{
  "description": "Claim Information Category - Used as the discriminator for supportingInfo",
  "_filename": "CodeSystem-C4BBSupportingInfoType.json",
  "package_name": "hl7.fhir.us.carin-bb",
  "date": "2021-12-06T20:26:50+00:00",
  "publisher": "HL7 Financial Management Working Group",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "content": "complete",
  "name": "C4BBSupportingInfoType",
  "copyright": "This CodeSystem is not copyrighted.",
  "type": null,
  "experimental": null,
  "resourceType": "CodeSystem",
  "title": "C4BB Supporting Info Type",
  "package_version": "1.2.0",
  "status": "active",
  "id": "ebf7513e-2ab2-473e-a13a-1fa2d9c9a456",
  "kind": null,
  "count": 23,
  "url": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType",
  "concept": [ {
    "code": "admissionperiod",
    "display": "Admission Period",
    "definition": "Dates corresponding with the admission and discharge of the beneficiary to a facility"
  }, {
    "code": "pointoforigin",
    "display": "Point Of Origin",
    "definition": "UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility."
  }, {
    "code": "admtype",
    "display": "Admission Type",
    "definition": "UB-04 Priority of the admission (FL-14) indicates, for example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled."
  }, {
    "code": "billingnetworkcontractingstatus",
    "display": "Billing Network Contracting Status",
    "definition": "Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission."
  }, {
    "code": "brandgenericindicator",
    "display": "Brand Generic Indicator",
    "definition": "NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug."
  }, {
    "code": "clmrecvddate",
    "display": "Claim Received Date",
    "definition": "Date the claim was received by the payer."
  }, {
    "code": "compoundcode",
    "display": "Compound Code",
    "definition": "NCPDP code indicating whether or not the prescription is a compound."
  }, {
    "code": "dawcode",
    "display": "DAW (Dispense As Written) Code",
    "definition": "NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication."
  }, {
    "code": "dayssupply",
    "display": "Days Supply",
    "definition": "NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy."
  }, {
    "code": "discharge-status",
    "display": "Discharge Status",
    "definition": "UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay."
  }, {
    "code": "drg",
    "display": "DRG",
    "definition": "DRG (Diagnosis Related Group), including the code system, the DRG version and the code value"
  }, {
    "code": "performingnetworkcontractingstatus",
    "display": "Performing Network Contracting Status",
    "definition": "Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission."
  }, {
    "code": "refillnum",
    "display": "Refill Number",
    "definition": "NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)"
  }, {
    "code": "refillsauthorized",
    "display": "Refills Authorized",
    "definition": "NCPDP value indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)"
  }, {
    "code": "rxorigincode",
    "display": "Rx Origin Code",
    "definition": "NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy."
  }, {
    "code": "servicefacility",
    "display": "Service Facility",
    "definition": "The facility where the service occurred.  Examples include hospitals, nursing homes, laboratories or homeless shelters."
  }, {
    "code": "typeofbill",
    "display": "Type of Bill",
    "definition": "UB-04 Type of Bill (FL-04) provides specific information for payer purposes."
  }, {
    "code": "medicalrecordnumber",
    "display": "Medical Record Number",
    "definition": "Patient Medical Record Number associated with the specific claim."
  }, {
    "code": "patientaccountnumber",
    "display": "Patient Account Number",
    "definition": "Patient Account Number associated with the specific claim."
  }, {
    "code": "orthodontics",
    "display": "Orthodontics",
    "definition": "Orthodontics treatment indicator."
  }, {
    "code": "prosthesis",
    "display": "Prosthesis",
    "definition": "Prosthesis replacement indicator."
  }, {
    "code": "additionalbodysite",
    "display": "Additional Body Site",
    "definition": "Additional tooth number or oral cavity. Additional body sites are specific to line item and have to be linked by ExplanationOfBenefit.item.informationSequence."
  }, {
    "code": "missingtoothnumber",
    "display": "Missing Tooth Number",
    "definition": "Missing tooth number."
  } ],
  "caseSensitive": true,
  "version": "1.2.0",
  "contact": [ {
    "name": "HL7 Financial Management Working Group",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fm",
      "system": "url"
    }, {
      "value": "fm@lists.HL7.org",
      "system": "email"
    } ]
  } ]
}