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-Denial-Reason

Raw xml


<ValueSet xmlns="http://hl7.org/fhir">
  <id value="CARIN-BB-Adjudication-Denial-Reason"/>
  <meta>
    <versionId value="5"/>
    <lastUpdated value="2019-07-27T22:01:06.000+00:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>CARIN Blue Button Adjudication Denial Reason Value Set</h2><div><p>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.</p>
<p>Health Care Code Lists</p>
<p>&gt; Claim Adjustment Reason Codes (CARC) - http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes</p>
<p>&gt; Remittance Advice Remark Codes (RARC) - http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes</p>
</div><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <code>http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes</code></li><li>Include all codes defined in <code>http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes</code></li></ul></div>
  </text>
  <url
       value="http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"/>
  <version value="0.1.0"/>
  <name value="CARINBBAdjudicationDenialReason"/>
  <title value="CARIN Blue Button Adjudication Denial Reason Value Set"/>
  <status value="draft"/>
  <date value="2019-12-23T19:40:59+00:00"/>
  <description
               value="
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

&gt; Claim Adjustment Reason Codes (CARC) - http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes

&gt; Remittance Advice Remark Codes (RARC) - http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes"/>
  <compose>
    <include>
      <system
              value="http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes"/>
    </include>
    <include>
      <system
              value="http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes"/>
    </include>
  </compose>
</ValueSet>