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

Defining URL:http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationcategory
Version:0.1.0
Name:CARINBBAdjudicationCategory
Status:draft
Title:CARIN Blue Button Claim Adjudication Category Value Set
Source Resource:XML / JSON / Turtle

Definition

Expansion

This value set contains 15 concepts

Expansion based on http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory version 0.1.0

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

CodeDisplayDefinition
benefitPaymentStatusCodeBenefit payment status codeBenefit payment status code
paymentDenialCodePayment denial codePayment Denial Code
submittedamountsubmitted amount
allowedamountallowed amount
deductibleamountdeductible amount
coinsuranceamountcoinsurance amount
copayamountcopay amount
noncoveredamountnoncovered amount
cobamountcob amount
paymentamountpayment amount
patientpayamountpatient pay amount
denialreasonpayment denial reason
innetworkbenefitpaymentstatusin network benefit payment status
outofnetworkbenefitpaymentstatusout of network benefit payment status
otherbenefitpaymentstatusother benefit payment status