CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.0.0 - STU 2 US

This page is part of the CARIN Blue Button Implementation Guide (v2.0.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: C4BB Payer Claim Payment Status Code Value Set - XML Representation

Active as of 2022-11-28

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="C4BBPayerClaimPaymentStatusCode"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="CodeSystem-C4BBPayerAdjudicationStatus.html"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-paid">paid</a></td><td>Paid</td><td>Indicates if the claim was approved for payment</td></tr><tr><td><a href="CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-denied">denied</a></td><td>Denied</td><td>Indicates if the claim was denied</td></tr><tr><td><a href="CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-partiallypaid">partiallypaid</a></td><td>Partially Paid</td><td>Indicates that some line items on the claim were denied</td></tr></table></li></ul></div>
  </text>
  <url
       value="http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode"/>
  <version value="2.0.0"/>
  <name value="C4BBPayerClaimPaymentStatusCode"/>
  <title value="C4BB Payer Claim Payment Status Code Value Set"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2022-11-28T15:16:46+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"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fm@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="Indicates whether the claim / item was paid or denied."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright value="This Valueset is not copyrighted."/>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus"/>
      <concept>
        <code value="paid"/>
      </concept>
      <concept>
        <code value="denied"/>
      </concept>
      <concept>
        <code value="partiallypaid"/>
      </concept>
    </include>
  </compose>
</ValueSet>