HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This is not an authorized publication; it is the continuous build for version 3.1.5). This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

CodeSystem: Benefit cost applicability

Official URL: http://terminology.hl7.org/CodeSystem/applicability Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Responsible: HL7 (FHIR Project) Computable Name: BenefitCostApplicability
Other Identifiers: : urn:oid:2.16.840.1.113883.4.642.1.0

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 code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:

CodeDisplayDefinition
in-network In NetworkProvider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
out-of-network Out of NetworkProvider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
other OtherOther applicability

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.