CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.2.0 - STU 2.2 United States of America flag

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 2.2.0 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

ValueSet: C4BB Payer Benefit Payment Status Value Set

Official URL: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus Version: 2.2.0
Standards status: Trial-use Active as of 2026-03-03 Computable Name: C4BBPayerBenefitPaymentStatus

Copyright/Legal: This Valueset is not copyrighted.

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

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem C4BB Payer Adjudication Status Code System v2.2.0 (CodeSystem)

This value set contains 3 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus  innetworkIn NetworkIndicates an in network status in relation to a patient's coverage
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus  outofnetworkOut Of NetworkIndicates a not in network status in relation to a patient's coverage
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus  otherOtherIndicates other network status or when a network does not apply

Description of the above table(s).