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. For a full list of available versions, see the Directory of published versions

: C4BB Payer Benefit Payment Status Value Set - JSON Representation

Active as of 2022-11-28

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{
  "resourceType" : "ValueSet",
  "id" : "C4BBPayerBenefitPaymentStatus",
  "text" : {
    "status" : "extensions",
    "div" : "<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-innetwork\">innetwork</a></td><td>In Network</td><td>Indicates an in network status in relation to a patient's coverage</td></tr><tr><td><a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-outofnetwork\">outofnetwork</a></td><td>Out Of Network</td><td>Indicates a not in network status in relation to a patient's coverage</td></tr><tr><td><a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-other\">other</a></td><td>Other</td><td>Indicates other network status or when a network does not apply</td></tr></table></li></ul></div>"
  },
  "url" : "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus",
  "version" : "2.0.0",
  "name" : "C4BBPayerBenefitPaymentStatus",
  "title" : "C4BB Payer Benefit Payment Status 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" : "Indicates the in network or out of network payment status of the claim.",
  "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/C4BBPayerAdjudicationStatus",
        "concept" : [
          {
            "code" : "innetwork",
            "display" : "In Network"
          },
          {
            "code" : "outofnetwork",
            "display" : "Out Of Network"
          },
          {
            "code" : "other",
            "display" : "Other"
          }
        ]
      }
    ]
  }
}