C4BB Payer Benefit Payment Status Value Set
activeURL
http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatusCopied!
Version2.1.0Copied!
PublisherHL7 International / Financial ManagementDate2025-02-18T17:31:24+00:00DescriptionIndicates the in network or out of network payment status of the claim.
Expansion
| Code | Display | System |
|---|---|---|
| innetwork | http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus | |
| outofnetwork | http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus | |
| other | http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus |
systemhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus
Generated Narrative: ValueSet C4BBPayerBenefitPaymentStatus
- Include these codes as defined in
http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatusCode 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
{
"description" : "Indicates the in network or out of network payment status of the claim.",
"compose" : {
"exclude" : [ ],
"include" : [ {
"system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus",
"extension" : [ {
"extension" : [ {
"valueString" : "concept",
"url" : "path"
}, {
"url" : "count",
"valueInteger" : 3
} ],
"url" : "http://health-samurai.io/extensions/excised-data"
} ]
} ]
},
"date" : "2025-02-18T17:31:24+00:00",
"publisher" : "HL7 International / Financial Management",
"jurisdiction" : [ {
"coding" : [ {
"system" : "urn:iso:std:iso:3166",
"code" : "US"
} ]
} ],
"name" : "C4BBPayerBenefitPaymentStatus",
"copyright" : "This Valueset is not copyrighted.",
"experimental" : false,
"resourceType" : "ValueSet",
"title" : "C4BB Payer Benefit Payment Status Value Set",
"extension" : [ {
"valueCode" : "fm",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
}, {
"valueCode" : "trial-use",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"_valueCode" : {
"extension" : [ {
"valueCanonical" : "http://hl7.org/fhir/us/carin-bb/ImplementationGuide/hl7.fhir.us.carin-bb",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"
} ]
}
}, {
"url" : "http://health-samurai.io/extensions/source",
"valueCode" : "db"
} ],
"status" : "active",
"id" : "C4BBPayerBenefitPaymentStatus",
"url" : "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus",
"version" : "2.1.0",
"contact" : [ {
"name" : "HL7 International / Financial Management",
"telecom" : [ {
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fm"
}, {
"system" : "email",
"value" : "fm@lists.HL7.org"
} ]
} ],
"text" : {
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet C4BBPayerBenefitPaymentStatus</b></p><a name=\"C4BBPayerBenefitPaymentStatus\"> </a><a name=\"hcC4BBPayerBenefitPaymentStatus\"> </a><a name=\"C4BBPayerBenefitPaymentStatus-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-C4BBPayerAdjudicationStatus.html\"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus</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-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-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-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-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-C4BBPayerAdjudicationStatus.html#C4BBPayerAdjudicationStatus-other\">other</a></td><td>Other</td><td>Indicates other network status or when a network does not apply</td></tr></table></li></ul></div>",
"status" : "extensions"
}
}| Title | Version | Status | Publisher | Date |
|---|---|---|---|---|
| C4BB Payer Benefit Payment Status Value Set | 2.0.0 | active | HL7 Financial Management Working Group | - |