Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTPayerBenefitPaymentStatusVS | Version: 2.0.0-ballot | |||
Standards status: Trial-use | Computable Name: PCTPayerBenefitPaymentStatusVS | |||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.48.28 |
Indicates the in network or out of network payment status of the claim or line item.
References
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Generated Narrative: ValueSet PCTPayerBenefitPaymentStatusVS
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS
Generated Narrative: ValueSet
Expansion based on codesystem PCT Network Status v2.0.0-ballot (CodeSystem)
This value set contains 4 concepts
Code | System | Display | Definition |
innetwork | http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS | In Network | Indicates an in network status in relation to a patient's coverage |
outofnetwork | http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS | Out Of Network | Indicates a not in network status in relation to a patient's coverage |
negotiated | http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS | Negotiated Service or Product | Indicates a special negotiated status in relation to a patient's coverage |
other | http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS | Other | Indicates 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 |
System | 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 |