Release 4 4B

This page is part of the FHIR Specification (v4.0.1: R4 (v4.3.0: R4B - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R4B R4

4.3.14.119 4.3.14.441 Code System http://terminology.hl7.org/CodeSystem/applicability http://hl7.org/fhir/insuranceplan-applicability

Patient Administration Work Group   Maturity Level : 0 Trial Use Informative Use Context : Any

This is a code system defined by the FHIR project.

Summary

Defining URL: http://terminology.hl7.org/CodeSystem/applicability http://hl7.org/fhir/insuranceplan-applicability
Version: 4.0.1 4.3.0
Name: BenefitCostApplicability
Title: Benefit cost applicability
Definition:

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

Committee: Patient Administration Work Group
OID: 2.16.840.1.113883.4.642.1.0 (for OID based terminology systems)
Source Resource XML / JSON

This Code system is not currently used in the following value sets:

ValueSet: Benefit cost applicability (Whether the cost applies to in-network or out-of-network providers.) ValueSet: Benefit cost applicability (Whether the cost applies to in-network or out-of-network providers.)

4.3.14.119.1 4.3.14.441.1 Content

4.3.14.119.2 Benefit cost applicability

Whether the cost applies to in-network or out-of-network providers. This code system http://terminology.hl7.org/CodeSystem/applicability http://hl7.org/fhir/insuranceplan-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

 

See the full registry of code systems defined as part of FHIR.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. See Code System for further information.
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
Display The display (used in the display element of a Coding ). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code