HL7 Terminology
2.0.0 - Publication
This page is part of the HL7 Terminology (v2.0.0: 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
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="v2-0457"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><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/v2-0457 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">0<a name="v2-0457-0"> </a></td><td>No edits present on claim</td><td>No edits present on claim</td></tr><tr><td style="white-space:nowrap">1<a name="v2-0457-1"> </a></td><td>Only edits present are for line item denial or rejection</td><td>Only edits present are for line item denial or rejection</td></tr><tr><td style="white-space:nowrap">2<a name="v2-0457-2"> </a></td><td>Multiple-day claim with one or more days denied or rejected</td><td>Multiple-day claim with one or more days denied or rejected</td></tr><tr><td style="white-space:nowrap">3<a name="v2-0457-3"> </a></td><td>Claim denied, rejected, suspended or returned to provider with only post payment edits</td><td>Claim denied, rejected, suspended or returned to provider with only post payment edits</td></tr><tr><td style="white-space:nowrap">4<a name="v2-0457-4"> </a></td><td>Claim denied, rejected, suspended or returned to provider with only pre payment edits</td><td>Claim denied, rejected, suspended or returned to provider with only pre payment edits</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<url value="http://terminology.hl7.org/CodeSystem/v2-0457"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.18.292"/>
</identifier>
<version value="2.1.0"/>
<name value="OverallClaimDisposition"/>
<title value="overallClaimDisposition"/>
<status value="active"/>
<experimental value="false"/>
<date value="2019-12-01"/>
<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 final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment."/>
<purpose
value="Underlying Master Code System for V2 table 0457 (Overall Claim Disposition Code)"/>
<copyright
value="Copyright HL7. Licensed under creative commons public domain"/>
<caseSensitive value="true"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v2-0457"/>
<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="4832">
<code value="0"/>
<display value="No edits present on claim"/>
<definition value="No edits present on claim"/>
<property>
<code value="status"/>
<valueCode value="A"/>
</property>
</concept>
<concept id="4833">
<code value="1"/>
<display value="Only edits present are for line item denial or rejection"/>
<definition value="Only edits present are for line item denial or rejection"/>
<property>
<code value="status"/>
<valueCode value="A"/>
</property>
</concept>
<concept id="4834">
<code value="2"/>
<display value="Multiple-day claim with one or more days denied or rejected"/>
<definition
value="Multiple-day claim with one or more days denied or rejected"/>
<property>
<code value="status"/>
<valueCode value="A"/>
</property>
</concept>
<concept id="4835">
<code value="3"/>
<display
value="Claim denied, rejected, suspended or returned to provider with only post payment edits"/>
<definition
value="Claim denied, rejected, suspended or returned to provider with only post payment edits"/>
<property>
<code value="status"/>
<valueCode value="A"/>
</property>
</concept>
<concept id="4836">
<code value="4"/>
<display
value="Claim denied, rejected, suspended or returned to provider with only pre payment edits"/>
<definition
value="Claim denied, rejected, suspended or returned to provider with only pre payment edits"/>
<property>
<code value="status"/>
<valueCode value="A"/>
</property>
</concept>
</CodeSystem>