Blue Button 2.0 Implementation Guide
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@prefix fhir: <https://bluebutton.cms.gov/assets/ig/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:CodeSystem; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "carr-clm-pmt-dnl-cd"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Carrier Claim Payment Denial Code</h2><div><p>The code on a non-institutional claim indicating to whom payment was made or if the claim was denied. Source: https://bluebutton.cms.gov/resources/variables/carr<em>clm</em>pmt<em>dnl</em>cd</p>\n</div><p>This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-clm-pmt-dnl-cd defines the following codes:</p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>!<a name=\"carr-clm-pmt-dnl-cd-.33\"> </a></td><td>MSP cost avoided - COB Contractor (converted to '00' 2-byte code)</td><td>MSP cost avoided - COB Contractor (converted to '00' 2-byte code)</td></tr><tr><td>@<a name=\"carr-clm-pmt-dnl-cd-.64\"> </a></td><td>MSP cost avoided - BC/BS Voluntary Agreements (converted to '12' 2-byte code)</td><td>MSP cost avoided - BC/BS Voluntary Agreements (converted to '12' 2-byte code)</td></tr><tr><td>#<a name=\"carr-clm-pmt-dnl-cd-.35\"> </a></td><td>MSP cost avoided - Office of Personnel Management (converted to '13' 2-byte code)</td><td>MSP cost avoided - Office of Personnel Management (converted to '13' 2-byte code)</td></tr><tr><td>$<a name=\"carr-clm-pmt-dnl-cd-.36\"> </a></td><td>MSP cost avoided - Workman's Compensation (WC) Datamatch (converted to '14' 2-byte code)</td><td>MSP cost avoided - Workman's Compensation (WC) Datamatch (converted to '14' 2-byte code)</td></tr><tr><td>*<a name=\"carr-clm-pmt-dnl-cd-.42\"> </a></td><td>MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006) (converted to '15' 2-byte code)</td><td>MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006) (converted to '15' 2-byte code)</td></tr><tr><td>(<a name=\"carr-clm-pmt-dnl-cd-.40\"> </a></td><td>MSP cost avoided - Liability Insurer VDSA (eff. 4/2006) (converted to '16' 2-byte code)</td><td>MSP cost avoided - Liability Insurer VDSA (eff. 4/2006) (converted to '16' 2-byte code)</td></tr><tr><td>)<a name=\"carr-clm-pmt-dnl-cd-.41\"> </a></td><td>MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006) (converted to '17' 2-byte code)</td><td>MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006) (converted to '17' 2-byte code)</td></tr><tr><td>+<a name=\"carr-clm-pmt-dnl-cd-.43\"> </a></td><td>MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006) (converted to '18' 2 -byte code)</td><td>MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006) (converted to '18' 2 -byte code)</td></tr><tr><td><<a name=\"carr-clm-pmt-dnl-cd-.60\"> </a></td><td>MSP cost avoided - MIR Group Health Plan (eff. 1/2009) (converted to '21' 2-byte code)</td><td>MSP cost avoided - MIR Group Health Plan (eff. 1/2009) (converted to '21' 2-byte code)</td></tr><tr><td>><a name=\"carr-clm-pmt-dnl-cd-.62\"> </a></td><td>MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009) (converted to '22' 2-byte code)</td><td>MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009) (converted to '22' 2-byte code)</td></tr><tr><td>%<a name=\"carr-clm-pmt-dnl-cd-.37\"> </a></td><td>MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005) (converted to '25' 2-byte code)</td><td>MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005) (converted to '25' 2-byte code)</td></tr><tr><td>&<a name=\"carr-clm-pmt-dnl-cd-.38\"> </a></td><td>MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005) (converted to '26' 2-byte code)</td><td>MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005) (converted to '26' 2-byte code)</td></tr></table></div>" ]; fhir:CodeSystem.url [ fhir:value "https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-clm-pmt-dnl-cd"]; fhir:CodeSystem.identifier [ fhir:Identifier.value [ fhir:value "https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-clm-pmt-dnl-cd.html" ] ]; fhir:CodeSystem.version [ fhir:value "1.1.1"]; fhir:CodeSystem.name [ fhir:value "Carrier Claim Payment Denial Code"]; fhir:CodeSystem.title [ fhir:value "Carrier Claim Payment Denial Code"]; fhir:CodeSystem.status [ fhir:value "active"]; fhir:CodeSystem.date [ fhir:value "2018-11-27T15:56:35+00:00"^^xsd:dateTime]; fhir:CodeSystem.publisher [ fhir:value "CMS Blue Button 2.0 Team"]; fhir:CodeSystem.description [ fhir:value "The code on a non-institutional claim indicating to whom payment was made or if the claim was denied. Source: https://bluebutton.cms.gov/resources/variables/carr_clm_pmt_dnl_cd"]; fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean]; fhir:CodeSystem.valueSet [ fhir:value "https://bluebutton.cms.gov/assets/ig/ValueSet-carr-clm-pmt-dnl-cd"]; fhir:CodeSystem.hierarchyMeaning [ fhir:value "is-a"]; fhir:CodeSystem.content [ fhir:value "complete"]; fhir:CodeSystem.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "!" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - COB Contractor (converted to '00' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - COB Contractor (converted to '00' 2-byte code)" ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "@" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - BC/BS Voluntary Agreements (converted to '12' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - BC/BS Voluntary Agreements (converted to '12' 2-byte code)" ] ], [ fhir:index 2; fhir:CodeSystem.concept.code [ fhir:value "#" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - Office of Personnel Management (converted to '13' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - Office of Personnel Management (converted to '13' 2-byte code)" ] ], [ fhir:index 3; fhir:CodeSystem.concept.code [ fhir:value "$" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - Workman's Compensation (WC) Datamatch (converted to '14' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - Workman's Compensation (WC) Datamatch (converted to '14' 2-byte code)" ] ], [ fhir:index 4; fhir:CodeSystem.concept.code [ fhir:value "*" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006) (converted to '15' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006) (converted to '15' 2-byte code)" ] ], [ fhir:index 5; fhir:CodeSystem.concept.code [ fhir:value "(" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - Liability Insurer VDSA (eff. 4/2006) (converted to '16' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - Liability Insurer VDSA (eff. 4/2006) (converted to '16' 2-byte code)" ] ], [ fhir:index 6; fhir:CodeSystem.concept.code [ fhir:value ")" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006) (converted to '17' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006) (converted to '17' 2-byte code)" ] ], [ fhir:index 7; fhir:CodeSystem.concept.code [ fhir:value "+" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006) (converted to '18' 2 -byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006) (converted to '18' 2 -byte code)" ] ], [ fhir:index 8; fhir:CodeSystem.concept.code [ fhir:value "<" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - MIR Group Health Plan (eff. 1/2009) (converted to '21' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - MIR Group Health Plan (eff. 1/2009) (converted to '21' 2-byte code)" ] ], [ fhir:index 9; fhir:CodeSystem.concept.code [ fhir:value ">" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009) (converted to '22' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009) (converted to '22' 2-byte code)" ] ], [ fhir:index 10; fhir:CodeSystem.concept.code [ fhir:value "%" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005) (converted to '25' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005) (converted to '25' 2-byte code)" ] ], [ fhir:index 11; fhir:CodeSystem.concept.code [ fhir:value "&" ]; fhir:CodeSystem.concept.display [ fhir:value "MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005) (converted to '26' 2-byte code)" ]; fhir:CodeSystem.concept.definition [ fhir:value "MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005) (converted to '26' 2-byte code)" ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.
Blue Button 2.0 Version: 1.1.1 ®© FHIR Version: 3.0.1 (IG Publisher v3.0.1-11916) generated on Tue, Nov 27, 2018 15:56+0000. |
