HL7.FHIR.US.CARIN-BB\C4BB Payer Benefit Payment Status

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

ValueSet: C4BB Payer Benefit Payment Status

Summary

Defining URL:

http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus

Version:

1.0.0

Name:

C4BBPayerBenefitPaymentStatus

Title:

C4BB Payer Benefit Payment Status

Status:

Active as of 2020-11-23T17:26:16+00:00

Definition:

Indicates the in network or out of network payment status of the claim.

Publisher:

HL7 Financial Management Working Group

This Valueset is not copyrighted.

Source Resource:

XML / JSON / Turtle

References

Logical Definition (CLD)

Include these codes as defined in http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus

Code	Display	Definition
innetwork	In Network	Indicates the claim or claim line was paid in network. This does not indicate the contracting status of the provider
outofnetwork	Out Of Network	Indicates the claim or claim line was paid out of network. This does not indicate the contracting status of the provider
other	Other	Indicates other network status or when a network does not apply

Expansion

This value set contains 3 concepts

Expansion based on C4BB Payer Adjudication Status v1.0.0 (CodeSystem)

All codes from system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus

Code	Display	Definition
innetwork	In Network	Indicates the claim or claim line was paid in network. This does not indicate the contracting status of the provider
outofnetwork	Out Of Network	Indicates the claim or claim line was paid out of network. This does not indicate the contracting status of the provider
other	Other	Indicates other network status or when a network does not apply

Explanation of the columns that may appear on this page:

Level

A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance)

Display

The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code