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 2.0.0. For a full list of available versions, see the Directory of published versions

ActInvoiceElementSummaryCode

Summary

Defining URL:http://terminology.hl7.org/ValueSet/v3-ActInvoiceElementSummaryCode
Version:2.0.0
Name:ActInvoiceElementSummaryCode
Status:Active
Title:ActInvoiceElementSummaryCode
Definition:

Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.

OID:2.16.840.1.113883.1.11.17522 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle

References

This value set is not used

Content Logical Definition

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 84 concepts

Expansion based on ActCode v2.0.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/v3-ActCode

CodeDisplayDefinition
_InvoiceElementAdjudicatedInvoiceElementAdjudicatedTotal counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.
ADNFPPELATadjud. nullified prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
ADCNPPELATadjud. nullified prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
ADNFPPELCTadjud. nullified prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
ADCNPPELCTadjud. nullified prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
ADNFPPMNATadjud. nullified prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADCNPPMNATadjud. nullified prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADNFPPMNCTadjud. nullified prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADCNPPMNCTadjud. nullified prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADNFSPELATadjud. nullified same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
ADCNSPELATadjud. nullified same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
ADNFSPELCTadjud. nullified same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
ADCNSPELCTadjud. nullified same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
ADNFSPMNATadjud. nullified same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADCNSPMNATadjud. nullified same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADNFSPMNCTadjud. nullified same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADCNSPMNCTadjud. nullified same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADNPPPELATadjud. non-payee payable prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
ADNPPPELCTadjud. non-payee payable prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
ADNPPPMNATadjud. non-payee payable prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
ADNPPPMNCTadjud. non-payee payable prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
ADNPSPELATadjud. non-payee payable same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
ADNPSPELCTadjud. non-payee payable same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
ADNPSPMNATadjud. non-payee payable same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
ADNPSPMNCTadjud. non-payee payable same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
ADPPPPELATadjud. payee payable prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
ADPPPPELCTadjud. payee payable prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
ADPPPPMNATadjud. payee payable prior-period manual amoutIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
ADPPPPMNCTadjud. payee payable prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
ADPPSPELATadjud. payee payable same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
ADPPSPELCTadjud. payee payable same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
ADPPSPMNATadjud. payee payable same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
ADPPSPMNCTadjud. payee payable same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
ADRFPPELATadjud. refused prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
ADRFPPELCTadjud. refused prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
ADRFPPMNATadjud. refused prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
ADRFPPMNCTadjud. refused prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
ADRFSPELATadjud. refused same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
ADRFSPELCTadjud. refused same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
ADRFSPMNATadjud. refused same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
ADRFSPMNCTadjud. refused same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
_InvoiceElementPaidInvoiceElementPaidTotal counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
PDNFPPELATpaid nullified prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
PDCNPPELATpaid nullified prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
PDNFPPELCTpaid nullified prior-period electronic countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
PDCNPPELCTpaid nullified prior-period electronic countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
PDNFPPMNATpaid nullified prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
PDCNPPMNATpaid nullified prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
PDNFPPMNCTpaid nullified prior-period manual countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
PDCNPPMNCTpaid nullified prior-period manual countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
PDNFSPELATpaid nullified same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
PDCNSPELATpaid nullified same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
PDNFSPELCTpaid nullified same-period electronic countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
PDCNSPELCTpaid nullified same-period electronic countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
PDNFSPMNATpaid nullified same-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
PDCNSPMNATpaid nullified same-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
PDNFSPMNCTpaid nullified same-period manual countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
PDCNSPMNCTpaid nullified same-period manual countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
PDNPPPELATpaid non-payee payable prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
PDNPPPELCTpaid non-payee payable prior-period electronic countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
PDNPPPMNATpaid non-payee payable prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
PDNPPPMNCTpaid non-payee payable prior-period manual countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
PDNPSPELATpaid non-payee payable same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
PDNPSPELCTpaid non-payee payable same-period electronic countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
PDNPSPMNATpaid non-payee payable same-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
PDNPSPMNCTpaid non-payee payable same-period manual countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
PDPPPPELATpaid payee payable prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
PDPPPPELCTpaid payee payable prior-period electronic countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
PDPPPPMNATpaid payee payable prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
PDPPPPMNCTpaid payee payable prior-period manual countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
PDPPSPELATpaid payee payable same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
PDPPSPELCTpaid payee payable same-period electronic countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
PDPPSPMNATpaid payee payable same-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
PDPPSPMNCTpaid payee payable same-period manual countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
_InvoiceElementSubmittedInvoiceElementSubmittedTotal counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.
SBBLELATsubmitted billed electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
SBBLATsubmitted billed electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
SBBLELCTsubmitted billed electronic countIdentifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
SBBLCTsubmitted billed electronic countIdentifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
SBNFELATsubmitted nullified electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
SBCNATsubmitted nullified electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
SBNFELCTsubmitted cancelled electronic countIdentifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
SBCNCTsubmitted cancelled electronic countIdentifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
SBPDELATsubmitted pending electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
SBPDATsubmitted pending electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
SBPDELCTsubmitted pending electronic countIdentifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
SBPDCTsubmitted pending electronic countIdentifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.

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

DateActionAuthorCustodianComment
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26reviseVocabulary (Woody Beeler) (no record of original request)2014T1_2014-03-26_001283 (RIM release ID)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26