CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: C4BB Payee Type Value Set - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "C4BBPayeeType",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet C4BBPayeeType</b></p><a name=\"C4BBPayeeType\"> </a><a name=\"hcC4BBPayeeType\"> </a><a name=\"C4BBPayeeType-en-US\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-C4BBPayeeType.html\"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayeeType</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-C4BBPayeeType.html#C4BBPayeeType-beneficiary\">beneficiary</a></td><td style=\"color: #cccccc\">Beneficiary</td><td>The beneficiary (patient) will be reimbursed.</td></tr></table></li><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-payeetype.html\"><code>http://terminology.hl7.org/CodeSystem/payeetype</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-payeetype.html#payeetype-subscriber\">subscriber</a></td><td style=\"color: #cccccc\">Subscriber</td><td>The subscriber (policy holder) will be reimbursed.</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-payeetype.html#payeetype-provider\">provider</a></td><td style=\"color: #cccccc\">Provider</td><td>Any benefit payable will be paid to the provider (Assignment of Benefit).</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-payeetype.html#payeetype-other\">other</a></td><td style=\"color: #cccccc\">Other</td><td>Any benefit payable will be paid to a third party such as a guarantor.</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/carin-bb/ImplementationGuide/hl7.fhir.us.carin-bb"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType",
  "version" : "2.1.0",
  "name" : "C4BBPayeeType",
  "title" : "C4BB Payee Type Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-12-18T23:56:31+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fm@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "Identifies the type of recipient of the adjudication amount; i.e., provider, subscriber, beneficiary or another recipient.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "This Valueset is not copyrighted.",
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayeeType",
        "concept" : [
          {
            "code" : "beneficiary"
          }
        ]
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/payeetype",
        "concept" : [
          {
            "code" : "subscriber"
          },
          {
            "code" : "provider"
          },
          {
            "code" : "other"
          }
        ]
      }
    ]
  }
}