compose.inactivecompose.lockedDatecopyrightdate- Values Differ
descriptionexperimentalimmutablejurisdiction
jurisdiction[0]namepublisherpurposestatustitleurlversion| Information | ValueSet.date | Values for date differ: '2021-12-03T18:56:45+00:00' vs '2021-12-06T20:26:50+00:00' |
| Name | Value | Comments | |
|---|---|---|---|
| compose.inactive | |||
| compose.lockedDate | |||
| copyright | This Valueset is not copyrighted. | ||
| date | 2021-12-03T18:56:45+00:00 | 2021-12-06T20:26:50+00:00 |
|
| description | Describes the various amount fields used when payers receive and adjudicate a claim. It includes the values defined in http://terminology.hl7.org/CodeSystem/adjudication, as well as those defined in the C4BB Adjudication CodeSystem. | ||
| experimental | |||
| immutable | |||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| name | C4BBAdjudication | ||
| publisher | HL7 Financial Management Working Group | ||
| purpose | |||
| status | active | ||
| title | C4BB Adjudication | ||
| url | http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication | ||
| version | 1.2.0 | ||
| Item | Property | Value | Comments | ||
|---|---|---|---|---|---|
| include | http://terminology.hl7.org/CodeSystem/adjudication | ||||
 Concept | submitted | ||||
| Concept | copay | ||||
| Concept | eligible | ||||
| Concept | deductible | ||||
| Concept | benefit | ||||
| include | http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | ||||
| Concept | coinsurance | Coinsurance | |||
| Concept | noncovered | Noncovered | |||
| Concept | priorpayerpaid | Prior payer paid | |||
| Concept | paidbypatient | Paid by patient | |||
| Concept | paidbypatientcash | Paid by patient - cash | |||
| Concept | paidbypatientother | Paid by patient - other | |||
| Concept | paidtopatient | Paid to patient | |||
| Concept | paidtoprovider | Paid to provider | |||
| Concept | memberliability | Member liability | |||
| Concept | discount | Discount | |||
| Concept | drugcost | Drug cost | |||
| System | Code | Display | Comments | |
|---|---|---|---|---|
| http://terminology.hl7.org/CodeSystem/adjudication | submitted | Submitted Amount | ||
| http://terminology.hl7.org/CodeSystem/adjudication | copay | CoPay | ||
| http://terminology.hl7.org/CodeSystem/adjudication | eligible | Eligible Amount | ||
| http://terminology.hl7.org/CodeSystem/adjudication | deductible | Deductible | ||
| http://terminology.hl7.org/CodeSystem/adjudication | benefit | Benefit Amount | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | coinsurance | Coinsurance | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | noncovered | Noncovered | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | priorpayerpaid | Prior payer paid | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidbypatient | Paid by patient | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidbypatientcash | Paid by patient - cash | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidbypatientother | Paid by patient - other | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidtopatient | Paid to patient | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidtoprovider | Paid to provider | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | memberliability | Member liability | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | discount | Discount | ||
| http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | drugcost | Drug cost | ||