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-adjudicationdenialreason |
Version: | 0.1.0 |
Name: | CARINBBAdjudicationDenialReason |
Status: | draft |
Title: | CARIN Blue Button Adjudication Denial Reason Value Set |
Definition: | Code Lists ASC X12 assists several organizations in the maintenance and distribution of code lists external to the X12 family of standards. The lists are maintained by the Centers for Medicare and Medicaid Services (CMS), The National Uniform Claim Committee (NUCC), and committees that meet during standing X12 meetings. Health Care Code Lists > Claim Adjustment Reason Codes (CARC) - http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes > Remittance Advice Remark Codes (RARC) - http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes |
Source Resource: | XML / JSON / Turtle |
- CARIN Blue Button Explanation of Benefit Profile
- CARIN Blue Button Explanation of Benefit Inpatient Facility Profile
- CARIN Blue Button Explanation of Benefit Outpatient Facility Profile
- CARIN Blue Button Explanation of Benefit Pharmacy Profile
- CARIN Blue Button Explanation of Benefit Professional or Non-Clinician Profile
CARIN Blue Button Adjudication Denial Reason Value Set
Code Lists ASC X12 assists several organizations in the maintenance and distribution of code lists external to the X12 family of standards. The lists are maintained by the Centers for Medicare and Medicaid Services (CMS), The National Uniform Claim Committee (NUCC), and committees that meet during standing X12 meetings.
Health Care Code Lists
> Claim Adjustment Reason Codes (CARC) - http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes
> Remittance Advice Remark Codes (RARC) - http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes
This value set includes codes from the following code systems:
- Include all codes defined in
http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes
- Include all codes defined in
http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes
Expansion
No Expansion for this valueset (not supported by Publication Tooling)