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

: C4BB Adjudication Discriminator - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "C4BBAdjudicationDiscriminator",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">allowedunits<a name=\"C4BBAdjudicationDiscriminator-allowedunits\"> </a></td><td>allowed units</td><td>defines the adjudication slice to define allowed units</td></tr><tr><td style=\"white-space:nowrap\">inoutnetwork<a name=\"C4BBAdjudicationDiscriminator-inoutnetwork\"> </a></td><td>in or Out of Network</td><td>defines the adjudication and item.adjudication slice to indicate whether a claim was adjudicatd in or out of network</td></tr><tr><td style=\"white-space:nowrap\">denialreason<a name=\"C4BBAdjudicationDiscriminator-denialreason\"> </a></td><td>Denial Reason</td><td>defines the adjudication slice to identify the denial reason</td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator",
  "version" : "1.0.0",
  "name" : "C4BBAdjudicationDiscriminator",
  "title" : "C4BB Adjudication Discriminator",
  "status" : "active",
  "date" : "2020-11-23T17:26:16+00:00",
  "publisher" : "HL7 Financial Management Working Group",
  "contact" : [
    {
      "name" : "HL7 Financial Management Working Group",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        },
        {
          "system" : "email",
          "value" : "fm@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "Used as the discriminator for the data elements in adjudication and item.adjudication",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "This CodeSystem is not copyrighted.",
  "content" : "complete",
  "count" : 3,
  "concept" : [
    {
      "code" : "allowedunits",
      "display" : "allowed units",
      "definition" : "defines the adjudication slice to define allowed units"
    },
    {
      "code" : "inoutnetwork",
      "display" : "in or Out of Network",
      "definition" : "defines the adjudication and item.adjudication slice to indicate whether a claim was adjudicatd in or out of network"
    },
    {
      "code" : "denialreason",
      "display" : "Denial Reason",
      "definition" : "defines the adjudication slice to identify the denial reason"
    }
  ]
}