Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

4.4.1.436 ValueSet http://hl7.org/fhir/ValueSet/insuranceplan-applicability

Patient Administration icon

Work Group

Maturity Level: 0

Trial Use

Use Context: Country: World, Not yet ready for Production use

Official URL: `http://hl7.org/fhir/ValueSet/insuranceplan-applicability`				Version: 5.0.0
draft as of 2018-06-06				Computable Name: BenefitCostApplicability
Flags: Experimental, Immutable				OID: 2.16.840.1.113883.4.642.3.0

This value set is used in the following places:

Resource: InsurancePlan.plan.specificCost.benefit.cost.applicability (CodeableConcept / Required)

4.4.1.436.1 Definition

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

4.4.1.436.2 Content Logical Definition

Include all codes defined in http://terminology.hl7.org/CodeSystem/applicability

4.4.1.436.3 Expansion

This expansion generated 26 Mar 2023

This value set contains 3 concepts

Expansion based on Benefit cost applicability v0.1.0 (CodeSystem) icon

Code	System	Display	Definition
in-network	http://terminology.hl7.org/CodeSystem/applicability	In Network	Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
out-of-network	http://terminology.hl7.org/CodeSystem/applicability	Out of Network	Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
other	http://terminology.hl7.org/CodeSystem/applicability	Other	Other applicability

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl

A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')

Display

The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code