Consumer-Directed Payer Data Exchange
- Release 0.1.0

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: ValueSet-CARIN-BB-Adjudication-Amount-Category

Raw xml


<ValueSet xmlns="http://hl7.org/fhir">
  <id value="CARIN-BB-Adjudication-Amount-Category"/>
  <meta>
    <versionId value="5"/>
    <lastUpdated value="2019-12-01T18:43:22.000+00:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>CARIN Blue Button Adjudication Amount Category Value Set</h2><div><p>Describes the various amount fields used when submitting and adjudicating a claim.</p>
</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href="CodeSystem-CARIN-BB-Adjudication-Category.html"><code>http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-submittedamount">submittedamount</a></td><td>submitted amount</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-allowedamount">allowedamount</a></td><td>allowed amount</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-deductibleamount">deductibleamount</a></td><td>deductible amount</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-coinsuranceamount">coinsuranceamount</a></td><td>coinsurance amount</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-copayamount">copayamount</a></td><td>copay amount</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-noncoveredamount">noncoveredamount</a></td><td>noncovered amount</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-cobamount">cobamount</a></td><td>cob amount</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-paymentamount">paymentamount</a></td><td>payment amount</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-patientpayamount">patientpayamount</a></td><td>patient pay amount</td><td/></tr></table></li></ul></div>
  </text>
  <url
       value="http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory"/>
  <version value="0.1.0"/>
  <name value="CARINBBAdjudicationAmountCategory"/>
  <title value="CARIN Blue Button Adjudication Amount Category Value Set"/>
  <status value="draft"/>
  <date value="2019-12-23T19:40:59+00:00"/>
  <description
               value="Describes the various amount fields used when submitting and adjudicating a claim."/>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory"/>
      <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>
    </include>
  </compose>
</ValueSet>