ValueSet-coverageDetail

Code	Display	Definition
allowed-quantity	Maximum quantity	Indicates limitations on the number of services/products allowed (possibly per time period). Value should be a Quantity
allowed-period	Maximum allowed period	Indicates the maximum period of time that can be covered in a single order. Value should be a Period
in-network-copay	Copay for in-network	Indicates a percentage co-pay to expect if delivered in-network. Value should be a Quantity.
out-network-copay	Copay for out-of-network	Indicates a percentage co-pay to expect if delivered out-of-network. Value should be a Quantity.
auth-out-network-only	Authorization out-of-network only	Authorization is only necessary if out-of-network. Value should be a boolean.
concurrent-review	Concurrent review	Additional payer-defined documentation will be required prior to claim payment. Value should be a boolean.
appropriate-use-needed	Appropriate use	Payer-defined appropriate use process must be invoked to determine coverage. Value should be a boolean.