CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue ButtonĀ®)
1.0.0 - STU1

This page is part of the CARIN Blue Button Implementation Guide (v1.0.0: STU 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

CodeSystem: C4BB Adjudication Discriminator

Summary

Defining URL:http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
Version:1.0.0
Name:C4BBAdjudicationDiscriminator
Title:C4BB Adjudication Discriminator
Status:Active as of 2020-11-23T17:26:16+00:00
Definition:

Used as the discriminator for the data elements in adjudication and item.adjudication

Publisher:HL7 Financial Management Working Group
Copyright:

This CodeSystem is not copyrighted.

Content:Complete: All the concepts defined by the code system are included in the code system resource
Source Resource:XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

This code system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator defines the following codes:

CodeDisplayDefinition
allowedunits allowed unitsdefines the adjudication slice to define allowed units
inoutnetwork in or Out of Networkdefines the adjudication and item.adjudication slice to indicate whether a claim was adjudicatd in or out of network
denialreason Denial Reasondefines the adjudication slice to identify the denial reason