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-Category
Raw xml
<ValueSet xmlns="http://hl7.org/fhir"> <id value="CARIN-BB-Adjudication-Category"/> <meta> <versionId value="5"/> <lastUpdated value="2019-11-30T09:17:00.000+00:00"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><h2>CARIN Blue Button Claim Adjudication Category Value Set</h2><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-benefitPaymentStatusCode">benefitPaymentStatusCode</a></td><td>Benefit payment status code</td><td>Benefit payment status code</td></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-paymentDenialCode">paymentDenialCode</a></td><td>Payment denial code</td><td>Payment Denial Code</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><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-denialreason">denialreason</a></td><td>payment denial reason</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-innetworkbenefitpaymentstatus">innetworkbenefitpaymentstatus</a></td><td>in network benefit payment status</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-outofnetworkbenefitpaymentstatus">outofnetworkbenefitpaymentstatus</a></td><td>out of network benefit payment status</td><td/></tr><tr><td><a href="CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-otherbenefitpaymentstatus">otherbenefitpaymentstatus</a></td><td>other benefit payment status</td><td/></tr></table></li></ul></div> </text> <url value="http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationcategory"/> <version value="0.1.0"/> <name value="CARINBBAdjudicationCategory"/> <title value="CARIN Blue Button Claim Adjudication Category Value Set"/> <status value="draft"/> <date value="2019-12-23T19:40:59+00:00"/> <compose> <include> <system value="http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory"/> <concept> <code value="benefitPaymentStatusCode"/> <display value="Benefit payment status code"/> </concept> <concept> <code value="paymentDenialCode"/> <display 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> </include> </compose> </ValueSet>
