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

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: C4BB Payer Benefit Payment Status - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="C4BBPayerBenefitPaymentStatus"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="CodeSystem-C4BBPayerAdjudicationStatus.html"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-innetwork">innetwork</a></td><td>In Network</td><td>Indicates the claim or claim line was paid in network.  This does not indicate the contracting status of the provider</td></tr><tr><td><a href="CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-outofnetwork">outofnetwork</a></td><td>Out Of Network</td><td>Indicates the claim or claim line was paid out of network.  This does not indicate the contracting status of the provider</td></tr><tr><td><a href="CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-other">other</a></td><td>Other</td><td>Indicates other network status or when a network does not apply</td></tr></table></li></ul></div>
  </text>
  <url
       value="http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus"/>
  <version value="1.2.0"/>
  <name value="C4BBPayerBenefitPaymentStatus"/>
  <title value="C4BB Payer Benefit Payment Status"/>
  <status value="active"/>
  <date value="2021-12-06T20:26:50+00:00"/>
  <publisher value="HL7 Financial Management Working Group"/>
  <contact>
    <name value="HL7 Financial Management Working Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fm@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="Indicates the in network or out of network payment status of the claim."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright value="This Valueset is not copyrighted."/>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus"/>
      <concept>
        <code value="innetwork"/>
        <display value="In Network"/>
      </concept>
      <concept>
        <code value="outofnetwork"/>
        <display value="Out Of Network"/>
      </concept>
      <concept>
        <code value="other"/>
        <display value="Other"/>
      </concept>
    </include>
  </compose>
</ValueSet>