Valueset c4bb-supportinginfo-type

admissionperiod

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Admission Period

Dates corresponding with the admission and discharge of the beneficiary to a facility

pointoforigin

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Point Of Origin

UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.

admtype

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Admission Type

UB-04 Priority of the admission (FL-14) indicates

billingnetworkcontractingstatus

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Billing Network Contracting Status

Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission.

brandgenericindicator

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Brand Generic Indicator

NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.

clmrecvddate

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Claim Received Date

Date the claim was received by the payer.

compoundcode

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Compound Code

NCPDP code indicating whether or not the prescription is a compound.

dawcode

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

DAW (Dispense As Written) Code

NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.

dayssupply

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Days Supply

NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.

discharge-status

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Discharge Status

UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.

drg

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

DRG

DRG (Diagnosis Related Group)

performingnetworkcontractingstatus

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Performing Network Contracting Status

Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission.

refillnum

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Refill Number

NCPDP value indicating the number fill of the current dispensed supply (0

rxorigincode

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Rx Origin Code

NCPDP code indicating whether the prescription was transmitted as an electronic prescription

servicefacility

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Service Facility

The facility where the service occurred. Examples include hospitals

typeofbill

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Type of Bill

UB-04 Type of Bill (FL-04) provides specific information for payer purposes.

medicalrecordnumber

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Medical Record Number

Patient Medical Record Number associated with the specific claim.

patientaccountnumber

http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType

Patient Account Number

Patient Account Number associated with the specific claim.