This page is part of the CARIN Blue Button Implementation Guide (v1.1.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
{
"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 the claim or claim line was paid in network. This does not indicate the contracting status of the provider</td></tr><tr><td><a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-outofnetwork\">outofnetwork</a></td><td>Out Of Network</td><td>Indicates the claim or claim line was paid out of network. This does not indicate the contracting status of the provider</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" : "1.1.0",
"name" : "C4BBPayerBenefitPaymentStatus",
"title" : "C4BB Payer Benefit Payment Status",
"status" : "active",
"date" : "2021-07-02T17:53:32+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/index.cfm"
},
{
"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"
}
]
}
]
}
}