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

: C4BB Payer Claim Payment Status Code Value Set - JSON Representation

Page standards status: Trial-use

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{
  "resourceType" : "ValueSet",
  "id" : "C4BBPayerClaimPaymentStatusCode",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet C4BBPayerClaimPaymentStatusCode</b></p><a name=\"C4BBPayerClaimPaymentStatusCode\"> </a><a name=\"hcC4BBPayerClaimPaymentStatusCode\"> </a><a name=\"C4BBPayerClaimPaymentStatusCode-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-paid\">paid</a></td><td style=\"color: #cccccc\">Paid</td><td>Indicates if the claim was approved for payment</td></tr><tr><td><a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-denied\">denied</a></td><td style=\"color: #cccccc\">Denied</td><td>Indicates if the claim was denied</td></tr><tr><td><a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-partiallypaid\">partiallypaid</a></td><td style=\"color: #cccccc\">Partially Paid</td><td>Indicates that some line items on the claim were denied</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/carin-bb/ImplementationGuide/hl7.fhir.us.carin-bb"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode",
  "version" : "2.1.0-snapshot1",
  "name" : "C4BBPayerClaimPaymentStatusCode",
  "title" : "C4BB Payer Claim Payment Status Code Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-07-27T20:09:37+08:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fm@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "Indicates whether the claim / item was paid or denied.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "This Valueset is not copyrighted.",
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus",
        "concept" : [
          {
            "code" : "paid"
          },
          {
            "code" : "denied"
          },
          {
            "code" : "partiallypaid"
          }
        ]
      }
    ]
  }
}