HL7 Terminology (THO)
6.0.2 - Continuous Process Integration (ci build)
HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 6.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions
Official URL: http://terminology.hl7.org/ValueSet/insuranceplan-applicability | Version: 1.0.1 | |||
Active as of 2024-04-24 | Maturity Level: 0 | Responsible: Health Level Seven International | Computable Name: BenefitCostApplicability | |
Other Identifiers: OID:2.16.840.1.113883.4.642.3.0 | ||||
Copyright/Legal: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html |
Whether the cost applies to in-network or out-of-network providers.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
Generated Narrative: ValueSet insuranceplan-applicability
Last updated: 2024-04-24 00:00:00+0000
Profile: Shareable ValueSet
http://terminology.hl7.org/CodeSystem/applicability
Generated Narrative: ValueSet
Last updated: 2024-04-24 00:00:00+0000
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 |
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 |
System | 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
Date | Action | Author | Custodian | Comment |
2023-11-14 | revise | Marc Duteau | TSMG | Add standard copyright and contact to internal content; up-476 |
2020-10-14 | revise | Grahame Grieve | Vocabulary WG | Reset Version after migration to UTG |
2020-05-06 | revise | Ted Klein | Vocabulary WG | Migrated to the UTG maintenance environment and publishing tooling. |