FHIR Cross-Version Extensions package for FHIR R4 from FHIR R4B
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R4 from FHIR R4B - Version 0.0.1-snapshot-2. See the Directory of published versions

CodeSystem: BenefitCostApplicability

Official URL: http://hl7.org/fhir/insuranceplan-applicability Version: 4.3.0
Standards status: Informative 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 CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

This case-sensitive code system http://hl7.org/fhir/insuranceplan-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