{

"resourceType": "CodeSystem",
"id": "insuranceplan-applicability",
"meta": {
  "lastUpdated": "2019-11-01T09:29:23.356+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"
  }
]

}