CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.1.0-snapshot1 - STU 2.1 prepublication draft United States of America flag

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

ValueSet: C4BB Payer Claim Payment Status Code Value Set

Official URL: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode Version: 2.1.0-snapshot1
Standards status: Trial-use Computable Name: C4BBPayerClaimPaymentStatusCode

Copyright/Legal: This Valueset is not copyrighted.

Indicates whether the claim / item was paid or denied.

References

Logical Definition (CLD)

Generated Narrative: ValueSet C4BBPayerClaimPaymentStatusCode

 

Expansion

Generated Narrative: ValueSet

Expansion based on codesystem C4BB Payer Adjudication Status Code System v2.1.0-snapshot1 (CodeSystem)

This value set contains 3 concepts

CodeSystemDisplayDefinition
  paidhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatusPaid

Indicates if the claim was approved for payment

  deniedhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatusDenied

Indicates if the claim was denied

  partiallypaidhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatusPartially Paid

Indicates that some line items on the claim were denied

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