BenefitCostApplicability

BenefitCostApplicability

draftFHIR Core package4.3.0complete3 concepts

Whether the cost applies to in-network or out-of-network providers.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/insuranceplan-applicability
ID
insuranceplan-applicability
Version
4.3.0
Publisher
HL7 (FHIR Project)
Case Sensitive
Yes

Concepts (3)

CodeDisplayDefinition
in-networkIn NetworkProvider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
out-of-networkOut of NetworkProvider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
otherOtherOther applicability