CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.2.0 - STU 2 Pre-Publish
CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.2.0 - STU 2 Pre-Publish
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
| 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. |
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Indicates the in network or out of network payment status of the claim.
References
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus| Code | Display | Definition |
| innetwork | In Network | Indicates the claim or claim line was paid in network. This does not indicate the contracting status of the provider |
| outofnetwork | Out Of Network | Indicates the claim or claim line was paid out of network. This does not indicate the contracting status of the provider |
| other | Other | Indicates other network status or when a network does not apply |
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
| Code | Display | Definition |
| innetwork | In Network | Indicates the claim or claim line was paid in network. This does not indicate the contracting status of the provider |
| outofnetwork | Out Of Network | Indicates the claim or claim line was paid out of network. This does not indicate the contracting status of the provider |
| other | Other | Indicates 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 |
IG © 2022+ HL7 Financial Management Working Group. Package hl7.fhir.us.carin-bb#1.2.0 based on FHIR 4.0.1. Generated 2022-07-27
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