This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
: PCT Payer Benefit Payment Status - XML Representation
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<ValueSet xmlns="http://hl7.org/fhir">
<id value="PCTPayerBenefitPaymentStatusVS"/>
<text>
<status value="extensions"/>
<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-PCTNetworkStatusCS.html"><code>http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS</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-PCTNetworkStatusCS.html#PCTNetworkStatusCS-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-PCTNetworkStatusCS.html#PCTNetworkStatusCS-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-PCTNetworkStatusCS.html#PCTNetworkStatusCS-other">other</a></td><td>Other</td><td>Indicates other network status or when a network does not apply</td></tr></table></li><li>Include all codes defined in <a href="CodeSystem-PCTNetworkStatusCS.html"><code>http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS</code></a></li></ul></div>
</text>
<url
value="http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTPayerBenefitPaymentStatusVS"/>
<version value="1.0.0"/>
<name value="PCTPayerBenefitPaymentStatusVS"/>
<title value="PCT Payer Benefit Payment Status"/>
<status value="active"/>
<experimental value="false"/>
<date value="2023-03-30T13:34:22+00:00"/>
<publisher value="HL7 International - Financial Management Work Group"/>
<contact>
<name value="HL7 International - Financial Management Work Group"/>
<telecom>
<system value="url"/>
<value value="http://hl7.org/Special/committees/fm"/>
</telecom>
<telecom>
<system value="email"/>
<value value="fmlists@lists.hl7.org"/>
</telecom>
</contact>
<description
value="Indicates the in network or out of network payment status of the claim or line item."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<compose>
<include>
<system
value="http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS"/>
<concept>
<code value="innetwork"/>
</concept>
<concept>
<code value="outofnetwork"/>
</concept>
<concept>
<code value="other"/>
</concept>
</include>
<include>
<system
value="http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS"/>
</include>
</compose>
</ValueSet>