Blue Button 2.0 Implementation Guide
Formats: Narrative, XML, JSON, Turtle
Raw xml
<CodeSystem xmlns="https://bluebutton.cms.gov/assets/ig"> <id value="carr-clm-pmt-dnl-cd"/> <text> <status value="generated"/> <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> </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> </text> <url value="https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-clm-pmt-dnl-cd"/> <identifier> <value value="https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-clm-pmt-dnl-cd.html"/> </identifier> <version value="1.1.1"/> <name value="Carrier Claim Payment Denial Code"/> <title value="Carrier Claim Payment Denial Code"/> <status value="active"/> <date value="2018-11-27T15:56:35+00:00"/> <publisher value="CMS Blue Button 2.0 Team"/> <description 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"/> <caseSensitive value="true"/> <valueSet value="https://bluebutton.cms.gov/assets/ig/ValueSet-carr-clm-pmt-dnl-cd"/> <hierarchyMeaning value="is-a"/> <content value="complete"/> <concept> <code value="!"/> <display value="MSP cost avoided - COB Contractor (converted to '00' 2-byte code)"/> <definition value="MSP cost avoided - COB Contractor (converted to '00' 2-byte code)"/> </concept> <concept> <code value="@"/> <display value="MSP cost avoided - BC/BS Voluntary Agreements (converted to '12' 2-byte code)"/> <definition value="MSP cost avoided - BC/BS Voluntary Agreements (converted to '12' 2-byte code)"/> </concept> <concept> <code value="#"/> <display value="MSP cost avoided - Office of Personnel Management (converted to '13' 2-byte code)"/> <definition value="MSP cost avoided - Office of Personnel Management (converted to '13' 2-byte code)"/> </concept> <concept> <code value="$"/> <display value="MSP cost avoided - Workman's Compensation (WC) Datamatch (converted to '14' 2-byte code)"/> <definition value="MSP cost avoided - Workman's Compensation (WC) Datamatch (converted to '14' 2-byte code)"/> </concept> <concept> <code value="*"/> <display value="MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006) (converted to '15' 2-byte code)"/> <definition value="MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006) (converted to '15' 2-byte code)"/> </concept> <concept> <code value="("/> <display value="MSP cost avoided - Liability Insurer VDSA (eff. 4/2006) (converted to '16' 2-byte code)"/> <definition value="MSP cost avoided - Liability Insurer VDSA (eff. 4/2006) (converted to '16' 2-byte code)"/> </concept> <concept> <code value=")"/> <display value="MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006) (converted to '17' 2-byte code)"/> <definition value="MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006) (converted to '17' 2-byte code)"/> </concept> <concept> <code value="+"/> <display value="MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006) (converted to '18' 2 -byte code)"/> <definition value="MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006) (converted to '18' 2 -byte code)"/> </concept> <concept> <code value="<"/> <display value="MSP cost avoided - MIR Group Health Plan (eff. 1/2009) (converted to '21' 2-byte code)"/> <definition value="MSP cost avoided - MIR Group Health Plan (eff. 1/2009) (converted to '21' 2-byte code)"/> </concept> <concept> <code value=">"/> <display value="MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009) (converted to '22' 2-byte code)"/> <definition value="MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009) (converted to '22' 2-byte code)"/> </concept> <concept> <code value="%"/> <display value="MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005) (converted to '25' 2-byte code)"/> <definition value="MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005) (converted to '25' 2-byte code)"/> </concept> <concept> <code value="&"/> <display value="MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005) (converted to '26' 2-byte code)"/> <definition value="MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005) (converted to '26' 2-byte code)"/> </concept> </CodeSystem>
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. |
