CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.1.0 - STU1 Update

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

Table of Contents

..0 Table of Contents
...1 Home
...2 Background
...3 Use Case
...4 General Guidance
...5 Common Payer Consumer Data Set
...6 Terminology Licensure
...7 Searchparameters
...8 Authorization Authentication and Registration
...9 Downloads
...10 Change Notes
...11 Artifacts Summary
....11.1 C4BB CapabilityStatement
....11.2 Coverage_Payor
....11.3 ExplanationOfBenefit_Careteam
....11.4 ExplanationOfBenefit_Coverage
....11.5 ExplanationOfBenefit_Identifier
....11.6 ExplanationOfBenefit_Insurer
....11.7 ExplanationOfBenefit_Patient
....11.8 ExplanationOfBenefit_Provider
....11.9 ExplanationOfBenefit_ServiceDate
....11.10 ExplanationOfBenefit_Type
....11.11 ExplanationOfBenefit_Organization
....11.12 ExplanationOfBenefit_Practitioner
....11.13 C4BB Explanation Of Benefit
....11.14 C4BB Coverage
....11.15 C4BB ExplanationOfBenefit Inpatient Institutional
....11.16 C4BB ExplanationOfBenefit Outpatient Institutional
....11.17 C4BB ExplanationOfBenefit Pharmacy
....11.18 C4BB ExplanationOfBenefit Professional NonClinician
....11.19 C4BB Organization
....11.20 C4BB Patient
....11.21 C4BB Practitioner
....11.22 NUBC Patient Discharge Status Codes
....11.23 NUBC Point Of Origin
....11.24 NUBC Present On Admission Indicator Codes
....11.25 NUBC Priority (Type) of Admission or Visit
....11.26 NUBC Revenue Codes
....11.27 NUBC Type of Bill Codes
....11.28 Procedure Modifier Codes - AMA CPT - CMS HCPCS
....11.29 Procedure Codes - AMA CPT - CMS HCPCS
....11.30 C4BB Adjudication
....11.31 C4BB Adjudication Category Discriminator
....11.32 C4BB Claim Identifier Type
....11.33 C4BB Claim Inpatient Institutional Diagnosis Type
....11.34 C4BB Claim Institutional Care Team Role
....11.35 C4BB Claim Outpatient Institutional Diagnosis Type
....11.36 C4BB Claim Pharmacy CareTeam Roles
....11.37 C4BB Claim Procedure Type
....11.38 C4BB Claim Professional And Non Clinician Care Team Role
....11.39 C4BB Claim Professional And Non Clinician Diagnosis Type
....11.40 Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
....11.41 C4BB Institutional Claim SubType
....11.42 C4BB Organization Identifier Type
....11.43 C4BB Patient Identifier Type
....11.44 C4BB Payee Type
....11.45 C4BB Payer Benefit Payment Status
....11.46 C4BB Payer Claim Payment Status Code
....11.47 C4BB Payer Provider Contracting Status
....11.48 C4BB Practitioner Identifier Type
....11.49 C4BB Related Claim Relationship Codes
....11.50 C4BB SupportingInfo Type
....11.51 C4BB Total Category Discriminator
....11.52 Diagnosis Codes - International Classification of Diseases, Clinical Modification (ICD-9-CM, ICD-10-CM)
....11.53 Procedure Codes - International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) - ICD-10 Procedure Coding System
....11.54 MS-DRGs - AP-DRGs - APR-DRGs
....11.55 CMS Place of Service Codes (POS)
....11.56 NDC or Compound
....11.57 National Drug Code (NDC)
....11.58 NCPDP Brand Generic Indicator
....11.59 NCPDP Compound Code
....11.60 NCPDP Dispense As Written (DAW)/Product Selection Code
....11.61 NCPDP Prescription Origin Code
....11.62 NCPDP Reject Code
....11.63 X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes
....11.64 NUBC Patient Discharge Status Codes
....11.65 NUBC Point Of Origin for Newborn
....11.66 NUBC Point Of Origin for Non-newborn
....11.67 NUBC Present On Admission Indicator Codes
....11.68 NUBC Priority (Type) of Admission or Visit
....11.69 NUBC Revenue Codes
....11.70 NUBC Type Of Bill Codes
....11.71 C4BB Adjudication
....11.72 C4BB Adjudication Discriminator
....11.73 C4BB Claim Care Team Role
....11.74 C4BB Claim Diagnosis Type
....11.75 C4BB Claim Procedure Type
....11.76 C4BB Compound Literal
....11.77 C4BB Identifier Type
....11.78 C4BB Institutional Claim SubType
....11.79 C4BB Payee Type
....11.80 C4BB Payer Adjudication Status
....11.81 C4BB Related Claim Relationship Codes
....11.82 C4BB Supporting Info Type
....11.83 Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes
....11.84 Health Insurance Prospective Payment System (HIPPS)
....11.85 Medicare Severity Diagnosis Related Groups (MS-DRGs)
....11.86 CMS Place of Service Codes (POS)
....11.87 X12 Remittance Advice Remark Codes
....11.88 NCPDP Brand Generic Indicator
....11.89 NCPDP Compound Code
....11.90 NCPDP Dispense As Written (DAW)/Product Selection Code
....11.91 NCPDP Prescription Origin Code
....11.92 NCPDP Reject Code
....11.93 All Patient Diagnosis Related Groups (AP-DRGs)
....11.94 All Patient Refined Diagnosis Related Groups (APR-DRGs)
....11.95 X12 Claim Adjustment Reason Codes
....11.96 Coverage1
....11.97 EOBInpatient1
....11.98 EOBOutpatientInstitutional1
....11.99 EOBPharmacy1
....11.100 EOBProfessional1a
....11.101 OrganizationProvider1
....11.102 Patient1
....11.103 OrganizationPayer1
....11.104 Coverage Example 1
....11.105 Coverage Example 2
....11.106 EOB Inpatient Institutional - Example 1
....11.107 EOB Outpatient Institutional - Example 1
....11.108 EOB Professional - Example 1
....11.109 Payer Organization Example 1
....11.110 Provider Organizaiton Example 1
....11.111 Provider Organizaiton Example 3
....11.112 Provider Organizaiton Example 4
....11.113 Provider Organizaiton Example 5
....11.114 Provider Organizaiton Example 6
....11.115 Patient Example 1
....11.116 Practitioner Example 1
....11.117 Practitioner Example 2
....11.118 Practitioner Example 3