PDex Payer Benefit Payment Status

{
  "description" : "Indicates the in network or out of network payment status of the claim.",
  "compose" : {
    "exclude" : [ ],
    "include" : [ {
      "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexPayerAdjudicationStatus",
      "extension" : [ {
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          "url" : "path"
        }, {
          "url" : "count",
          "valueInteger" : 3
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        "url" : "http://health-samurai.io/extensions/excised-data"
      } ]
    } ]
  },
  "date" : "2025-06-18T00:57:14+00:00",
  "publisher" : "HL7 International / Financial Management",
  "jurisdiction" : [ {
    "coding" : [ {
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    } ]
  } ],
  "name" : "PDexPayerBenefitPaymentStatus",
  "copyright" : "This Valueset is not copyrighted.",
  "experimental" : true,
  "resourceType" : "ValueSet",
  "title" : "PDex Payer Benefit Payment Status",
  "extension" : [ {
    "valueCode" : "fm",
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
  }, {
    "valueCode" : "informative",
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "_valueCode" : {
      "extension" : [ {
        "valueCanonical" : "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex",
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"
      } ]
    }
  }, {
    "url" : "http://health-samurai.io/extensions/source",
    "valueCode" : "db"
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  "status" : "active",
  "id" : "PDexPayerBenefitPaymentStatus",
  "url" : "http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexPayerBenefitPaymentStatus",
  "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"
    } ]
  }, {
    "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"
    } ]
  } ],
  "text" : {
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet PDexPayerBenefitPaymentStatus</b></p><a name=\"PDexPayerBenefitPaymentStatus\"> </a><a name=\"hcPDexPayerBenefitPaymentStatus\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-PDexPayerAdjudicationStatus.html\"><code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexPayerAdjudicationStatus</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-PDexPayerAdjudicationStatus.html#PDexPayerAdjudicationStatus-innetwork\">innetwork</a></td><td>In Network</td><td>Indicates the claim or claim line was paid in network.  This does not indicate the contracting status of the provider</td></tr><tr><td><a href=\"CodeSystem-PDexPayerAdjudicationStatus.html#PDexPayerAdjudicationStatus-outofnetwork\">outofnetwork</a></td><td>Out Of Network</td><td>Indicates the claim or claim line was paid out of network.  This does not indicate the contracting status of the provider</td></tr><tr><td><a href=\"CodeSystem-PDexPayerAdjudicationStatus.html#PDexPayerAdjudicationStatus-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"
  }
}