Benefit cost applicability - HL7 Terminology (THO) v7.1.0

HL7 Terminology (THO)
7.1.0 - Publication International flag

This page is part of the HL7 Terminology (v7.1.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

ValueSet: Benefit cost applicability

Official URL: http://terminology.hl7.org/ValueSet/insuranceplan-applicability		Version: 1.0.1	Highlight text changes?
	Maturity Level: 0	Responsible: Health Level Seven International	Computable Name: BenefitCostApplicability
Other Identifiers: OID:2.16.840.1.113883.4.642.3.0
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.html

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

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Last updated: 2024-04-24 00:00:00+0000; Language: en

This value set contains 3 concepts

System	Code	Display (en)	Definition	JSON	XML
`http://terminology.hl7.org/CodeSystem/applicability`	in-network	In Network	Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
`http://terminology.hl7.org/CodeSystem/applicability`	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
`http://terminology.hl7.org/CodeSystem/applicability`	other	Other	Other applicability