HL7.TERMINOLOGY\Benefit cost applicability

This page is part of the HL7 Terminology (v2.1.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

CodeSystem: Benefit cost applicability

Summary

Defining URL:

http://terminology.hl7.org/CodeSystem/applicability

Version:

0.1.0

Name:

BenefitCostApplicability

Title:

Benefit cost applicability

Status:

Draft as of 2018-06-05T14:06:02+00:00 (Standards Status: Trial Use)

Definition:

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

Publisher:

HL7 (FHIR Project)

Committee:

Patient Administration

Maturity:

Content:

Complete: All the concepts defined by the code system are included in the code system resource

OID:

2.16.840.1.113883.4.642.1.0 (for OID based terminology systems)

Value Set:

http://terminology.hl7.org/ValueSet/insuranceplan-applicability ( is the value set for all codes in this code system)

Source Resource:

XML / JSON / Turtle

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

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

Code	Display	Definition
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

Date

Action

Author

Custodian

Comment

2020-10-14

revise

Grahame Grieve

Vocabulary WG

Reset Version after migration to UTG

2020-05-06

revise

Ted Klein

Vocabulary WG

Migrated to the UTG maintenance environment and publishing tooling.