BenefitCostApplicability

Benefit cost applicability

draftExtensions for Using Data Elements from FHIR R5 in FHIR R40.1.0complete3 concepts

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

Metadata

hl7.org/fhir
Canonical URL
http://terminology.hl7.org/CodeSystem/applicability
ID
applicability
Version
0.1.0
Publisher
Patient Administration
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