LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
| Official URL: http://linuxforhealth.org/fhir/cdm/ValueSet/paid-in-network-indicator | Version: 8.0.0 | |||
| Active as of 2022-11-10 | Computable Name: PaidInNetworkIndicatorValueSet | |||
An indicator of whether the claim was paid at the in-network or out-of-network level.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicator
This value set contains 3 concepts
Expansion based on Paid In Network Indicator Codes v8.0.0 (CodeSystem)
| Code | System | Display | Definition |
| in-network | http://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicator | 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 | http://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicator | 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 | http://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicator | Other; Other applicability | Other; Other applicability |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |