CARIN Blue Button (C4BB)

1. Overview

   Payer claims and encounter data for consumers using FHIR EOB.

2. EOB Inpatient Institutional

   Inpatient claim profile with DRG, admission and discharge elements.

3. EOB Outpatient Institutional

   Outpatient facility claim profile with revenue codes.

4. EOB Professional and Non-Clinician

   Professional claim profile for CMS-1500 style data.

5. EOB Pharmacy

   Pharmacy claims profile with NDC and days supply.

6. Coverage

   Coverage profile with member id and plan details.

7. Digital insurance card

   C4DIC digital insurance card IG for sharing coverage details.

Each section links to the official page. Titles and summaries by Extra Credit; the docs belong to their authors.

• Blue Button 2.0
• C-CDA (Consolidated CDA)
• CDS Hooks
• Claim Adjustment and Remark Codes (CARC/RARC)
• CMS Interoperability and Patient Access Rules
• CMS-1500 Claim Form
• Da Vinci Payer Data Exchange (PDex)
• Da Vinci Prior Authorization Support (PAS)
• DICOM
• FHIR Bulk Data Access
• HL7 Da Vinci Project Implementation Guides
• HL7 FHIR R4