HL7 Terminology
2.1.17 - 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 2.1.17). 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

Summary

Defining URL:http://terminology.hl7.org/CodeSystem/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
Content:Complete: All the concepts defined by the code system are included in the code system resource
OID:2.16.840.1.113883.4.642.1.0 (for OID based terminology systems)
Value Set:http://terminology.hl7.org/ValueSet/insuranceplan-applicability ( is the value set for all codes in this code system)
Source Resource:XML / JSON / Turtle

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.