This code system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus
defines the following codes:
Code | Display | Definition |
innetwork | In Network | Indicates an in network status in relation to a patient's coverage |
outofnetwork | Out Of Network | Indicates a not in network status in relation to a patient's coverage |
other | Other | Indicates other network status or when a network does not apply |
paid | Paid | Indicates if the claim was approved for payment |
denied | Denied | Indicates if the claim was denied |
partiallypaid | Partially Paid | Indicates that some line items on the claim were denied |