HL7 Terminology
2.1.11 - Continuous Process Integration (ci build)

HL7 Terminology, published by HL7 International - Vocabulary Work Group. This is not an authorized publication; it is the continuous build for version 2.1.11). This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

ValueSet: Benefit cost applicability

Summary

Defining URL:http://terminology.hl7.org/ValueSet/insuranceplan-applicability
Version:0.1.0
Name:BenefitCostApplicability
Title:Benefit cost applicability
Status:Draft as of 2018-06-05T14:06:02+00:00 (Standards Status: Trial Use)
Definition:

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

Publisher:HL7 (FHIR Project)
Committee:Patient Administration
Maturity:0
OID:2.16.840.1.113883.4.642.3.0 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

 

Expansion

This value set contains 3 concepts

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

All codes from system http://terminology.hl7.org/CodeSystem/applicability

CodeDisplayDefinition
in-networkIn NetworkProvider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
out-of-networkOut of NetworkProvider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
otherOtherOther applicability

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
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)
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

History

DateActionAuthorCustodianComment
2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.