CARIN Digital Insurance Card
2.0.0-ballot - STU 2 Ballot

CARIN Digital Insurance Card - Downloaded Version 2.0.0-ballot See the Directory of published versions

## Extension: Cost Applies To Network Extension (Experimental)

Official URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/cost-applies-to-network | Version: 2.0.0-ballot
Standards status: Informative | Computable Name: CostAppliesToNetwork
Other Identifiers: OID:2.16.840.1.113883.4.642.40.9.42.20

Extension identifying the provider network whose providers qualify for a designation-tier cost-sharing amount, referencing one of the plan’s network Organizations

Context of Use

This extension may be used on the following element(s):

- Element ID InsurancePlan.plan.specificCost.benefit.cost

Usage info

Usages:

- Use this Extension: SBC Insurance Plan Profile
- Examples for this Extension: Sample Health HMO Gold Plan

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

- Text Summary
- Differential Table
- Snapshot Table
- All

This structure is derived from Extension

Summary

Simple Extension with the type Reference: Extension identifying the provider network whose providers qualify for a designation-tier cost-sharing amount, referencing one of the plan's network Organizations

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Cost Applies To Network Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/insurance-card/StructureDefinition/cost-applies-to-network"
value[x] |  | 0..1 | Reference(Organization) | Network whose providers qualify for this cost tier
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Cost Applies To Network Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/insurance-card/StructureDefinition/cost-applies-to-network"
value[x] |  | 0..1 | Reference(Organization) | Network whose providers qualify for this cost tier
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type Reference: Extension identifying the provider network whose providers qualify for a designation-tier cost-sharing amount, referencing one of the plan's network Organizations

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Cost Applies To Network Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/insurance-card/StructureDefinition/cost-applies-to-network"
value[x] |  | 0..1 | Reference(Organization) | Network whose providers qualify for this cost tier
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Cost Applies To Network Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/insurance-card/StructureDefinition/cost-applies-to-network"
value[x] |  | 0..1 | Reference(Organization) | Network whose providers qualify for this cost tier
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Constraints

Id | Grade | Path(s) | Description | Expression