Polaris FHIR Implementation Guide - Local Development build (v1.9.9) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Oscar Billing Status Code System - XML Representation

Active as of 2026-04-27

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="oscar-billing-status-cs"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem oscar-billing-status-cs</b></p><a name="oscar-billing-status-cs"> </a><a name="hcoscar-billing-status-cs"> </a><p>This case-sensitive code system <code>https://fhir.apps.health/CodeSystem/oscar-billing-status-cs</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">H<a name="oscar-billing-status-cs-H"> </a></td><td>Capitated</td><td>FHO/FHN shadow bill — capitation payment, no FFS invoice expected</td></tr><tr><td style="white-space:nowrap">O<a name="oscar-billing-status-cs-O"> </a></td><td>Bill OHIP</td><td>Fee-for-service claim to be submitted to OHIP</td></tr><tr><td style="white-space:nowrap">P<a name="oscar-billing-status-cs-P"> </a></td><td>Bill Patient</td><td>Bill patient directly (third-party / private)</td></tr><tr><td style="white-space:nowrap">N<a name="oscar-billing-status-cs-N"> </a></td><td>Do Not Bill</td><td>Billing explicitly suppressed</td></tr><tr><td style="white-space:nowrap">W<a name="oscar-billing-status-cs-W"> </a></td><td>Bill WCB</td><td>Bill Worker's Compensation Board</td></tr><tr><td style="white-space:nowrap">B<a name="oscar-billing-status-cs-B"> </a></td><td>Submitted OHIP</td><td>Claim submitted to OHIP, awaiting adjudication</td></tr><tr><td style="white-space:nowrap">S<a name="oscar-billing-status-cs-S"> </a></td><td>Settled</td><td>Payment received and reconciled</td></tr><tr><td style="white-space:nowrap">X<a name="oscar-billing-status-cs-X"> </a></td><td>Bad Debt</td><td>Unrecoverable; written off</td></tr><tr><td style="white-space:nowrap">D<a name="oscar-billing-status-cs-D"> </a></td><td>Deleted Bill</td><td>Bill deleted (soft delete)</td></tr><tr><td style="white-space:nowrap">I<a name="oscar-billing-status-cs-I"> </a></td><td>Bonus Codes</td><td>Bonus / incentive code submission (no regular billing)</td></tr></table></div>
  </text>
  <url value="https://fhir.apps.health/CodeSystem/oscar-billing-status-cs"/>
  <version value="1.9.9"/>
  <name value="OscarBillingStatusCS"/>
  <title value="Oscar Billing Status Code System"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-04-27T09:30:20-04:00"/>
  <description
               value="Raw Oscar Pro billing_on_cheader1.status codes (the BillingStatus Java enum at ca.kai.billing.header.BillingONCHeader1)."/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="10"/>
  <concept>
    <code value="H"/>
    <display value="Capitated"/>
    <definition
                value="FHO/FHN shadow bill — capitation payment, no FFS invoice expected"/>
  </concept>
  <concept>
    <code value="O"/>
    <display value="Bill OHIP"/>
    <definition value="Fee-for-service claim to be submitted to OHIP"/>
  </concept>
  <concept>
    <code value="P"/>
    <display value="Bill Patient"/>
    <definition value="Bill patient directly (third-party / private)"/>
  </concept>
  <concept>
    <code value="N"/>
    <display value="Do Not Bill"/>
    <definition value="Billing explicitly suppressed"/>
  </concept>
  <concept>
    <code value="W"/>
    <display value="Bill WCB"/>
    <definition value="Bill Worker's Compensation Board"/>
  </concept>
  <concept>
    <code value="B"/>
    <display value="Submitted OHIP"/>
    <definition value="Claim submitted to OHIP, awaiting adjudication"/>
  </concept>
  <concept>
    <code value="S"/>
    <display value="Settled"/>
    <definition value="Payment received and reconciled"/>
  </concept>
  <concept>
    <code value="X"/>
    <display value="Bad Debt"/>
    <definition value="Unrecoverable; written off"/>
  </concept>
  <concept>
    <code value="D"/>
    <display value="Deleted Bill"/>
    <definition value="Bill deleted (soft delete)"/>
  </concept>
  <concept>
    <code value="I"/>
    <display value="Bonus Codes"/>
    <definition
                value="Bonus / incentive code submission (no regular billing)"/>
  </concept>
</CodeSystem>