This page is part of the CARIN Blue Button Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions 
XML Format: CodeSystem-CARIN-BB-Adjudication-Category
Raw xml
<CodeSystem xmlns="http://hl7.org/fhir"> <id value="CARIN-BB-Adjudication-Category"/> <meta> <versionId value="4"/> <lastUpdated value="2019-12-01T18:53:17.000+00:00"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><h2>CARIN Blue Button Claim Adjudication Category Code System</h2><p>This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">benefitPaymentStatusCode<a name="CARIN-BB-Adjudication-Category-benefitPaymentStatusCode"> </a></td><td>Benefit payment status code</td><td>Benefit payment status code</td></tr><tr><td style="white-space:nowrap">paymentDenialCode<a name="CARIN-BB-Adjudication-Category-paymentDenialCode"> </a></td><td>Payment denial code</td><td>Payment Denial Code</td></tr><tr><td style="white-space:nowrap">submittedamount<a name="CARIN-BB-Adjudication-Category-submittedamount"> </a></td><td>submitted amount</td><td/></tr><tr><td style="white-space:nowrap">allowedamount<a name="CARIN-BB-Adjudication-Category-allowedamount"> </a></td><td>allowed amount</td><td/></tr><tr><td style="white-space:nowrap">deductibleamount<a name="CARIN-BB-Adjudication-Category-deductibleamount"> </a></td><td>deductible amount</td><td/></tr><tr><td style="white-space:nowrap">coinsuranceamount<a name="CARIN-BB-Adjudication-Category-coinsuranceamount"> </a></td><td>coinsurance amount</td><td/></tr><tr><td style="white-space:nowrap">copayamount<a name="CARIN-BB-Adjudication-Category-copayamount"> </a></td><td>copay amount</td><td/></tr><tr><td style="white-space:nowrap">noncoveredamount<a name="CARIN-BB-Adjudication-Category-noncoveredamount"> </a></td><td>noncovered amount</td><td/></tr><tr><td style="white-space:nowrap">cobamount<a name="CARIN-BB-Adjudication-Category-cobamount"> </a></td><td>cob amount</td><td/></tr><tr><td style="white-space:nowrap">paymentamount<a name="CARIN-BB-Adjudication-Category-paymentamount"> </a></td><td>payment amount</td><td/></tr><tr><td style="white-space:nowrap">patientpayamount<a name="CARIN-BB-Adjudication-Category-patientpayamount"> </a></td><td>patient pay amount</td><td/></tr><tr><td style="white-space:nowrap">denialreason<a name="CARIN-BB-Adjudication-Category-denialreason"> </a></td><td>payment denial reason</td><td/></tr><tr><td style="white-space:nowrap">innetworkbenefitpaymentstatus<a name="CARIN-BB-Adjudication-Category-innetworkbenefitpaymentstatus"> </a></td><td>in network benefit payment status</td><td/></tr><tr><td style="white-space:nowrap">outofnetworkbenefitpaymentstatus<a name="CARIN-BB-Adjudication-Category-outofnetworkbenefitpaymentstatus"> </a></td><td>out of network benefit payment status</td><td/></tr><tr><td style="white-space:nowrap">otherbenefitpaymentstatus<a name="CARIN-BB-Adjudication-Category-otherbenefitpaymentstatus"> </a></td><td>other benefit payment status</td><td/></tr><tr><td style="white-space:nowrap">allowedunits<a name="CARIN-BB-Adjudication-Category-allowedunits"> </a></td><td>allowed units</td><td/></tr></table></div> </text> <url value="http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory"/> <version value="0.1.0"/> <name value="CARINBBAdjudicationCategory"/> <title value="CARIN Blue Button Claim Adjudication Category Code System"/> <status value="draft"/> <date value="2019-07-27T00:00:00+00:00"/> <publisher value="CARIN Alliance"/> <caseSensitive value="true"/> <content value="complete"/> <concept> <code value="benefitPaymentStatusCode"/> <display value="Benefit payment status code"/> <definition value="Benefit payment status code"/> </concept> <concept> <code value="paymentDenialCode"/> <display value="Payment denial code"/> <definition value="Payment Denial Code"/> </concept> <concept> <code value="submittedamount"/> <display value="submitted amount"/> </concept> <concept> <code value="allowedamount"/> <display value="allowed amount"/> </concept> <concept> <code value="deductibleamount"/> <display value="deductible amount"/> </concept> <concept> <code value="coinsuranceamount"/> <display value="coinsurance amount"/> </concept> <concept> <code value="copayamount"/> <display value="copay amount"/> </concept> <concept> <code value="noncoveredamount"/> <display value="noncovered amount"/> </concept> <concept> <code value="cobamount"/> <display value="cob amount"/> </concept> <concept> <code value="paymentamount"/> <display value="payment amount"/> </concept> <concept> <code value="patientpayamount"/> <display value="patient pay amount"/> </concept> <concept> <code value="denialreason"/> <display value="payment denial reason"/> </concept> <concept> <code value="innetworkbenefitpaymentstatus"/> <display value="in network benefit payment status"/> </concept> <concept> <code value="outofnetworkbenefitpaymentstatus"/> <display value="out of network benefit payment status"/> </concept> <concept> <code value="otherbenefitpaymentstatus"/> <display value="other benefit payment status"/> </concept> <concept> <code value="allowedunits"/> <display value="allowed units"/> </concept> </CodeSystem>
