Benefit cost applicability
draftContentcompleteURL
http://terminology.hl7.org/CodeSystem/applicabilityCopied!
Version0.1.0Copied!
Date2018-06-05T14:06:02+00:00PublisherHL7 (FHIR Project)DescriptionWhether the cost applies to in-network or out-of-network providers.
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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",
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"name" : "BenefitCostApplicability",
"experimental" : false,
"resourceType" : "CodeSystem",
"title" : "Benefit cost applicability",
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"id" : "47b70a55-5a27-461a-9b6c-0121141706bf",
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"text" : {
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">in-network<a name=\"applicability-in-network\"> </a></td><td>In Network</td><td>Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr><tr><td style=\"white-space:nowrap\">out-of-network<a name=\"applicability-out-of-network\"> </a></td><td>Out of Network</td><td>Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"applicability-other\"> </a></td><td>Other</td><td>Other applicability</td></tr></table></div>",
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}
}