Id2.16.840.1.113883.4.642.3.0Effective Date2018‑06‑05 14:06:02
Canonical URIhttp://hl7.org/fhir/ValueSet/insuranceplan-applicability
Statusdraft DraftVersion Label4.0.1
NameBenefitCostApplicabilityDisplay NameBenefit cost applicability
DescriptionWhether the cost applies to in-network or out-of-network providers.
Source Code System
2.16.840.1.113883.4.642.1.0 - AuditEventOutcome - FHIR: http://hl7.org/fhir/audit-event-outcome
Level/ TypeCodeDisplay NameCode SystemCode System VersionDesignationsDescription
0‑L
in-network
In Network
AuditEventOutcome2018-06-05T14:06:02
en-US Preferred: In Network
Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
0‑L
out-of-network
Out of Network
AuditEventOutcome2018-06-05T14:06:02
en-US Preferred: Out of Network
Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
0‑L
other
Other
AuditEventOutcome2018-06-05T14:06:02
en-US Preferred: Other
Other applicability
Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavor OTH (other) suggests text in originalText. HL7 V3: NullFlavors to appear in @nullFlavor attribute instead of @code.
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