<status value="active"/> <experimental value="false"/> <date value="2026-10-14T18:01:46+00:00"/> <publisher value="haau3"/> <contact> <name value="haau3"/> <telecom> <system value="url"/> <value value="https://haau3.com"/> </telecom> <telecom> <system value="email"/> <value value="hello@haau3.com"/> </telecom> </contact> <description value="Why the CMS National Provider Directory holds no network data for a plan in the plan's year: the reason codes of the $in-network operation on InsurancePlan."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> <display value="United States of America"/> </coding> </jurisdiction> <caseSensitive value="true"/> <content value="complete"/> <count value="3"/> <concept> <code value="marketplace"/> <display value="Marketplace plan"/> <definition value="An ACA Marketplace plan. Its insurer publishes its provider directory itself, outside the CMS National Provider Directory, which holds no network data for Marketplace plans."/> </concept> <concept> <code value="plan-not-in-directory"/> <display value="Plan not in the directory"/> <definition value="The directory holds no plan with this plan's CMS plan id, or holds it for the plan's year without naming a network."/> </concept> <concept> <code value="other-plan-year"/> <display value="Another plan year"/> <definition value="The directory holds a plan with this plan's CMS plan id only for another plan year. A plan's network can change between years, so another year's listings are not used."/> </concept> </CodeSystem>

Generated Narrative: CodeSystem plan-benefits-no-network-data-reason

This case-sensitive code system https://haau3.com/fhir/CodeSystem/plan-benefits-no-network-data-reason defines the following codes:

Code	Display	Definition
marketplace	Marketplace plan	An ACA Marketplace plan. Its insurer publishes its provider directory itself, outside the CMS National Provider Directory, which holds no network data for Marketplace plans.
plan-not-in-directory	Plan not in the directory	The directory holds no plan with this plan's CMS plan id, or holds it for the plan's year without naming a network.
other-plan-year	Another plan year	The directory holds a plan with this plan's CMS plan id only for another plan year. A plan's network can change between years, so another year's listings are not used.