HL7 Terminology
1.0.0 - Publication
HL7 Terminology
1.0.0 - Publication
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 
Summary
| Defining URL: | http://terminology.hl7.org/ValueSet/v3-ActCoverageConfirmationCode |
| Version: | 2.0.0 |
| Name: | ActCoverageConfirmationCode |
| Status: | Active |
| Title: | ActCoverageConfirmationCode |
| Definition: | Response to an insurance coverage eligibility query or authorization request. |
| OID: | 2.16.840.1.113883.1.11.17487 (for OID based terminology systems) |
| Source Resource: | XML / JSON / Turtle |
References
This value set is not used
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/v3-ActCode where concept is-a _ActCoverageConfirmationCodehttp://terminology.hl7.org/CodeSystem/v3-ActCode| Code | Display | |
| _ActCoverageConfirmationCode | ActCoverageConfirmationCode | Response to an insurance coverage eligibility query or authorization request. |
This value set contains 4 concepts
Expansion based on ActCode v2.0.0 (CodeSystem)
All codes from system http://terminology.hl7.org/CodeSystem/v3-ActCode
| Code | Display | Definition |
| _ActCoverageAuthorizationConfirmationCode | ActCoverageAuthorizationConfirmationCode | Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside. |
| AUTH | Authorized | Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization. |
| NAUTH | Not Authorized | Authorization for specified healthcare service(s) and/or product(s) denied. |
| _ActCoverageEligibilityConfirmationCode | ActCoverageEligibilityConfirmationCode | Indication of eligibility coverage for healthcare service(s) and/or product(s). |
| ELG | Eligible | Insurance coverage is in effect for healthcare service(s) and/or product(s). |
| NELG | Not Eligible | Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility. |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| Source | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |
History
| Date | Action | Custodian | Author | Comment |
| 2020-05-06 | revise | Vocabulary WG | Ted Klein | Migrated to the UTG maintenance environment and publishing tooling. |
| 2014-03-26 | revise | 2014T1_2014-03-26_001283 (RIM release ID) | Vocabulary (Woody Beeler) (no record of original request) | Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26 |
IG © 2020+ HL7 International - Vocabulary Work Group. Package hl7.terminology#1.0.0 based on FHIR 4.0.1. Generated 2020-05-09
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