Benefit cost applicability
draftContentcompleteURL
http://terminology.hl7.org/CodeSystem/applicabilityCopied!
Version4.0.1Copied!
Date2018-06-05T14:06:02+00:00PublisherHL7 (FHIR Project)DescriptionWhether the cost applies to in-network or out-of-network providers.
Concepts
Select a concept to view details
Benefit cost applicability
Whether the cost applies to in-network or out-of-network providers.
This code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:
{
"description" : "Whether the cost applies to in-network or out-of-network providers.",
"date" : "2018-06-05T14:06:02+00:00",
"meta" : {
"lastUpdated" : "2019-11-01T09:29:23.356+11:00",
"profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ]
},
"publisher" : "HL7 (FHIR Project)",
"content" : "complete",
"property" : null,
"name" : "BenefitCostApplicability",
"experimental" : false,
"resourceType" : "CodeSystem",
"title" : "Benefit cost applicability",
"extension" : [ {
"valueCode" : "pa",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
}, {
"valueCode" : "trial-use",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"
}, {
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0
}, {
"extension" : [ {
"valueString" : "concept",
"url" : "path"
}, {
"url" : "count",
"valueInteger" : 3
} ],
"url" : "http://health-samurai.io/extensions/excised-data"
}, {
"url" : "http://health-samurai.io/extensions/source",
"valueCode" : "db"
} ],
"status" : "draft",
"id" : "25fc4375-c112-4e7a-aee6-20d05ed49d81",
"valueSet" : "http://hl7.org/fhir/ValueSet/insuranceplan-applicability",
"url" : "http://terminology.hl7.org/CodeSystem/applicability",
"identifier" : [ {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.1.0"
} ],
"caseSensitive" : true,
"version" : "4.0.1",
"contact" : [ {
"telecom" : [ {
"system" : "url",
"value" : "http://hl7.org/fhir"
}, {
"system" : "email",
"value" : "fhir@lists.hl7.org"
} ]
}, {
"telecom" : [ {
"system" : "url",
"value" : "http://hl7.org/fhir"
}, {
"system" : "email",
"value" : "fhir@lists.hl7.org"
} ]
} ],
"text" : {
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h2>Benefit cost applicability</h2>\n <div>\n <p>Whether the cost applies to in-network or out-of-network providers.</p>\n\n </div>\n <p>This code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:</p>\n <table class=\"codes\">\n <tr>\n <td style=\"white-space:nowrap\">\n <b>Code</b>\n </td>\n <td>\n <b>Display</b>\n </td>\n <td>\n <b>Definition</b>\n </td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">in-network\n <a name=\"insuranceplan-applicability-in-network\"> </a>\n </td>\n <td>In Network</td>\n <td>Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">out-of-network\n <a name=\"insuranceplan-applicability-out-of-network\"> </a>\n </td>\n <td>Out of Network</td>\n <td>Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">other\n <a name=\"insuranceplan-applicability-other\"> </a>\n </td>\n <td>Other</td>\n <td>Other applicability</td>\n </tr>\n </table>\n </div>",
"status" : "generated"
}
}