CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.2.0 - STU 2.2 United States of America flag

This page is part of the CARIN Blue Button Implementation Guide (v2.2.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

ValueSet: C4BB Payer Claim Payment Status Code Value Set

Official URL: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode Version: 2.2.0
Standards status: Trial-use Active as of 2026-03-27 Maturity Level: 2 Computable Name: C4BBPayerClaimPaymentStatusCode

Copyright/Legal: This Valueset is not copyrighted.

Indicates whether the claim / item was paid or denied.

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem C4BB Payer Adjudication Status Code System v2.2.0 (CodeSystem)

This value set contains 3 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus  paidPaidIndicates if the claim was approved for payment
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus  deniedDeniedIndicates if the claim was denied
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus  partiallypaidPartially PaidIndicates that some line items on the claim were denied

Description of the above table(s).