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 No Network Data Reason

Official URL: https://haau3.com/fhir/ValueSet/plan-benefits-no-network-data-reason Version: 1.0.0
Active as of 2026-10-14 Computable Name: PlanBenefitsNoNetworkDataReasonVS

The reason 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 No Network Data Reason v1.0.0 (CodeSystem)

This value set contains 3 concepts

SystemCodeDisplay (en)DefinitionJSONXML
https://haau3.com/fhir/CodeSystem/plan-benefits-no-network-data-reason  marketplaceMarketplace planAn ACA Marketplace plan. Its insurer publishes its provider directory itself, outside the CMS National Provider Directory, which holds no network data for Marketplace plans.
https://haau3.com/fhir/CodeSystem/plan-benefits-no-network-data-reason  plan-not-in-directoryPlan not in the directoryThe directory holds no plan with this plan's CMS plan id, or holds it for the plan's year without naming a network.
https://haau3.com/fhir/CodeSystem/plan-benefits-no-network-data-reason  other-plan-yearAnother plan yearThe 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.

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