{"resourceType":"CodeSystem","id":"applicability","meta":{"lastUpdated":"2020-04-09T21:10:28.568+00:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]},"text":{"status":"generated","div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/applicability</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">in-network<a name=\"applicability-in-network\"> </a></td><td>In Network</td><td>Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr><tr><td style=\"white-space:nowrap\">out-of-network<a name=\"applicability-out-of-network\"> </a></td><td>Out of Network</td><td>Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"applicability-other\"> </a></td><td>Other</td><td>Other applicability</td></tr></table></div>"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"pa"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":0}],"url":"http://terminology.hl7.org/CodeSystem/applicability","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.1.0"}],"version":"1.0.0","name":"BenefitCostApplicability","title":"Benefit cost applicability","status":"draft","experimental":false,"date":"2018-06-05T14:06:02+00:00","publisher":"Health Level Seven International","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"},{"system":"email","value":"hq@HL7.org"}]}],"description":"Whether the cost applies to in-network or out-of-network providers.","copyright":"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","caseSensitive":true,"valueSet":"http://terminology.hl7.org/ValueSet/insuranceplan-applicability","content":"complete","concept":[{"code":"in-network","display":"In Network","definition":"Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"},{"code":"out-of-network","display":"Out of Network","definition":"Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"},{"code":"other","display":"Other","definition":"Other applicability"}]}