CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.0.0 - STU 2 United States of America flag

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), published by HL7 Financial Management Working Group. This is not an authorized publication; it is the continuous build for version 2.0.0). This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

CodeSystem: C4BB Adjudication Discriminator Code System

Official URL: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator Version: 2.0.0
Active as of 2022-09-30 Computable Name: C4BBAdjudicationDiscriminator

Copyright/Legal: This CodeSystem is not copyrighted.

Used as the discriminator for the data elements in adjudication and item.adjudication.

This is a code system defined locally by the CARIN BlueButton IG. As this IG matures, it is expected that this CodeSystem will be migrated to THO (terminology.hl7.org). The current CodeSystem url should be considered temporary and subject to change in a future version.

This Code system is referenced in the content logical definition of the following value sets:

This code system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator defines the following codes:

CodeDisplayDefinition
allowedunits allowed unitsdefines the adjudication slice to define allowed units
adjustmentreason Adjustment ReasonDefines the adjudication slice to identify the adjustment reason
rejectreason Reject ReasonDefines the adjudication slice to identify the reject reason
billingnetworkstatus Billing Network StatusIndicates the Billing Provider network status in relation to a patient's coverage as of the effective date of service or admission.
renderingnetworkstatus Rendering Network StatusIndicates the Rendering Provider network status in relation to a patient's coverage as of the effective date of service or admission.
benefitpaymentstatus Benefit Payment StatusIndicates the network payment status in relation to a patient's coverage as of the effective date of service or admission.