Blue Button 2.0 Implementation Guide
Defining URL:https://bluebutton.cms.gov/assets/ig/ValueSet-carr-clm-pmt-dnl-cd
Name:Carrier Claim Payment Denial Code
Definition:

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/carrclmpmtdnlcd

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This value set is used by:

Carrier Claim Payment Denial Code

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/carrclmpmtdnlcd

This value set includes codes from the following code systems:

Expansion

This value set contains 12 concepts

Expansion based on https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-clm-pmt-dnl-cd version 1.1.1

All codes from system https://bluebutton.cms.gov/assets/ig/CodeSystem-carr-clm-pmt-dnl-cd

CodeDisplayDefinition
!MSP cost avoided - COB Contractor (converted to '00' 2-byte code)MSP cost avoided - COB Contractor (converted to '00' 2-byte code)
@MSP cost avoided - BC/BS Voluntary Agreements (converted to '12' 2-byte code)MSP cost avoided - BC/BS Voluntary Agreements (converted to '12' 2-byte code)
#MSP cost avoided - Office of Personnel Management (converted to '13' 2-byte code)MSP cost avoided - Office of Personnel Management (converted to '13' 2-byte code)
$MSP cost avoided - Workman's Compensation (WC) Datamatch (converted to '14' 2-byte code)MSP cost avoided - Workman's Compensation (WC) Datamatch (converted to '14' 2-byte code)
*MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006) (converted to '15' 2-byte code)MSP cost avoided - Workman's Compensation Insurer Voluntary Data Sharing Agreements (WC VDSA) (eff. 4/2006) (converted to '15' 2-byte code)
(MSP cost avoided - Liability Insurer VDSA (eff. 4/2006) (converted to '16' 2-byte code)MSP cost avoided - Liability Insurer VDSA (eff. 4/2006) (converted to '16' 2-byte code)
)MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006) (converted to '17' 2-byte code)MSP cost avoided - No-Fault Insurer VDSA (eff. 4/2006) (converted to '17' 2-byte code)
+MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006) (converted to '18' 2 -byte code)MSP cost avoided - Pharmacy Benefit Manager Data Sharing Agreement (eff. 4/2006) (converted to '18' 2 -byte code)
<MSP cost avoided - MIR Group Health Plan (eff. 1/2009) (converted to '21' 2-byte code)MSP cost avoided - MIR Group Health Plan (eff. 1/2009) (converted to '21' 2-byte code)
>MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009) (converted to '22' 2-byte code)MSP cost avoided - MIR non-Group Health Plan (eff. 1/2009) (converted to '22' 2-byte code)
%MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005) (converted to '25' 2-byte code)MSP cost avoided - Recovery Audit Contractor - California (eff. 10/2005) (converted to '25' 2-byte code)
&MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005) (converted to '26' 2-byte code)MSP cost avoided - Recovery Audit Contractor - Florida (eff. 10/2005) (converted to '26' 2-byte code)