CARIN Consumer Directed Payer Data Exchange
0.3.1 - STU1

CARIN Consumer Directed Payer Data Exchange, published by HL7 Financial Management Working Group. This is not an authorized publication; it is the continuous build for version 0.3.1). This version is based on the current content of and changes regularly. See the Directory of published versions

CodeSystem: Claim Information Category


Defining URL:
Title:Claim Information Category
Content:All the concepts defined by the code system are included in the code system resource

Claim Information Category - Used as the discriminator for supportingInfo

Publisher:HL7 Financial Management Working Group
Content Mode:Complete
Source Resource:XML / JSON / Turtle

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

This code system defines the following codes:

billingnetworkcontractingstatus billingnetworkcontractingstatusIndicates the network status of the billing physician.
attendingnetworkcontractingstatus attendingnetworkcontractingstatusIndicates the network status of the attending physician.
sitenetworkcontractingstatus sitenetworkcontractingstatusIndicates the network status of the site of service.
referringnetworkcontractingstatus referringnetworkcontractingstatusIndicates the network status of the referring physician.
performingnetworkcontractingstatus performingnetworkcontractingstatusIndicates the network status of the performing physician.
prescribingnetworkcontractingstatus prescribingnetworkcontractingstatusIndicates the network status of the prescribing physician.
supervisingnetworkcontractingstatus supervisingingnetworkcontractingstatusIndicates the network status of the supervising physician.
clmrecvddate clmrecvddateThe date the claim was received by the payer.
typeofservice typeofserviceHigh level classification of services into logical grouping.
tob-typeoffacility tob-typeoffacilityUB04 (Form Locator 4) type of bill code provides specific information for payer purposes. The first digit of the three-digit number denotes the type of facility.
tob-billclassification tob-billclassificationUB04 (Form Locator 4) type of bill code provides specific information for payer purposes. The second digit classifies the type of care (service classification) being billed.
tob-frequency tob-frequencyUB04 (Form Locator 4) type of bill code provides specific information for payer purposes. The third digit identifies the frequency of the bill for a specific course of treatment or inpatient confinement.
admsrc admsrcIdentifies the place where the patient was identified as needing admission to a facility. This is a two position code mapped from the standard values for the UB-04 Source of Admission code (FL-15).
admtype admtypePriority of the admission. Information located on (UB04 Form Locator 14). For example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled.
discharge-status discharge-statusPatient’s status as of the discharge date for a facility stay.
drg drgDiagnosis Related Group
placeofservice placeofserviceCode indicating the location, such as inpatient, outpatient facility, office, or home health agency, where this service was performed.
dayssupply dayssupplyNumber of days supply of medication dispensed by the pharmacy.
dawcode dawcodePrescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.
refillnum refillnumThe number fill of the current dispensed supply (0, 1, 2, etc.).
rxorigincode rxorigincodeWhether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy
brandgenericcode brandgenericcodeWhether the plan adjudicated the claim as a brand or generic drug.
typeofbill Type of BillType of Bill