CARIN Consumer Directed Payer Data Exchange
0.1.3 - 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 0.1.3). This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

ValueSet: C4BB Payer Benefit Payment Status

Summary

Defining URL:http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
Version:0.1.3
Name:C4BBPayerBenefitPaymentStatus ("C4BB Payer Benefit Payment Status")
Status:Active as of 2020-09-27T22:31:09+00:00
Definition:

Indicates the in network or out of network payment status of the claim.

Publisher:HL7 Financial Management Working Group
Copyright:

This Valueset is not copyrighted.

Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

 

Expansion

This value set contains 3 concepts

Expansion based on C4BB Payer Adjudication Status v0.1.3 (CodeSystem)

All codes from system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus

CodeDisplayDefinition
innetworkIn NetworkIndicates the claim or claim line was paid in network. This does not indicate the contracting status of the provider
outofnetworkOut Of NetworkIndicates the claim or claim line was paid out of network. This does not indicate the contracting status of the provider
otherOtherIndicates 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
Source 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