Validated Healthcare Directory
1.0.0 - STU1 International flag

This page is part of the Validated Healthcare Directory FHIR IG (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

CodeSystem: VhDir Network Type Code System

Official URL: http://hl7.org/fhir/uv/vhdir/CodeSystem/network-type Version: 1.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: VhDirNetworkType

Copyright/Legal: Used by permission of HL7 International all rights reserved Creative Commons License

This code system contains codes for documenting network.

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem network-type

This case-sensitive code system http://hl7.org/fhir/uv/vhdir/CodeSystem/network-type defines the following codes:

CodeDisplayDefinition
ppo PPO A Preferred Provider Organization (PPO) is a type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.
hmo HMO A Health Maintenance Organization (HMO) is a type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-network care except in an emergency. HMOs often provide integrated care and focus on prevention and wellness.
aco ACO An Accountable Care Organization (ACO) is a group of health care providers who give coordinated care, chronic disease management, and thereby improve the quality of care patients get. The organization's payment is tied to achieving health care quality goals and outcomes that result in cost savings.
specialty Specialty Focuses on a specific area of medicine, such as endocrinology or rheumatology.
dental Dental Benefits that help pay for the cost of visits to a dentist for basic or preventive services, like teeth cleaning, X-rays, and fillings.
vision Vision A health benefit that at least partially covers vision care, like eye exams and glasses.
pharmacy Pharmacy Health insurance or plan that helps pay for prescription drugs and medications.
national National In-network providers may be found nationally.
regional Regional In-network providers are confined to a specific region.
state State In-network providers are confined to a specific state.