CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue ButtonĀ®)
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. For a full list of available versions, see the Directory of published versions

: C4BB Payee Type Value Set - JSON Representation

Active as of 2022-11-28

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{
  "resourceType" : "ValueSet",
  "id" : "C4BBPayeeType",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-C4BBPayeeType.html\"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayeeType</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-C4BBPayeeType.html#C4BBPayeeType-beneficiary\">beneficiary</a></td><td>Beneficiary</td><td>The beneficiary (patient) will be reimbursed.</td></tr></table></li><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-payeetype.html\"><code>http://terminology.hl7.org/CodeSystem/payeetype</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=\"http://terminology.hl7.org/5.0.0/CodeSystem-payeetype.html#payeetype-subscriber\">subscriber</a></td><td>Subscriber</td><td>The subscriber (policy holder) will be reimbursed.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-payeetype.html#payeetype-provider\">provider</a></td><td>Provider</td><td>Any benefit payable will be paid to the provider (Assignment of Benefit).</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-payeetype.html#payeetype-other\">other</a></td><td>Other</td><td>Any benefit payable will be paid to a third party such as a guarantor.</td></tr></table></li></ul></div>"
  },
  "url" : "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType",
  "version" : "2.0.0",
  "name" : "C4BBPayeeType",
  "title" : "C4BB Payee Type Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2022-11-28T15:29:06+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"
        },
        {
          "system" : "email",
          "value" : "fm@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "Identifies the type of recipient of the adjudication amount; i.e., provider, subscriber, beneficiary or another recipient.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "This Valueset is not copyrighted.",
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayeeType",
        "concept" : [
          {
            "code" : "beneficiary"
          }
        ]
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/payeetype",
        "concept" : [
          {
            "code" : "subscriber"
          },
          {
            "code" : "provider"
          },
          {
            "code" : "other",
            "display" : "Other"
          }
        ]
      }
    ]
  }
}