haau3 FHIR Implementation Guide (HFIG)
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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

ValueSet: Plan Benefits Network Status

Official URL: https://haau3.com/fhir/ValueSet/plan-benefits-network-status Version: 1.0.0
Active as of 2026-10-14 Computable Name: PlanBenefitsNetworkStatusVS

The status codes of the $in-network operation on InsurancePlan.

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

Expansion performed internally based on codesystem Plan Benefits Network Status v1.0.0 (CodeSystem)

This value set contains 4 concepts

SystemCodeDisplay (en)DefinitionJSONXML
https://haau3.com/fhir/CodeSystem/plan-benefits-network-status  in-networkIn networkThe directory lists the provider in a network this plan names, for the plan's year, in a practitioner role or an organization affiliation that names the network. A listing, not a statement that the provider has a contract with the plan.
https://haau3.com/fhir/CodeSystem/plan-benefits-network-status  not-foundNot found in the network's listingsThe directory holds the provider, and none of the networks this plan names lists them. The directory's network data is incomplete, so this never means the provider is out of network.
https://haau3.com/fhir/CodeSystem/plan-benefits-network-status  not-in-directoryNot in the directoryThe directory holds no practitioner or organization with this NPI.
https://haau3.com/fhir/CodeSystem/plan-benefits-network-status  no-network-dataNo network dataThe directory holds no network data for this plan in the plan's year, so no provider can be checked against it. The answer's reason says why.

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