CodeSystem-C4BBAdjudicationDiscriminator

Source

hl7.fhir.us.carin-bb#current:CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®) (v4.0.1)

resourceType

CodeSystem

C4BBAdjudicationDiscriminator

canonical

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator

version

2.0.0

status

active

publisher

HL7 Financial Management Working Group

name

C4BBAdjudicationDiscriminator

title

C4BB Adjudication Discriminator Code System

date

2023-08-02T12:35:50+00:00

experimental

false

description

Used as the discriminator for the data elements in adjudication and item.adjudication. This is a code system defined locally by the CARIN BlueButton IG. As this IG matures, it is expected that this CodeSystem will be migrated to THO (terminology.hl7.org). The current CodeSystem url should be considered temporary and subject to change in a future version.

This CodeSystem is not copyrighted.

jurisdictions

caseSensitive

true

content

complete

Usages

C4BB Adjudication Category Discriminator Value Set (system)

This case-sensitive code system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator defines the following codes:

Code	Display	Definition
allowedunits	allowed units	defines the adjudication slice to define allowed units
adjustmentreason	Adjustment Reason	Defines the adjudication slice to identify the adjustment reason
rejectreason	Reject Reason	Defines the adjudication slice to identify the reject reason
billingnetworkstatus	Billing Network Status	Indicates the Billing Provider network status in relation to a patient's coverage as of the effective date of service or admission.
renderingnetworkstatus	Rendering Network Status	Indicates the Rendering Provider network status in relation to a patient's coverage as of the effective date of service or admission.
benefitpaymentstatus	Benefit Payment Status	Indicates the network payment status in relation to a patient's coverage as of the effective date of service or admission.

Produced 08 Sep 2023