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 - XML Representation

Page standards status: Trial-use

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="C4BBPayerClaimPaymentStatusCode"/>
  <text>
    <status value="extensions"/>
    <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>
  </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/C4BBPayerClaimPaymentStatusCode"/>
  <version value="2.1.0-snapshot1"/>
  <name value="C4BBPayerClaimPaymentStatusCode"/>
  <title value="C4BB Payer Claim Payment Status Code 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 whether the claim / item was paid or denied."/>
  <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="paid"/>
      </concept>
      <concept>
        <code value="denied"/>
      </concept>
      <concept>
        <code value="partiallypaid"/>
      </concept>
    </include>
  </compose>
</ValueSet>