Unattributed Code Systems

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web github.com 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
web www.carinalliance.com The CARIN (Creating Access to Real-time Information Now through Consumer-Directed Exchange) Alliance is an  HL7 FHIR Accelerator program  which brings implementers together to advance the use of HL7 FHIR standards in health care. The CARIN Alliance Health Plan Workgroup was organized to develop a FHIR-based API that could be implemented by a consumer-facing application. The CARIN for Blue Button Framework was designed to answer the challenge for health plans to ‘meet or exceed’ the CMS Blue Button 2.0 capabilities. The CMS Blue Button® 2.0 project provides over 53 million Medicare fee-for-service beneficiaries access to their electronic claims information. The goal of the CARIN Alliance Health Plan Workgroup is to develop an agreed upon set of data fields to exchange with consumers and a FHIR-based implementation guide for health plans and consumer facing applications to use to implement the API.
web www.govregs.com Consumer-directed exchange occurs when a consumer or an authorized personal representative, invokes the HIPAA Individual Right of Access (45 CFR 164.524) and requests the associated digital health information from a HIPAA covered entity (CE) via an application or other third-party data steward.
web www.carinalliance.com The CMS rule also states, “Payers can look to industry best practices, including the CARIN Alliance’s Code of Conduct and the ONC Model Privacy Notice for other provisions to include in their attestation request that best meet the needs of their patient population." Although it’s outside the scope of the IG, CMS and the CARIN Alliance are encouraging payers to have applications sign the  CARIN Code of Conduct as part of the application registration process or visit MyHealthApplication.com to view applications that have attested to the Code of Conduct. Following this process can help ensure consistency in how apps are getting informed, proactive consent from members and consistency in how apps use, share, and store a member’s health information. Apps that publicly attest to best practices around data governance can better be held accountable by the FTC. This enforcement mechanism will help to build consumer trust in the use of technology to manage their health. The CARIN Alliance is also developing a set of Application Registration best practices for the industry to use. For more information, please visit the  CARIN Alliance website .
web myhealthapplication.com The CMS rule also states, “Payers can look to industry best practices, including the CARIN Alliance’s Code of Conduct and the ONC Model Privacy Notice for other provisions to include in their attestation request that best meet the needs of their patient population." Although it’s outside the scope of the IG, CMS and the CARIN Alliance are encouraging payers to have applications sign the  CARIN Code of Conduct as part of the application registration process or visit MyHealthApplication.com to view applications that have attested to the Code of Conduct. Following this process can help ensure consistency in how apps are getting informed, proactive consent from members and consistency in how apps use, share, and store a member’s health information. Apps that publicly attest to best practices around data governance can better be held accountable by the FTC. This enforcement mechanism will help to build consumer trust in the use of technology to manage their health. The CARIN Alliance is also developing a set of Application Registration best practices for the industry to use. For more information, please visit the  CARIN Alliance website .
web www.carinalliance.com The CMS rule also states, “Payers can look to industry best practices, including the CARIN Alliance’s Code of Conduct and the ONC Model Privacy Notice for other provisions to include in their attestation request that best meet the needs of their patient population." Although it’s outside the scope of the IG, CMS and the CARIN Alliance are encouraging payers to have applications sign the  CARIN Code of Conduct as part of the application registration process or visit MyHealthApplication.com to view applications that have attested to the Code of Conduct. Following this process can help ensure consistency in how apps are getting informed, proactive consent from members and consistency in how apps use, share, and store a member’s health information. Apps that publicly attest to best practices around data governance can better be held accountable by the FTC. This enforcement mechanism will help to build consumer trust in the use of technology to manage their health. The CARIN Alliance is also developing a set of Application Registration best practices for the industry to use. For more information, please visit the  CARIN Alliance website .
web www.cms.gov_files_document_patient-2Dprivacy-2Dand-2Dsecurity-2Dresources.pdf The  CMS Patient Privacy and Security  resources directs that payers must educate patients about sharing their health information with third parties.
