Error | ValueSet.version | Values for version differ: '1.2.0' vs '2.0.0' |
Information | ValueSet.title | Values for title differ: 'C4BB Adjudication' vs 'C4BB Adjudication Value Set' |
Information | ValueSet.date | Values for date differ: '2021-12-06T20:26:50+00:00' vs '2022-11-28T15:16:46+00:00' |
Name | Value | Comments | |
---|---|---|---|
compose.inactive | |||
compose.lockedDate | |||
copyright | This Valueset is not copyrighted. | ||
date | 2021-12-06T20:26:50+00:00 | 2022-11-28T15:16:46+00:00 |
|
description | Describes the various amount fields used when payers receive and adjudicate a claim. It includes the values defined in http://terminology.hl7.org/CodeSystem/adjudication, as well as those defined in the C4BB Adjudication CodeSystem. | ||
experimental | false |
| |
immutable | |||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
name | C4BBAdjudication | ||
publisher | HL7 Financial Management Working Group | ||
purpose | |||
status | active | ||
title | C4BB Adjudication | C4BB Adjudication Value Set |
|
url | http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication | ||
version | 1.2.0 | 2.0.0 |
|
Item | Property | Value | Comments | ||
---|---|---|---|---|---|
include | http://terminology.hl7.org/CodeSystem/adjudication | ||||
Concept | submitted | ||||
Concept | copay | ||||
Concept | eligible | ||||
Concept | deductible | ||||
Concept | benefit | ||||
include | http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | ||||
Concept | coinsurance | Coinsurance | |||
Concept | noncovered | Noncovered | |||
Concept | priorpayerpaid | Prior payer paid | |||
Concept | paidbypatient | Paid by patient | |||
Concept | paidbypatientcash | Paid by patient - cash | |||
Concept | paidbypatientother | Paid by patient - other | |||
Concept | paidtopatient | Paid to patient | |||
Concept | paidtoprovider | Paid to provider | |||
Concept | memberliability | Member liability | |||
Concept | discount | Discount | |||
Concept | drugcost | Drug cost |
System | Code | Display | Comments | |
---|---|---|---|---|
http://terminology.hl7.org/CodeSystem/adjudication | submitted | Submitted Amount | ||
http://terminology.hl7.org/CodeSystem/adjudication | copay | CoPay | ||
http://terminology.hl7.org/CodeSystem/adjudication | eligible | Eligible Amount | ||
http://terminology.hl7.org/CodeSystem/adjudication | deductible | Deductible | ||
http://terminology.hl7.org/CodeSystem/adjudication | benefit | Benefit Amount | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | coinsurance | Coinsurance | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | noncovered | Noncovered | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | priorpayerpaid | Prior payer paid | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidbypatient | Paid by patient | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidbypatientcash | Paid by patient - cash | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidbypatientother | Paid by patient - other | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidtopatient | Paid to patient | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | paidtoprovider | Paid to provider | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | memberliability | Member liability | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | discount | Discount | ||
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication | drugcost | Drug cost |