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

Patient Administration icon Work Group  Maturity Level: 1 Trial Use Use Context: Country: World, Not yet ready for Production use
Official URL: http://hl7.org/fhir/ValueSet/insuranceplan-applicability Version: 6.0.0-ballot2
draft as of 2018-06-05 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:

4.4.1.457.1 Definition

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

4.4.1.457.2 Content Logical Definition

Generated Narrative: ValueSet insuranceplan-applicability

Last updated: 2024-12-12T18:56:29.677Z

Profile: Shareable ValueSet

 

4.4.1.457.3 Expansion

This expansion generated 12 Dec 2024

Generated Narrative: ValueSet

Last updated: 2024-12-12T18:56:29.677Z

Profile: Shareable ValueSet

Expansion based on codesystem Benefit cost applicability v1.0.1 (CodeSystem) icon

This value set contains 3 concepts

CodeSystemDisplayDefinition
  in-network icon 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 icon 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 icon 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