HL7.FHIR.US.CARIN-BB\C4BB Payee Type

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.2.0 - STU 2 Ballot

This page is part of the CARIN Blue Button Implementation Guide (v1.2.0: STU 2 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

ValueSet: C4BB Payee Type

Summary

Defining URL:

http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType

Version:

1.2.0

Name:

C4BBPayeeType

Title:

C4BB Payee Type

Status:

Active as of 12/6/21 8:26 PM

Definition:

Identifies the type of recipient of the adjudication amount; i.e., provider, subscriber, beneficiary or another recipient.

Publisher:

HL7 Financial Management Working Group

Copyright:

This Valueset is not copyrighted.

Source Resource:

XML / JSON / Turtle

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

Include these codes as defined in http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayeeType
Code Display Definition
beneficiary Beneficiary The beneficiary (patient) will be reimbursed.

Include these codes as defined in http://terminology.hl7.org/CodeSystem/payeetype

Code	Display	Definition
subscriber	Subscriber	The subscriber (policy holder) will be reimbursed.
provider	Provider	Any benefit payable will be paid to the provider (Assignment of Benefit).
other	Other	Any benefit payable will be paid to a third party such as a guarrantor.

Expansion

This value set contains 4 concepts

Expansion based on:

Code	System	Display	Definition
beneficiary	http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayeeType	Beneficiary	The beneficiary (patient) will be reimbursed.
subscriber	http://terminology.hl7.org/CodeSystem/payeetype	Subscriber	The subscriber (policy holder) will be reimbursed.
provider	http://terminology.hl7.org/CodeSystem/payeetype	Provider	Any benefit payable will be paid to the provider (Assignment of Benefit).
other	http://terminology.hl7.org/CodeSystem/payeetype	Other	Any benefit payable will be paid to a third party such as a guarrantor.

Explanation of the columns that may appear on this page:

Level

A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance)

Display

The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code