HL7 Terminology (THO)
3.0.0 - Publication

This page is part of the HL7 Terminology (v3.0.0: 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: overallClaimDisposition

Summary

Defining URL:http://terminology.hl7.org/CodeSystem/v2-0457
Version:2.1.0
Name:OverallClaimDisposition
Status:Active as of 12/1/19
Definition:

Code system of concepts specifying the final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment.

Publisher:HL7, Inc
Committee:Financial Management
Copyright:

Copyright HL7. Licensed under creative commons public domain

Content:Complete: All the concepts defined by the code system are included in the code system resource
OID:2.16.840.1.113883.18.292 (for OID based terminology systems)
Value Set:http://terminology.hl7.org/ValueSet/v2-0457 ( is the value set for all codes in this code system)
Source Resource:XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

Properties

CodeURLDescriptionType
statushttp://terminology.hl7.org/CodeSystem/utg-concept-properties#statusStatus of the conceptcode
deprecatedhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecatedVersion of HL7 in which the code was deprecatedcode

This code system http://terminology.hl7.org/CodeSystem/v2-0457 defines the following codes:

CodeDisplayDefinition
0 No edits present on claimNo edits present on claim
1 Only edits present are for line item denial or rejectionOnly edits present are for line item denial or rejection
2 Multiple-day claim with one or more days denied or rejectedMultiple-day claim with one or more days denied or rejected
3 Claim denied, rejected, suspended or returned to provider with only post payment editsClaim denied, rejected, suspended or returned to provider with only post payment edits
4 Claim denied, rejected, suspended or returned to provider with only pre payment editsClaim denied, rejected, suspended or returned to provider with only pre payment edits

History

DateActionCustodianAuthorComment
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.