxillofacial Prosthetics | Maxillofacial Prosthetics. |
0‑L | 28 | Adjunctive Dental Services | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Adjunctive Dental Services | Adjunctive Dental Services. |
0‑L | 30 | Health Benefit Plan Coverage | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Health Benefit Plan Coverage | Health Benefit Plan Coverage. |
0‑L | 35 | Dental Care | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Dental Care | Dental Care. |
0‑L | 36 | Dental Crowns | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Dental Crowns | Dental Crowns. |
0‑L | 37 | Dental Accident | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Dental Accident | Dental Accident. |
0‑L | 49 | Hospital Room and Board | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Hospital Room and Board | Hospital Room and Board. |
0‑L | 55 | Major Medical | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Major Medical | Major Medical. |
0‑L | 56 | Medically Related Transportation | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Medically Related Transportation | Medically Related Transportation. |
0‑L | 61 | In-vitro Fertilization | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: In-vitro Fertilization | In-vitro Fertilization. |
0‑L | 62 | MRI Scan | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: MRI Scan | MRI Scan. |
0‑L | 63 | Donor Procedures | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Donor Procedures | Donor Procedures such as organ harvest. |
0‑L | 69 | Maternity | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Maternity | Maternity. |
0‑L | 76 | Renal Dialysis | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Renal Dialysis | Renal dialysis. |
0‑L | F1 | Medical Coverage | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Medical Coverage | Medical Coverage. |
0‑L | F3 | Dental Coverage | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Dental Coverage | Dental Coverage. |
0‑L | F4 | Hearing Coverage | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Hearing Coverage | Hearing Coverage. |
0‑L | F6 | Vision Coverage | Benefit Category Codes | 2019-10-30T00:00:00 | Preferred: Vision Coverage | Vision Coverage. |
|