LinuxForHealth FHIR Implementation Guide
8.0.0 - draft United States of America flag

LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

: Paid In Network Indicator Codes - JSON Representation

Active as of 2022-11-10

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{
  "resourceType" : "CodeSystem",
  "id" : "paid-in-network-indicator",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicator</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">in-network<a name=\"paid-in-network-indicator-in-network\"> </a></td><td>In Network</td><td>In Network; Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates.</td></tr><tr><td style=\"white-space:nowrap\">out-of-network<a name=\"paid-in-network-indicator-out-of-network\"> </a></td><td>Out of Network</td><td>Out of Network; Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates.</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"paid-in-network-indicator-other\"> </a></td><td>Other; Other applicability</td><td>Other; Other applicability</td></tr></table></div>"
  },
  "url" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicator",
  "version" : "8.0.0",
  "name" : "PaidInNetworkIndicatorCodeSystem",
  "title" : "Paid In Network Indicator Codes",
  "status" : "active",
  "date" : "2022-11-10T16:00:46+00:00",
  "publisher" : "LinuxForHealth Team",
  "description" : "An indicator of whether the claim was paid at the in-network or out-of-network level.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 3,
  "concept" : [
    {
      "code" : "in-network",
      "display" : "In Network",
      "definition" : "In Network; 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" : "Out of Network; Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates."
    },
    {
      "code" : "other",
      "display" : "Other; Other applicability",
      "definition" : "Other; Other applicability"
    }
  ]
}