{"resourceType":"CodeSystem","id":"applicability","meta":{"lastUpdated":"2024-04-24T00:00:00+00:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]},"text":{"status":"generated","div":"<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>"},"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":"1.0.1","name":"BenefitCostApplicability","title":"Benefit cost applicability","status":"active","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","designation":[{"use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"In Network"}]},{"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","designation":[{"use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Out of Network"}]},{"code":"other","display":"Other","definition":"Other applicability","designation":[{"use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Other"}]}]}