This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

advancedBeneficiaryNotice - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v2-0339"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>advancedBeneficiaryNotice</h2><div><p>Code system of concepts specifying the status of the patient's or the patient's representative's consent for responsibility to pay for potentially uninsured services. This element was introduced to satisfy CMS Medical Necessity requirements for outpatient services in the United States. Includes concepts such as (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service.  Used in HL7 Version 2.x messaging in the ORC and FT1 segments.</p>
</div><p><b>Copyright Statement:</b> Copyright HL7. Licensed under creative commons public domain</p><p><b>Properties</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>status</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#status</td><td>Status of the concept</td><td>code</td></tr><tr><td>deprecated</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated</td><td>Version of HL7 in which the code was deprecated</td><td>code</td></tr></table><p>This code system http://terminology.hl7.org/CodeSystem/v2-0339 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><td><b>V2 Table Status</b></td></tr><tr><td style="white-space:nowrap">1<a name="v2-0339-1"> </a></td><td>Service is subject to medical necessity procedures</td><td>Service is subject to medical necessity procedures</td><td>A</td></tr><tr><td style="white-space:nowrap">2<a name="v2-0339-2"> </a></td><td>Patient has been informed of responsibility, and agrees to pay for service</td><td>Patient has been informed of responsibility, and agrees to pay for service</td><td>A</td></tr><tr><td style="white-space:nowrap">3<a name="v2-0339-3"> </a></td><td>Patient has been informed of responsibility, and asks that the payer be billed</td><td>Patient has been informed of responsibility, and asks that the payer be billed</td><td>A</td></tr><tr><td style="white-space:nowrap">4<a name="v2-0339-4"> </a></td><td>Advanced Beneficiary Notice has not been signed</td><td>Advanced Beneficiary Notice has not been signed</td><td>A</td></tr></table><p><b>Additional Language Displays</b></p><table class="codes"><tr><td><b>Code</b></td><td><b>Deutsch (German, de)</b></td></tr><tr><td>1</td><td>Zuzahlung muss abgeklärt werden</td></tr><tr><td>2</td><td></td></tr><tr><td>3</td><td>Patient fragt nach Rechnung</td></tr><tr><td>4</td><td>Zustimmung zur Zuzahlung liegt nicht vor</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo"/>
  </extension>
  <url value="http://terminology.hl7.org/CodeSystem/v2-0339"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.18.209"/>
  </identifier>
  <version value="2.1.0"/>
  <name value="AdvancedBeneficiaryNotice"/>
  <title value="advancedBeneficiaryNotice"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2019-12-01T00:00:00-05:00"/>
  <publisher value="HL7, Inc"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/"/>
    </telecom>
  </contact>
  <description
               value="Code system of concepts specifying the status of the patient&#39;s or the patient&#39;s representative&#39;s consent for responsibility to pay for potentially uninsured services. This element was introduced to satisfy CMS Medical Necessity requirements for outpatient services in the United States. Includes concepts such as (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service.  Used in HL7 Version 2.x messaging in the ORC and FT1 segments."/>
  <purpose
           value="Underlying Master Code System for V2 table 0339 (Advanced Beneficiary Notice Code)"/>
  <copyright
             value="Copyright HL7. Licensed under creative commons public domain"/>
  <caseSensitive value="true"/>
  <valueSet value="http://terminology.hl7.org/ValueSet/v2-0339"/>
  <hierarchyMeaning value="is-a"/>
  <compositional value="false"/>
  <versionNeeded value="false"/>
  <content value="complete"/>
  <property>
    <code value="status"/>
    <uri
         value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#status"/>
    <description value="Status of the concept"/>
    <type value="code"/>
  </property>
  <property>
    <code value="deprecated"/>
    <uri
         value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated"/>
    <description value="Version of HL7 in which the code was deprecated"/>
    <type value="code"/>
  </property>
  <concept id="3125">
    <code value="1"/>
    <display value="Service is subject to medical necessity procedures"/>
    <definition value="Service is subject to medical necessity procedures"/>
    <designation>
      <language value="de"/>
      <use>
        <system value="http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"/>
        <code value="preferredForLanguage"/>
      </use>
      <value value="Zuzahlung muss abgeklärt werden"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="A"/>
    </property>
  </concept>
  <concept id="3126">
    <code value="2"/>
    <display
             value="Patient has been informed of responsibility, and agrees to pay for service"/>
    <definition
                value="Patient has been informed of responsibility, and agrees to pay for service"/>
    <property>
      <code value="status"/>
      <valueCode value="A"/>
    </property>
  </concept>
  <concept id="3127">
    <code value="3"/>
    <display
             value="Patient has been informed of responsibility, and asks that the payer be billed"/>
    <definition
                value="Patient has been informed of responsibility, and asks that the payer be billed"/>
    <designation>
      <language value="de"/>
      <use>
        <system value="http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"/>
        <code value="preferredForLanguage"/>
      </use>
      <value value="Patient fragt nach Rechnung"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="A"/>
    </property>
  </concept>
  <concept id="3128">
    <code value="4"/>
    <display value="Advanced Beneficiary Notice has not been signed"/>
    <definition value="Advanced Beneficiary Notice has not been signed"/>
    <designation>
      <language value="de"/>
      <use>
        <system value="http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra"/>
        <code value="preferredForLanguage"/>
      </use>
      <value value="Zustimmung zur Zuzahlung liegt nicht vor"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="A"/>
    </property>
  </concept>
</CodeSystem>