C4BB Payer Benefit Payment Status Value Set - CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®) v2.2.0

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 Benefit Payment Status Value Set

Official URL: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus	Version: 2.2.0	Highlight text changes?
Standards status: Trial-use Active as of 2026-03-27	Maturity Level: 2	Computable Name: C4BBPayerBenefitPaymentStatus
Copyright/Legal: This Valueset is not copyrighted.

Indicates the in network or out of network payment status of the claim.

References

Code	Display	Definition
innetwork	In Network	Indicates an in network status in relation to a patient's coverage
outofnetwork	Out Of Network	Indicates a not in network status in relation to a patient's coverage
other	Other	Indicates other network status or when a network does not apply

This value set contains 3 concepts

System	Code	Display (en)	Definition	JSON	XML
`http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus`	innetwork	In Network	Indicates an in network status in relation to a patient's coverage
`http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus`	outofnetwork	Out Of Network	Indicates a not in network status in relation to a patient's coverage
`http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus`	other	Other	Indicates other network status or when a network does not apply