FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagehl7.fhir.us.davinci-pdex
Resource TypeValueSet
IdValueSet-PDexPayerBenefitPaymentStatus.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7/davinci-epdx/ValueSet-PDexPayerBenefitPaymentStatus.html
URLhttp://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexPayerBenefitPaymentStatus
Version2.1.1
Statusactive
Date2026-02-03T04:22:27+00:00
NamePDexPayerBenefitPaymentStatus
TitlePDex Payer Benefit Payment Status
Realmus
Authorityhl7
DescriptionIndicates the in network or out of network payment status of the claim.
CopyrightThis Valueset is not copyrighted.

Resources that use this resource

ValueSet
PDexAdjudicationCategoryDiscriminatorPDex Adjudication Category Discriminator

Resources that this resource uses

CodeSystem
PDexPayerAdjudicationStatusPDex Payer Adjudication Status

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet PDexPayerBenefitPaymentStatus

  • Include these codes as defined in http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexPayerAdjudicationStatus version 📦2.1.1
    CodeDisplayDefinition
    innetworkIn NetworkIndicates the claim or claim line was paid in network. This does not indicate the contracting status of the provider
    outofnetworkOut Of NetworkIndicates the claim or claim line was paid out of network. This does not indicate the contracting status of the provider
    otherOtherIndicates other network status or when a network does not apply

Source1

{
  "resourceType": "ValueSet",
  "id": "PDexPayerBenefitPaymentStatus",
  "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": "informative",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexPayerBenefitPaymentStatus",
  "version": "2.1.1",
  "name": "PDexPayerBenefitPaymentStatus",
  "title": "PDex Payer Benefit Payment Status",
  "status": "active",
  "experimental": true,
  "date": "2026-02-03T04:22:27+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"
        }
      ]
    },
    {
      "name": "Mark Scrimshire (mark.scrimshire@onyxhealth.io)",
      "telecom": [
        {
          "system": "email",
          "value": "mailto:mark.scrimshire@onyxhealth.io"
        }
      ]
    },
    {
      "name": "HL7 International - Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "Indicates the in network or out of network payment status of the claim.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "copyright": "This Valueset is not copyrighted.",
  "compose": {
    "include": [
      {
        "system": "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexPayerAdjudicationStatus",
        "concept": [
          {
            "code": "innetwork",
            "display": "In Network"
          },
          {
            "code": "outofnetwork",
            "display": "Out Of Network"
          },
          {
            "code": "other",
            "display": "Other"
          }
        ]
      }
    ]
  }
}