{"resourceType":"CodeSystem","id":"insuranceplan-applicability","meta":{"lastUpdated":"2021-01-17T07:06:13.533+11:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"pa"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":0}],"url":"http://terminology.hl7.org/CodeSystem/applicability","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.1.0"}],"version":"4.0.1","name":"BenefitCostApplicability","title":"Benefit cost applicability","status":"draft","experimental":false,"date":"2018-06-05T14:06:02+00:00","publisher":"HL7 (FHIR Project)","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]},{"telecom":[{"system":"url","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]}],"description":"Whether the cost applies to in-network or out-of-network providers.","caseSensitive":true,"valueSet":"http://hl7.org/fhir/ValueSet/insuranceplan-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"}]}