CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.2.0 - STU 2 Pre-Publish 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 1.2.0). This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

ValueSet: C4BB Payer Benefit Payment Status

Official URL: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus Version: 1.2.0
Active as of 2022-07-27 Computable Name: C4BBPayerBenefitPaymentStatus

Copyright/Legal: This Valueset is not copyrighted.

Indicates the in network or out of network payment status of the claim.

References

Logical Definition (CLD)

 

Expansion

This value set contains 3 concepts

Expansion based on C4BB Payer Adjudication Status v1.2.0 (CodeSystem)

All codes in this table are from the system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus

CodeDisplayDefinition
  innetworkIn NetworkIndicates the claim or claim line was paid in network. This does not indicate the contracting status of the provider
  outofnetworkOut Of NetworkIndicates the claim or claim line was paid out of network. This does not indicate the contracting status of the provider
  otherOtherIndicates other network status or when a network does not apply

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