http://terminology.hl7.org/CodeSystem/applicability|1.0.1
name
BenefitCostApplicability
BenefitCostApplicability
package
hl7.terminology@6.3.0
hl7.terminology@6.3.0
content
complete
complete
status
active
active
date
2018-06-05 14:06:02.0
2018-06-05 14:06:02.0
Benefit cost applicability
Whether the cost applies to in-network or out-of-network providers.
{
"description" : "Whether the cost applies to in-network or out-of-network providers.",
"compose" : null,
"package" : "hl7.terminology@6.3.0",
"date" : "2018-06-05T14:06:02Z",
"meta" : {
"profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
"lastUpdated" : "2024-04-24T00:00:00+00:00"
},
"publisher" : "Health Level Seven International",
"content" : "complete",
"name" : "BenefitCostApplicability",
"copyright" : "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",
"experimental" : false,
"resourceType" : "CodeSystem",
"title" : "Benefit cost applicability",
"supliment" : null,
"extension" : [ {
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pa"
}, {
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0
} ],
"status" : "active",
"id" : "6c6898dd-584e-54a2-bd31-fffab3cc734a",
"valueSet" : "http://terminology.hl7.org/ValueSet/insuranceplan-applicability",
"url" : "http://terminology.hl7.org/CodeSystem/applicability",
"identifier" : [ {
"value" : "urn:oid:2.16.840.1.113883.4.642.1.0",
"system" : "urn:ietf:rfc:3986"
} ],
"concept" : [ {
"code" : "in-network",
"display" : "In Network",
"definition" : "Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"
}, {
"code" : "out-of-network",
"display" : "Out of Network",
"definition" : "Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"
}, {
"code" : "other",
"display" : "Other",
"definition" : "Other applicability"
} ],
"caseSensitive" : true,
"version" : "1.0.1",
"contact" : [ {
"telecom" : [ {
"value" : "http://hl7.org",
"system" : "url"
}, {
"value" : "hq@HL7.org",
"system" : "email"
} ]
} ]
}