FHIR IG analytics| Package | hl7.fhir.uv.xver-r4b.r5 |
| Resource Type | CodeSystem |
| Id | CodeSystem-insuranceplan-applicability.json |
| FHIR Version | R5 |
| Source | http://hl7.org/fhir/uv/xver-r4b.r5/0.0.1-snapshot-2/CodeSystem-insuranceplan-applicability.html |
| URL | http://hl7.org/fhir/insuranceplan-applicability |
| Version | 4.3.0 |
| Status | draft |
| Date | 2018-06-06T00:06:02+10:00 |
| Name | BenefitCostApplicability |
| Realm | uv |
| Authority | hl7 |
| Description | Whether the cost applies to in-network or out-of-network providers. |
| Content | complete |
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Note: links and images are rebased to the (stated) source
This code system http://hl7.org/fhir/insuranceplan-applicability defines the following codes:
{
"resourceType": "CodeSystem",
"id": "insuranceplan-applicability",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4b.r5"
},
{
"url": "version",
"valueString": "0.0.1-snapshot-2"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pa"
}
],
"url": "http://hl7.org/fhir/insuranceplan-applicability",
"version": "4.3.0",
"name": "BenefitCostApplicability",
"status": "draft",
"experimental": false,
"date": "2018-06-06T00:06:02+10:00",
"publisher": "Patient Administration",
"contact": [
{
"name": "Patient Administration",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/pafm"
}
]
}
],
"description": "Whether the cost applies to in-network or out-of-network providers.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"caseSensitive": true,
"valueSet": "http://hl7.org/fhir/ValueSet/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"
}
]
}