web www.ama-assn.org Payers should note that some authors of proprietary code systems used in this Implementation Guide allow for expression of code descriptions depending on use. Some of these code systems may go further and provide consumer-friendly descriptors of these codes, such as the American Medical Association(c) CPT(R) which provides a " Consumer Friendly Descriptor " for its codes. Payers should strongly consider including these descriptors to make the information they provide to their members more usable for them.
web docs.smarthealthit.org Implementers of this Implementation Guide SHOULD support SMART on FHIR Authorization best practices Transport Security section .
web docs.smarthealthit.org Implementations SHOULD consider the SMART on FHIR Best Practices in Authorization found here .
web www.ama-assn.org AMA CPT : The CPT procedure and modifier codes are owned by the American Medical Association.
web www.x12.org X12 : CARC (Claim Adjustment Reason Codes) are owned by X12.
web www.nubc.org NUBC : The NUBC secretariat is the American Hospital Association.
web www.nucc.org NUCC : National Uniform Claim Committee (NUCC) is presently maintaining the Taxonomy code set. The codes are free and publicly available for download and use. If the use however is “For commercial use, including sales or licensing, a license must be obtained”. It would be appropriate for an app developer to file the license form just like they would for any other code set; however, there is no fee.
web www.ncpdp.org NCPDP : Retail Pharmacy data standards are defined by the NCPDP.
web www.3m.com 3M APR-DRG : AP-DRGs and APR-DRGs are owned by 3M. Use of AP-DRGs and APR-DRGs require a license.
web www.icd10data.com ICD-CM Diagnosis Codes (ICD-10-CM) : International Statistical Classification of Diseases and Related Health Problems (ICD). This IG will use version 10. The ICD-10-CM code set is maintained by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC) for use in the United States. It is based on ICD-10, which was developed by the World Health Organization (WHO) and is used internationally a medical classification.
web www.icd10data.com ICD-Procedure Codes (ICD-PCS) : The ICD-10-PCS code set is owned by CMS.
web www.wpc-edi.com RARCCodes : The RARC codes are owned by CMS.
web www.ada.org ADA CDT : The CDT procedure and modifier codes are owned by the American Dental Association.
web www.nubc.org To obtain the underlying code systems, please see information here
web www.nubc.org Copyright/Legal : Licensing information can be found here .
web info.commerce.ama-assn.org To obtain CPT, please see the license request form here
web engage.3m.com To license APR DRG from 3M, see request form here
web www.3m.com Link to information about the code system - including how to obtain the content from 3M - is available here. .
web apps.3mhis.com https://apps.3mhis.com/docs/Groupers/All_Patient_Refined_DRG/Methodology_overview_GRP041/grp041_aprdrg_meth_overview.pdf
web standards.ncpdp.org Link to information about the code system - including how to obtain the content: https://standards.ncpdp.org/Access-to-Standards.aspx
web x12.org Additional IP information can be found here: https://x12.org/products/ip-use
web x12.org https://x12.org/products/licensing-program
web x12.org https://x12.org/codes
web www.wpc-edi.com Click on the name of any external code list to access more information about the code list, view the codes, or submit a maintenance request. These external code lists were previously published on either www.wpc-edi.com/reference or www.x12.org/codes .
web www.x12.org Click on the name of any external code list to access more information about the code list, view the codes, or submit a maintenance request. These external code lists were previously published on either www.wpc-edi.com/reference or www.x12.org/codes .
web www.carinalliance.com CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®) was developed under the CARIN Alliance .
web x12.org Copyright Statement These codes are listed within an X12 implementation guide maintained by X12. All X12 work products are copyrighted. See https://x12.org/products/licensing-program for licensing terms and conditions. Intellectual Property Information All X12 products are subject to this IP policy, including published and draft works.X12 is the only organization authorized to grant permission for use of X12 products. Users of all X12 products should make sure that they understand the permissible uses, as well as the limitations on such usage, as outlined below.Additional IP information can be found here: https://x12.org/products/ip-use Licensing Information Send an email to ip@x12.org to request permission to reproduce X12 IP. Include your name, organization, title, address, city, state, zip, email, a detailed description of the Submitted Artifact, including the underlying or cited X12 Product, and a detailed description of the intended audience and planned distribution method for the Artifact.Additional information on X12 licensing program can be found here: https://x12.org/products/licensing-program Purchasing Information: To purchase code list subscriptions call (425) 562-2245 or email admin@wpc-edi.com.
