C4BBAdjudicationDiscriminator

C4BB Adjudication Discriminator Code System

activeCARIN Blue Button2.2.0complete6 concepts

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.

Metadata

hl7.org/fhir

Canonical URL: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
ID: C4BBAdjudicationDiscriminator
Version: 2.2.0
Publisher: HL7 International / Financial Management
Case Sensitive: Yes

Concepts (6)

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.