HL7 Terminology
2.1.0 - Publication

This page is part of the HL7 Terminology (v2.1.0: Release) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

ValueSet: ActCoverageConfirmationCode


Defining URL:http://terminology.hl7.org/ValueSet/v3-ActCoverageConfirmationCode
Status:Active as of 2014-03-26

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


This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

This value set includes codes based on the following rules:

This value set excludes codes based on the following rules:



This value set contains 4 concepts

Expansion based on ActCode v5.0.0 (CodeSystem)

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

_ActCoverageAuthorizationConfirmationCodeActCoverageAuthorizationConfirmationCodeIndication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
AUTHAuthorizedAuthorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.
NAUTHNot AuthorizedAuthorization for specified healthcare service(s) and/or product(s) denied.
_ActCoverageEligibilityConfirmationCodeActCoverageEligibilityConfirmationCodeIndication of eligibility coverage for healthcare service(s) and/or product(s).
ELGEligibleInsurance coverage is in effect for healthcare service(s) and/or product(s).
NELGNot EligibleInsurance 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


2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26revise2014T1_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