CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue ButtonĀ®)
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:

 

Expansion

This value set contains 4 concepts

CodeSystemDisplayDefinition
beneficiaryhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayeeTypeBeneficiaryThe beneficiary (patient) will be reimbursed.
subscriberhttp://terminology.hl7.org/CodeSystem/payeetypeSubscriberThe subscriber (policy holder) will be reimbursed.
providerhttp://terminology.hl7.org/CodeSystem/payeetypeProviderAny benefit payable will be paid to the provider (Assignment of Benefit).
otherhttp://terminology.hl7.org/CodeSystem/payeetypeOtherAny 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