Consumer-Directed Payer Data Exchange
- Release 0.1.0

Consumer-Directed Payer Data Exchange, published by CARIN Alliance. This is not an authorized publication; it is the continuous build for version 0.1.0). 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: CARIN-BB-Adjudication-Category

CARIN Blue Button Claim Adjudication Category Code System

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

CodeDisplayDefinition
benefitPaymentStatusCode Benefit payment status codeBenefit payment status code
paymentDenialCode Payment denial codePayment Denial Code
submittedamount submitted amount
allowedamount allowed amount
deductibleamount deductible amount
coinsuranceamount coinsurance amount
copayamount copay amount
noncoveredamount noncovered amount
cobamount cob amount
paymentamount payment amount
patientpayamount patient pay amount
denialreason payment denial reason
innetworkbenefitpaymentstatus in network benefit payment status
outofnetworkbenefitpaymentstatus out of network benefit payment status
otherbenefitpaymentstatus other benefit payment status
allowedunits allowed units