HL7 Terminology (THO)
6.0.2 - Publication International flag

This page is part of the HL7 Terminology (v6.0.2: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

CodeSystem: Benefit cost applicability

Official URL: http://terminology.hl7.org/CodeSystem/applicability Version: 1.0.1
Active as of 2018-06-05 Maturity Level: 0 Responsible: Health Level Seven International Computable Name: BenefitCostApplicability
Other Identifiers: OID:2.16.840.1.113883.4.642.1.0

Copyright/Legal: This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license

Whether the cost applies to in-network or out-of-network providers.

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem applicability

Last updated: 2024-04-24 00:00:00+0000

Profile: Shareable CodeSystem

This case-sensitive code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:

CodeDisplayDefinition
in-network In Network Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
out-of-network Out of Network Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
other Other Other applicability

History

DateActionAuthorCustodianComment
2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.