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

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: C4BB Adjudication Discriminator - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="C4BBAdjudicationDiscriminator"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator"/>
  <version value="1.0.0"/>
  <name value="C4BBAdjudicationDiscriminator"/>
  <title value="C4BB Adjudication Discriminator"/>
  <status value="active"/>
  <date value="2020-11-23T17:26:16+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/index.cfm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fm@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="Used as the discriminator for the data elements in adjudication and item.adjudication"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright value="This CodeSystem is not copyrighted."/>
  <content value="complete"/>
  <count value="3"/>
  <concept>
    <code value="allowedunits"/>
    <display value="allowed units"/>
    <definition value="defines the adjudication slice to define allowed units"/>
  </concept>
  <concept>
    <code value="inoutnetwork"/>
    <display value="in or Out of Network"/>
    <definition
                value="defines the adjudication and item.adjudication slice to indicate whether a claim was adjudicatd in or out of network"/>
  </concept>
  <concept>
    <code value="denialreason"/>
    <display value="Denial Reason"/>
    <definition
                value="defines the adjudication slice to identify the denial reason"/>
  </concept>
</CodeSystem>