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: X12 Claim Adjustment Reason Codes (CARC) - CMS- Remittance Advice Remark Codes (RARC)

Summary

Defining URL:http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes
Version:0.1.3
Name:X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes ("X12 Claim Adjustment Reason Codes (CARC) - CMS- Remittance Advice Remark Codes (RARC)")
Status:Active as of 2020-09-27T22:31:09+00:00
Definition:

The Value Set is a combination of two sets of codes: X12 Claim Adjustment Reason Codes (CARC) and CMS Remittance Advice Remark Codes (RARC). CARC codes describe why a claim or service line was paid differently than it was billed. RARC codes provide additional explanation for an adjustment already described by a Claim Adjustment Reason Code (CARC) or convey information about remittance processing.
Use of X12 CARC codes require a license. Reference https://x12.org/codes/. RARC codes are available at http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes.

Publisher:HL7 Financial Management Working Group
Copyright:

CARC codes are owned, maintained and distributed by X12. The Centers for Medicare & Medicaid Services (CMS) maintain Remittance Advice Remark Codes (RARC) used throughout the US health care industry.

Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 0 concepts

CodeSystemDisplay

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