haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: $in-network: a Medicare Advantage plan with network data - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="in-network-h2406-013-000"/>
  <parameter>
    <name value="plan"/>
    <valueReference>🔗 
      <reference value="InsurancePlan/H2406-013-000"/>
    </valueReference>
  </parameter>
  <parameter>
    <name value="data-date"/>
    <valueDate value="2026-10-07"/>
  </parameter>
  <parameter>
    <name value="network"/>
    <part>
      <name value="network"/>
      <valueReference>
        <reference value="Organization/Organization-example-network"/>
        <display value="Example Medicare Advantage Network"/>
      </valueReference>
    </part>
    <part>
      <name value="organizations-listed"/>
      <valueInteger value="2618"/>
    </part>
  </parameter>
  <parameter>
    <name value="provider"/>
    <part>
      <name value="npi"/>
      <valueIdentifier>
        <system value="http://hl7.org/fhir/sid/us-npi"/>
        <value value="1992700001"/>
      </valueIdentifier>
    </part>
    <part>
      <name value="status"/>
      <valueCoding>
        <system
                value="https://haau3.com/fhir/CodeSystem/plan-benefits-network-status"/>
        <code value="in-network"/>
        <display value="In network"/>
      </valueCoding>
    </part>
    <part>
      <name value="evidence"/>
      <valueReference>
        <reference value="PractitionerRole/PractitionerRole-example-role"/>
      </valueReference>
    </part>
  </parameter>
  <parameter>
    <name value="provider"/>
    <part>
      <name value="npi"/>
      <valueIdentifier>
        <system value="http://hl7.org/fhir/sid/us-npi"/>
        <value value="1992700002"/>
      </valueIdentifier>
    </part>
    <part>
      <name value="status"/>
      <valueCoding>
        <system
                value="https://haau3.com/fhir/CodeSystem/plan-benefits-network-status"/>
        <code value="not-found"/>
        <display value="Not found in the network's listings"/>
      </valueCoding>
    </part>
  </parameter>
  <parameter>
    <name value="provider"/>
    <part>
      <name value="npi"/>
      <valueIdentifier>
        <system value="http://hl7.org/fhir/sid/us-npi"/>
        <value value="1992700003"/>
      </valueIdentifier>
    </part>
    <part>
      <name value="status"/>
      <valueCoding>
        <system
                value="https://haau3.com/fhir/CodeSystem/plan-benefits-network-status"/>
        <code value="not-in-directory"/>
        <display value="Not in the directory"/>
      </valueCoding>
    </part>
  </parameter>
  <parameter>
    <name value="source"/>
    <valueString
                 value="CMS National Provider Directory: https://directory.cms.gov/fhir"/>
  </parameter>
</Parameters>