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

ValueSet: Paid In Network Indicator Value Set

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)

Logical Definition (CLD)

 

Expansion

This value set contains 3 concepts

Expansion based on Paid In Network Indicator Codes v8.0.0 (CodeSystem)

CodeSystemDisplayDefinition
  in-networkhttp://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicatorIn Network

In Network; Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates.

  out-of-networkhttp://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicatorOut 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.

  otherhttp://linuxforhealth.org/fhir/cdm/CodeSystem/paid-in-network-indicatorOther; 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