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
{
"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"
}
]
}