This page is part of the CARIN Blue Button Implementation Guide (v2.1.0-snapshot1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

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: C4BB Payer Benefit Payment Status Value Set - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="C4BBPayerBenefitPaymentStatus"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet C4BBPayerBenefitPaymentStatus</b></p><a name="C4BBPayerBenefitPaymentStatus"> </a><a name="hcC4BBPayerBenefitPaymentStatus"> </a><a name="C4BBPayerBenefitPaymentStatus-en-US"> </a><ul><li>Include these codes as defined in <a href="CodeSystem-C4BBPayerAdjudicationStatus.html"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-innetwork">innetwork</a></td><td>In Network</td><td>Indicates an in network status in relation to a patient's coverage</td></tr><tr><td><a href="CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-outofnetwork">outofnetwork</a></td><td>Out Of Network</td><td>Indicates a not in network status in relation to a patient's coverage</td></tr><tr><td><a href="CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-other">other</a></td><td>Other</td><td>Indicates other network status or when a network does not apply</td></tr></table></li></ul></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/carin-bb/ImplementationGuide/hl7.fhir.us.carin-bb"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus"/>
  <version value="2.1.0-snapshot1"/>
  <name value="C4BBPayerBenefitPaymentStatus"/>
  <title value="C4BB Payer Benefit Payment Status Value Set"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-07-27T20:09:37+08:00"/>
  <publisher value="HL7 International / Financial Management"/>
  <contact>
    <name value="HL7 International / Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fm@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="Indicates the in network or out of network payment status of the claim."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright value="This Valueset is not copyrighted."/>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus"/>
      <concept>
        <code value="innetwork"/>
        <display value="In Network"/>
      </concept>
      <concept>
        <code value="outofnetwork"/>
        <display value="Out Of Network"/>
      </concept>
      <concept>
        <code value="other"/>
        <display value="Other"/>
      </concept>
    </include>
  </compose>
</ValueSet>