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 - XML Representation

Active as of 2022-11-10

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="paid-in-network-indicator"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="http://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicator"/>
  <version value="8.0.0"/>
  <name value="PaidInNetworkIndicatorCodeSystem"/>
  <title value="Paid In Network Indicator Codes"/>
  <status value="active"/>
  <date value="2022-11-10T16:00:46+00:00"/>
  <publisher value="LinuxForHealth Team"/>
  <description
               value="An indicator of whether the claim was paid at the in-network or out-of-network level."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="3"/>
  <concept>
    <code value="in-network"/>
    <display value="In Network"/>
    <definition
                value="In Network; Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates."/>
  </concept>
  <concept>
    <code value="out-of-network"/>
    <display value="Out of Network"/>
    <definition
                value="Out of Network; Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates."/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other; Other applicability"/>
    <definition value="Other; Other applicability"/>
  </concept>
</CodeSystem>