{"resourceType":"CodeSystem","id":"insuranceplan-applicability","text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem insuranceplan-applicability</b></p><a name=\"insuranceplan-applicability\"> </a><a name=\"hcinsuranceplan-applicability\"> </a><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/applicability</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">in-network<a name=\"insuranceplan-applicability-in-network\"> </a></td><td>In Network</td><td>Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr><tr><td style=\"white-space:nowrap\">out-of-network<a name=\"insuranceplan-applicability-out-of-network\"> </a></td><td>Out of Network</td><td>Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"insuranceplan-applicability-other\"> </a></td><td>Other</td><td>Other applicability</td></tr></table></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":0},{"extension":[{"url":"packageId","valueId":"hl7.fhir.uv.xver-r4.r5"},{"url":"version","valueString":"0.1.0"},{"url":"uri","valueUri":"http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"}],"url":"http://hl7.org/fhir/StructureDefinition/package-source"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"pa"}],"url":"http://terminology.hl7.org/CodeSystem/applicability","version":"4.0.1","name":"BenefitCostApplicability","title":"Benefit cost applicability","status":"draft","experimental":false,"date":"2018-06-05T09:06:02-05:00","publisher":"Patient Administration","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]},{"telecom":[{"system":"url","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]}],"description":"Whether the cost applies to in-network or out-of-network providers.","jurisdiction":[{"coding":[{"system":"http://unstats.un.org/unsd/methods/m49/m49.htm","code":"001","display":"World"}]}],"caseSensitive":true,"valueSet":"http://hl7.org/fhir/ValueSet/insuranceplan-applicability|5.0.0","content":"complete","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"}]}