Extensions for Using Data Elements from FHIR R4 in FHIR STU3
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Extensions for Using Data Elements from FHIR R4 in FHIR STU3 - Downloaded Version null See the Directory of published versions

CodeSystem: BenefitCostApplicability

Official URL: http://terminology.hl7.org/CodeSystem/applicability Version: 4.0.1
Standards status: Trial-use Maturity Level: 0 Responsible: Patient Administration Computable Name: BenefitCostApplicability

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

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

This case-sensitive code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:

CodeDisplayDefinition
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