<?xml version="1.0" encoding="UTF-8"?><CodeSystem xmlns="http://hl7.org/fhir"><id value="applicability"/><meta><lastUpdated value="2024-04-24T00:00:00+00:00"/><profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/></meta><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem applicability</b></p><a name="applicability"> </a><a name="hcapplicability"> </a><a name="applicability-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2024-04-24 00:00:00+0000</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/R5/shareablecodesystem.html">Shareable CodeSystem</a></p></div><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></text><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"><valueCode value="pa"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"><valueInteger value="0"/></extension><url value="http://terminology.hl7.org/CodeSystem/applicability"/><identifier><system value="urn:ietf:rfc:3986"/><value value="urn:oid:2.16.840.1.113883.4.642.1.0"/></identifier><version value="1.0.1"/><name value="BenefitCostApplicability"/><title value="Benefit cost applicability"/><status value="active"/><experimental value="false"/><date value="2018-06-05T14:06:02+00:00"/><publisher value="Health Level Seven International"/><contact><telecom><system value="url"/><value value="http://hl7.org"/></telecom><telecom><system value="email"/><value value="hq@HL7.org"/></telecom></contact><description value="Whether the cost applies to in-network or out-of-network providers."/><copyright value="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 value="true"/><valueSet value="http://terminology.hl7.org/ValueSet/insuranceplan-applicability"/><content value="complete"/><concept><code value="in-network"/><display value="In Network"/><definition value="Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"/><designation><use><system value="http://terminology.hl7.org/CodeSystem/designation-usage"/><code value="display"/></use><value value="In Network"/></designation></concept><concept><code value="out-of-network"/><display value="Out of Network"/><definition value="Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"/><designation><use><system value="http://terminology.hl7.org/CodeSystem/designation-usage"/><code value="display"/></use><value value="Out of Network"/></designation></concept><concept><code value="other"/><display value="Other"/><definition value="Other applicability"/><designation><use><system value="http://terminology.hl7.org/CodeSystem/designation-usage"/><code value="display"/></use><value value="Other"/></designation></concept></CodeSystem>