This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
Patient Administration 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
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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:
Whether the cost applies to in-network or out-of-network providers.
Generated Narrative: ValueSet insuranceplan-applicability
Last updated: 2024-11-15T17:44:13.161Z
Profile: Shareable ValueSet
http://terminology.hl7.org/CodeSystem/applicability
This expansion generated 15 Nov 2024
Generated Narrative: ValueSet
Last updated: 2024-11-15T17:44:13.161Z
Profile: Shareable ValueSet
Expansion based on codesystem Benefit cost applicability v1.0.1 (CodeSystem)
This value set contains 3 concepts
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 |