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1 value setBenefit cost applicability
http://terminology.hl7.org/CodeSystem/applicability
Whether the cost applies to in-network or out-of-network providers.
Official specConcepts (3)
| Code | Display | Definition |
|---|---|---|
| in-network | In Network | Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates |
| out-of-network | Out of Network | Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates |
| other | Other | Other applicability |