Consumer-Directed Payer Data Exchange

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

Defining URL:

http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory

Version:

0.1.0

Name:

CARINBBAdjudicationAmountCategory

Status:

draft

Title:

CARIN Blue Button Adjudication Amount Category Value Set

Definition:

Describes the various amount fields used when submitting and adjudicating a claim.

Source Resource:

XML / JSON / Turtle

CARIN Blue Button Adjudication Amount Category Value Set

Describes the various amount fields used when submitting and adjudicating a claim.

This value set includes codes from the following code systems:

Include these codes as defined in http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory

Code	Display
submittedamount	submitted amount
allowedamount	allowed amount
deductibleamount	deductible amount
coinsuranceamount	coinsurance amount
copayamount	copay amount
noncoveredamount	noncovered amount
cobamount	cob amount
paymentamount	payment amount
patientpayamount	patient pay amount

Expansion

This value set contains 9 concepts

Expansion based on http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory version 0.1.0

All codes from system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory

Code	Display	Definition
submittedamount	submitted amount
allowedamount	allowed amount
deductibleamount	deductible amount
coinsuranceamount	coinsurance amount
copayamount	copay amount
noncoveredamount	noncovered amount
cobamount	cob amount
paymentamount	payment amount
patientpayamount	patient pay amount