draft
1 binding

Benefit cost applicability

http://hl7.org/fhir/ValueSet/insuranceplan-applicability

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

Official spec

Composition

Code system
http://terminology.hl7.org/CodeSystem/applicability
Benefit cost applicability
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

Bound by

ResourcePathStrength
InsurancePlanInsurancePlan.plan.specificCost.benefit.cost.applicability
required