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TX: CodeSystem insuranceplan-applicability

Properties

Profile http://hl7.org/fhir/StructureDefinition/shareablecodesystem
Last updated: October 31, 2019 at 10:29:23 PM UTC
Defining URL http://terminology.hl7.org/CodeSystem/applicability
Version 4.0.1
Name BenefitCostApplicability
Title Benefit cost applicability
Status draft
Definition

Whether the cost applies to in-network or out-of-network providers.
Publisher HL7 (FHIR Project)
Committee pa
Source hl7.fhir.r4.core#4.0.1
Value Set Benefit cost applicability

This case-sensitive 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