Polaris FHIR Implementation Guide
1.10.0 - ci-build

Polaris FHIR Implementation Guide - Local Development build (v1.10.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Oscar Billing Status Code System - JSON Representation

Active as of 2026-05-26

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{
  "resourceType" : "CodeSystem",
  "id" : "oscar-billing-status-cs",
  "text" : {
    "status" : "generated",
    "div" : "<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>"
  },
  "url" : "https://fhir.apps.health/CodeSystem/oscar-billing-status-cs",
  "version" : "1.10.0",
  "name" : "OscarBillingStatusCS",
  "title" : "Oscar Billing Status Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-26T16:54:17-04:00",
  "description" : "Raw Oscar Pro billing_on_cheader1.status codes (the BillingStatus Java enum at ca.kai.billing.header.BillingONCHeader1).",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 10,
  "concept" : [
    {
      "code" : "H",
      "display" : "Capitated",
      "definition" : "FHO/FHN shadow bill — capitation payment, no FFS invoice expected"
    },
    {
      "code" : "O",
      "display" : "Bill OHIP",
      "definition" : "Fee-for-service claim to be submitted to OHIP"
    },
    {
      "code" : "P",
      "display" : "Bill Patient",
      "definition" : "Bill patient directly (third-party / private)"
    },
    {
      "code" : "N",
      "display" : "Do Not Bill",
      "definition" : "Billing explicitly suppressed"
    },
    {
      "code" : "W",
      "display" : "Bill WCB",
      "definition" : "Bill Worker's Compensation Board"
    },
    {
      "code" : "B",
      "display" : "Submitted OHIP",
      "definition" : "Claim submitted to OHIP, awaiting adjudication"
    },
    {
      "code" : "S",
      "display" : "Settled",
      "definition" : "Payment received and reconciled"
    },
    {
      "code" : "X",
      "display" : "Bad Debt",
      "definition" : "Unrecoverable; written off"
    },
    {
      "code" : "D",
      "display" : "Deleted Bill",
      "definition" : "Bill deleted (soft delete)"
    },
    {
      "code" : "I",
      "display" : "Bonus Codes",
      "definition" : "Bonus / incentive code submission (no regular billing)"
    }
  ]
}