{
"description": "Whether the cost applies to in-network or out-of-network providers.",
"_filename": "CodeSystem-applicability.json",
"package_name": "hl7.terminology.r4",
"date": "2018-06-05T14:06:02+00:00",
"meta": {
"profile": [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
"lastUpdated": "2020-04-09T21:10:28.568+00:00"
},
"publisher": "HL7 (FHIR Project)",
"content": "complete",
"name": "BenefitCostApplicability",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "Benefit cost applicability",
"package_version": "4.0.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pa"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0
} ],
"status": "draft",
"id": "233d383b-4a6e-4209-9a47-b7ce179ad1c0",
"valueSet": "http://terminology.hl7.org/ValueSet/insuranceplan-applicability",
"kind": null,
"url": "http://terminology.hl7.org/CodeSystem/applicability",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.1.0",
"system": "urn:ietf:rfc:3986"
} ],
"concept": [ {
"code": "in-network",
"display": "In Network",
"definition": "Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"
}, {
"code": "out-of-network",
"display": "Out of Network",
"definition": "Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"
}, {
"code": "other",
"display": "Other",
"definition": "Other applicability"
} ],
"caseSensitive": true,
"version": "0.1.0",
"contact": [ {
"telecom": [ {
"value": "http://hl7.org/fhir",
"system": "url"
}, {
"value": "fhir@lists.hl7.org",
"system": "email"
} ]
}, {
"telecom": [ {
"value": "http://hl7.org/fhir",
"system": "url"
}, {
"value": "fhir@lists.hl7.org",
"system": "email"
} ]
} ]
}