\n \n \n
Benefit cost applicability
\n \n \n
\n \n \n
Whether the cost applies to in-network or out-of-network providers.
\n\n \n \n
\n \n \n
This code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:
\n \n \n
\n \n \n \n \n \n \n \n \n Code\n \n \n | \n \n \n \n \n \n Display\n \n \n | \n \n \n \n \n \n Definition\n \n \n | \n \n \n
\n \n \n \n \n \n in-network\n \n \n \n \n \n | \n \n \n In Network | \n \n \n Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates | \n \n \n
\n \n \n \n \n \n out-of-network\n \n \n \n \n \n | \n \n \n Out of Network | \n \n \n Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates | \n \n \n
\n \n \n \n \n \n other\n \n \n \n \n \n | \n \n \n Other | \n \n \n Other applicability | \n \n \n
\n \n \n
\n \n \n
"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ];
fhir:Extension.valueCode [ fhir:value "pa" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
fhir:Extension.valueCode [ fhir:value "trial-use" ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]
];
fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/applicability"];
fhir:CodeSystem.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.1.0" ]
];
fhir:CodeSystem.version [ fhir:value "4.2.0"];
fhir:CodeSystem.name [ fhir:value "BenefitCostApplicability"];
fhir:CodeSystem.title [ fhir:value "Benefit cost applicability"];
fhir:CodeSystem.status [ fhir:value "draft"];
fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean];
fhir:CodeSystem.date [ fhir:value "2018-06-05T14:06:02+00:00"^^xsd:dateTime];
fhir:CodeSystem.publisher [ fhir:value "HL7 (FHIR Project)"];
fhir:CodeSystem.contact [
fhir:index 0;
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "url" ];
fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
], [
fhir:index 1;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "fhir@lists.hl7.org" ]
]
], [
fhir:index 1;
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "url" ];
fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
], [
fhir:index 1;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "fhir@lists.hl7.org" ]
]
];
fhir:CodeSystem.description [ fhir:value "Whether the cost applies to in-network or out-of-network providers."];
fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
fhir:CodeSystem.valueSet [
fhir:value "http://terminology.hl7.org/ValueSet/insuranceplan-applicability";
fhir:link