HL7.TERMINOLOGY\Benefit cost applicability

HL7 Terminology (THO)
5.2.0 - Publication International flag

This page is part of the HL7 Terminology (v5.2.0: Release) based on FHIR R4. 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: 0.1.0
Draft as of 2018-06-05	Maturity Level: 0	Responsible: HL7 (FHIR Project)	Computable Name: BenefitCostApplicability
Other Identifiers: id: urn:oid:2.16.840.1.113883.4.642.1.0

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:

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