HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: AdjudicatedWithAdjustments - XML Representation

Active as of 2014-03-26

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-AdjudicatedWithAdjustments"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><ul><li>Include codes from <a href="CodeSystem-v3-ActCode.html"><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></a> where concept  is-a  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-AA">AA</a></li></ul></div>
  </text>
  <url
       value="http://terminology.hl7.org/ValueSet/v3-AdjudicatedWithAdjustments"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.1.11.19347"/>
  </identifier>
  <version value="3.0.0"/>
  <name value="AdjudicatedWithAdjustments"/>
  <title value="AdjudicatedWithAdjustments"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2014-03-26"/>
  <publisher value="Health Level Seven International"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="hq@HL7.org"/>
    </telecom>
  </contact>
  <description
               value="The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).

Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.

Invoice element can be reversed (nullified).

Recommend that the invoice element is saved for DUR (Drug Utilization Reporting)."/>
  <copyright
             value="This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="AA"/>
      </filter>
    </include>
  </compose>
</ValueSet>