haau3 FHIR Implementation Guide (HFIG)
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: $in-network: a Marketplace plan - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "in-network-19898fl0340001-01",
  "parameter" : [
    {
      "name" : "plan",
      "valueReference" : {
        🔗 "reference" : "InsurancePlan/19898FL0340001-01"
      }
    },
    {
      "name" : "reason",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://haau3.com/fhir/CodeSystem/plan-benefits-no-network-data-reason",
            "code" : "marketplace",
            "display" : "Marketplace plan"
          }
        ],
        "text" : "A Marketplace plan's insurer publishes its provider directory itself, outside the CMS National Provider Directory, so the directory holds no network data for it. The plan's own directory is given beside this answer."
      }
    },
    {
      "name" : "directory",
      "valueUrl" : "https://avmed.healthsparq.com/healthsparq/public/#/one/insurerCode=AVMED_I&brandCode=AVMED"
    },
    {
      "name" : "provider",
      "part" : [
        {
          "name" : "npi",
          "valueIdentifier" : {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "1992700001"
          }
        },
        {
          "name" : "status",
          "valueCoding" : {
            "system" : "https://haau3.com/fhir/CodeSystem/plan-benefits-network-status",
            "code" : "no-network-data",
            "display" : "No network data"
          }
        }
      ]
    }
  ]
}