| Package | hl7.fhir.us.carin-bb |
| Type | ValueSet |
| Id | C4BBPayerBenefitPaymentStatus |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/carin-bb/https://build.fhir.org/ig/HL7/carin-bb/ValueSet-C4BBPayerBenefitPaymentStatus.html |
| URL | http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus |
| Version | 2.1.0 |
| Status | active |
| Date | 2025-02-17T19:01:44+00:00 |
| Name | C4BBPayerBenefitPaymentStatus |
| Title | C4BB Payer Benefit Payment Status Value Set |
| Realm | us |
| Authority | hl7 |
| Description | Indicates the in network or out of network payment status of the claim. |
| Copyright | This Valueset is not copyrighted. |
| StructureDefinition | |
| C4BB-ExplanationOfBenefit-Inpatient-Institutional-Basis | C4BB ExplanationOfBenefit Inpatient Institutional Basis |
| C4BB-ExplanationOfBenefit-Oral-Basis | C4BB ExplanationOfBenefit Oral Basis |
| C4BB-ExplanationOfBenefit-Outpatient-Institutional-Basis | C4BB ExplanationOfBenefit Outpatient Institutional Basis |
| C4BB-ExplanationOfBenefit-Pharmacy-Basis | C4BB ExplanationOfBenefit Pharmacy Basis |
| C4BB-ExplanationOfBenefit-Professional-NonClinician-Basis | C4BB ExplanationOfBenefit Professional NonClinician Basis |
| CodeSystem | |
| C4BBPayerAdjudicationStatus | C4BB Payer Adjudication Status Code System |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet C4BBPayerBenefitPaymentStatus
FHIRhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus| 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 |
{
"resourceType": "ValueSet",
"id": "C4BBPayerBenefitPaymentStatus",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/carin-bb/ImplementationGuide/hl7.fhir.us.carin-bb"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus",
"version": "2.1.0",
"name": "C4BBPayerBenefitPaymentStatus",
"title": "C4BB Payer Benefit Payment Status Value Set",
"status": "active",
"experimental": false,
"date": "2025-02-17T19:01:44+00:00",
"publisher": "HL7 International / Financial Management",
"contact": [
{
"name": "HL7 International / Financial Management",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fm"
},
{
"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"
}
]
}
]
}
}