applicability
type: CodeSystem
node role: treeRoot
id:
  v: applicability
meta:
  last updated:
    v: 2020-04-09T21:10:28.568+00:00
  profile:
    v: http://hl7.org/fhir/StructureDefinition/shareablecodesystem
    link: http://hl7.org/fhir/StructureDefinition/shareablecodesystem
text:
  status:
    v: generated
  div: Generated Narrative: CodeSystem applicability Last updated: 2020-04-09 21:10:28+0000 Profile: Shareable CodeSystem This case-sensitive code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes: Code Display Definition in-network In Network Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates out-of-network Out of Network Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates other Other Other applicability
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  value:
    v: pa
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  value:
    v: 0
url:
  v: http://terminology.hl7.org/CodeSystem/applicability
identifier:
  system:
    v: urn:ietf:rfc:3986
  value:
    v: urn:oid:2.16.840.1.113883.4.642.1.0
version:
  v: 1.0.0
name:
  v: BenefitCostApplicability
title:
  v: Benefit cost applicability
status:
  v: draft
experimental:
  v: false
date:
  v: 2018-06-05T14:06:02+00:00
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: Whether the cost applies to in-network or out-of-network providers.
copyright:
  v: 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
case sensitive:
  v: true
value set:
  v: http://terminology.hl7.org/ValueSet/insuranceplan-applicability
  link: http://terminology.hl7.org/ValueSet/insuranceplan-applicability
content:
  v: complete
concept:
  code:
    v: in-network
  display:
    v: In Network
  definition:
    v: Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
concept:
  code:
    v: out-of-network
  display:
    v: Out of Network
  definition:
    v: Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
concept:
  code:
    v: other
  display:
    v: Other
  definition:
    v: Other applicability