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web x12.org Copyright Statement These codes are listed within an X12 implementation guide maintained by X12. All X12 work products are copyrighted. See https://x12.org/products/licensing-program for licensing terms and conditions. Intellectual Property Information All X12 products are subject to this IP policy, including published and draft works.X12 is the only organization authorized to grant permission for use of X12 products. Users of all X12 products should make sure that they understand the permissible uses, as well as the limitations on such usage, as outlined below.Additional IP information can be found here: https://x12.org/products/ip-use Licensing Information Send an email to ip@x12.org to request permission to reproduce X12 IP. Include your name, organization, title, address, city, state, zip, email, a detailed description of the Submitted Artifact, including the underlying or cited X12 Product, and a detailed description of the intended audience and planned distribution method for the Artifact.Additional information on X12 licensing program can be found here: https://x12.org/products/licensing-program Purchasing Information: To purchase code list subscriptions call (425) 562-2245 or email admin@wpc-edi.com.
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web x12.org https://x12.org/products/ip-use
web x12.org All X12 products are subject to this IP policy, including published and draft works.X12 is the only organization authorized to grant permission for use of X12 products. Users of all X12 products should make sure that they understand the permissible uses, as well as the limitations on such usage, as outlined below.Additional IP information can be found here Send an email to ip@x12.org to request permission to reproduce X12 IP. Include your name, organization, title, address, city, state, zip, email, a detailed description of the Submitted Artifact, including the underlying or cited X12 Product, and a detailed description of the intended audience and planned distribution method for the Artifact.Additional information on X12 licensing program can be found here To purchase code list subscriptions call (425) 562-2245 or email admin@wpc-edi.com.
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web x12.org All X12 products are subject to this IP policy, including published and draft works.X12 is the only organization authorized to grant permission for use of X12 products. Users of all X12 products should make sure that they understand the permissible uses, as well as the limitations on such usage, as outlined below.Additional IP information can be found here Send an email to ip@x12.org to request permission to reproduce X12 IP. Include your name, organization, title, address, city, state, zip, email, a detailed description of the Submitted Artifact, including the underlying or cited X12 Product, and a detailed description of the intended audience and planned distribution method for the Artifact.Additional information on X12 licensing program can be found here To purchase code list subscriptions call (425) 562-2245 or email admin@wpc-edi.com.
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web www.iso.org ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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web www.nubc.org Licensing information can be found here These codes are listed within the UB-04 Data Specifications Manual. The Official UB-04 Data Specifications Manual, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing Committee. No other publication—governmental or private/commercial—can be considered authoritative. The AHA wants to make you aware that the use of codes, descriptions, or any other content contained in the manual to be used in a software application, publication, or any other derivative work must be properly licensed by the AHA. If your organization uses or intends to use any of the codes or other related content from the manual in this manner, please contact the AHA’s licensing manager, Tim Carlson, at 312.893.6816 or tcarlson@aha.org
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web www.ada.org No official copyright statement is available. For general information see paper form located here : https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/publications/cdt/v2019adadentalclaimcompletioninstructions_v3_2022feb.pdf
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web www.ada.org https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/publications/cdt/v2019adadentalclaimcompletioninstructions_v3_2022feb.pdf
web www.ada.org No official copyright statement is available. For general information see paper form located here : https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/publications/cdt/v2019adadentalclaimcompletioninstructions_v3_2022feb.pdf
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web ucum.org The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
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web github.com The CARIN Consumer Directed Payer Data Exchange Implementation Guide is also known as the CARIN IG for Blue Button® Implementation Guide. This IG was developed using FHIR Shorthand syntax and the SUSHI tookit, a free, open source toolchain from the MITRE Corporation. Valuable guidance on FSH and FHIR slicing was provided by Chris Moesel. The capability statements were developed with tools and valuable guidance from Eric Haas.

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