haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2026-10-14 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="cms-marketplace-benefit-name"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem cms-marketplace-benefit-name</b></p><a name="cms-marketplace-benefit-name"> </a><a name="hccms-marketplace-benefit-name"> </a><p>This case-sensitive code system <code>https://haau3.com/fhir/CodeSystem/cms-marketplace-benefit-name</code> provides <b>a fragment</b> that includes following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td></tr><tr><td style="white-space:nowrap">Primary Care Visit to Treat an Injury or Illness<a name="cms-marketplace-benefit-name-PrimaryCareVisittoTreatanInjuryorIllness"> </a></td></tr><tr><td style="white-space:nowrap">Specialist Visit<a name="cms-marketplace-benefit-name-SpecialistVisit"> </a></td></tr><tr><td style="white-space:nowrap">Urgent Care Centers or Facilities<a name="cms-marketplace-benefit-name-UrgentCareCentersorFacilities"> </a></td></tr><tr><td style="white-space:nowrap">Emergency Room Services<a name="cms-marketplace-benefit-name-EmergencyRoomServices"> </a></td></tr><tr><td style="white-space:nowrap">Inpatient Hospital Services (e.g., Hospital Stay)<a name="cms-marketplace-benefit-name-InpatientHospitalServices.40e.46g.46.44HospitalStay.41"> </a></td></tr><tr><td style="white-space:nowrap">Outpatient Facility Fee (e.g., Ambulatory Surgery Center)<a name="cms-marketplace-benefit-name-OutpatientFacilityFee.40e.46g.46.44AmbulatorySurgeryCenter.41"> </a></td></tr><tr><td style="white-space:nowrap">Outpatient Surgery Physician/Surgical Services<a name="cms-marketplace-benefit-name-OutpatientSurgeryPhysician.47SurgicalServices"> </a></td></tr><tr><td style="white-space:nowrap">Laboratory Outpatient and Professional Services<a name="cms-marketplace-benefit-name-LaboratoryOutpatientandProfessionalServices"> </a></td></tr><tr><td style="white-space:nowrap">Imaging (CT/PET Scans, MRIs)<a name="cms-marketplace-benefit-name-Imaging.40CT.47PETScans.44MRIs.41"> </a></td></tr><tr><td style="white-space:nowrap">Rehabilitative Occupational and Rehabilitative Physical Therapy<a name="cms-marketplace-benefit-name-RehabilitativeOccupationalandRehabilitativePhysicalTherapy"> </a></td></tr><tr><td style="white-space:nowrap">Mental/Behavioral Health Outpatient Services<a name="cms-marketplace-benefit-name-Mental.47BehavioralHealthOutpatientServices"> </a></td></tr><tr><td style="white-space:nowrap">Emergency Transportation/Ambulance<a name="cms-marketplace-benefit-name-EmergencyTransportation.47Ambulance"> </a></td></tr><tr><td style="white-space:nowrap">Other Practitioner Office Visit (Nurse, Physician Assistant)<a name="cms-marketplace-benefit-name-OtherPractitionerOfficeVisit.40Nurse.44PhysicianAssistant.41"> </a></td></tr><tr><td style="white-space:nowrap">Skilled Nursing Facility<a name="cms-marketplace-benefit-name-SkilledNursingFacility"> </a></td></tr><tr><td style="white-space:nowrap">Home Health Care Services<a name="cms-marketplace-benefit-name-HomeHealthCareServices"> </a></td></tr></table></div>
</text>
<url
value="https://haau3.com/fhir/CodeSystem/cms-marketplace-benefit-name"/>
<version value="1.0.0"/>
<name value="CmsMarketplaceBenefitNameCS"/>
<title value="CMS Marketplace Benefit Name"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-10-14T18:01:46+00:00"/>
<publisher value="haau3"/>
<contact>
<name value="haau3"/>
<telecom>
<system value="url"/>
<value value="https://haau3.com"/>
</telecom>
<telecom>
<system value="email"/>
<value value="hello@haau3.com"/>
</telecom>
</contact>
<description
value="The benefit names (BenefitName) of CMS's 2026 Health Insurance Exchange Benefits and Cost Sharing public use file for the services Plan Benefits serves. Each code is the name exactly as the file writes it. An ACA Marketplace benefit in Plan Benefits carries one of these beside its SBC benefit category, as the fixed reference to CMS's file. CMS publishes no code system for them; haau3 hosts them, verbatim, until CMS or the SBC guide does."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<copyright
value="Centers for Medicare & Medicaid Services. (2025). 2026 Health Insurance Exchange Public Use Files (Benefits and Cost Sharing PUF) [Data file and code book]. Retrieved from http://www.cms.gov/CCIIO/Resources/Data-Resources/marketplace-puf.html. Benefit names reproduced verbatim. CMS does not endorse haau3 or this guide."/>
<caseSensitive value="true"/>
<content value="fragment"/>
<concept>
<code value="Primary Care Visit to Treat an Injury or Illness"/>
<display value="Primary Care Visit to Treat an Injury or Illness"/>
</concept>
<concept>
<code value="Specialist Visit"/>
<display value="Specialist Visit"/>
</concept>
<concept>
<code value="Urgent Care Centers or Facilities"/>
<display value="Urgent Care Centers or Facilities"/>
</concept>
<concept>
<code value="Emergency Room Services"/>
<display value="Emergency Room Services"/>
</concept>
<concept>
<code value="Inpatient Hospital Services (e.g., Hospital Stay)"/>
<display value="Inpatient Hospital Services (e.g., Hospital Stay)"/>
</concept>
<concept>
<code value="Outpatient Facility Fee (e.g., Ambulatory Surgery Center)"/>
<display
value="Outpatient Facility Fee (e.g., Ambulatory Surgery Center)"/>
</concept>
<concept>
<code value="Outpatient Surgery Physician/Surgical Services"/>
<display value="Outpatient Surgery Physician/Surgical Services"/>
</concept>
<concept>
<code value="Laboratory Outpatient and Professional Services"/>
<display value="Laboratory Outpatient and Professional Services"/>
</concept>
<concept>
<code value="Imaging (CT/PET Scans, MRIs)"/>
<display value="Imaging (CT/PET Scans, MRIs)"/>
</concept>
<concept>
<code
value="Rehabilitative Occupational and Rehabilitative Physical Therapy"/>
<display
value="Rehabilitative Occupational and Rehabilitative Physical Therapy"/>
</concept>
<concept>
<code value="Mental/Behavioral Health Outpatient Services"/>
<display value="Mental/Behavioral Health Outpatient Services"/>
</concept>
<concept>
<code value="Emergency Transportation/Ambulance"/>
<display value="Emergency Transportation/Ambulance"/>
</concept>
<concept>
<code
value="Other Practitioner Office Visit (Nurse, Physician Assistant)"/>
<display
value="Other Practitioner Office Visit (Nurse, Physician Assistant)"/>
</concept>
<concept>
<code value="Skilled Nursing Facility"/>
<display value="Skilled Nursing Facility"/>
</concept>
<concept>
<code value="Home Health Care Services"/>
<display value="Home Health Care Services"/>
</concept>
</CodeSystem>