HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v4.0.0: 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

: X12 Claim Adjustment Reason Codes - XML Representation

Active as of 2022-05-26

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<NamingSystem xmlns="http://hl7.org/fhir">
  <id value="X12ClaimAdjustmentReasonCodes"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h3>Summary</h3><table class="grid"><tr><td>Defining URL</td><td>http://terminology.hl7.org/NamingSystem/X12ClaimAdjustmentReasonCodes</td></tr><tr><td>Name</td><td>X12ClaimAdjustmentReasonCodes</td></tr><tr><td>Status</td><td>active</td></tr><tr><td>Definition</td><td><div><p>&quot;X12, chartered by the American National Standards Institute for more than 40 years, develops and maintains EDI standards and XML schemas which drive business processes globally. X12's diverse membership includes technologists and business process experts in health care, insurance, transportation, finance, government, supply chain and other industries.&quot;</p>
<p>The X12 Claim Adjustment Reason Codes describe why a claim or service line was paid differently than it was billed. These codes are listed within an X12 implementation guide (TR3) and maintained by X12.</p>
<p>External code lists maintained by X12 and external code lists maintained by others and distributed by WPC on behalf of the maintainer can be found here: <a href="https://x12.org/codes">here</a></p>
<p>Click on the name of any external code list to access more information about the code list, view the codes, or submit a maintenance request. These external code lists were previously published on either <a href="http://www.wpc-edi.com/reference">www.wpc-edi.com/reference</a> or <a href="https://x12.org/codes">www.x12.org/codes</a></p>
</div></td></tr><tr><td>Publisher</td><td>X12</td></tr></table><h3>Identifiers</h3><table class="grid"><tr><td><b>Type</b></td><td><b>Value</b></td><td><b>Preferred</b></td><td><b>Period</b></td><td><b>Comment</b></td></tr><tr><td>URI</td><td>https://x12.org/codes/claim-adjustment-reason-codes</td><td>true</td><td>2020-10-20 --&gt; (ongoing)</td><td>This is the URL as specified by the terminology owner, and is considered authoritative.</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/extension-title">
    <valueString value="X12 Claim Adjustment Reason Codes"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-NamingSystem.url">
    <valueUri
              value="http://terminology.hl7.org/NamingSystem/X12ClaimAdjustmentReasonCodes"/>
  </extension>
  <extension
             url="http://terminology.hl7.org/StructureDefinition/ext-namingsystem-version">
    <valueString value="1.0.0"/>
  </extension>
  <name value="X12ClaimAdjustmentReasonCodes"/>
  <status value="active"/>
  <kind value="codesystem"/>
  <date value="2022-05-26T00:00:00-00:00"/>
  <publisher value="X12"/>
  <contact>
    <name value="X12; 1405 S Fern St #92957, Arlington, Virginia 22202"/>
    <telecom>
      <system value="url"/>
      <value value="https://x12.org/index.php/resources/contact-us"/>
    </telecom>
    <telecom>
      <system value="phone"/>
      <value value="703.970.4480"/>
    </telecom>
  </contact>
  <description
               value="&quot;X12, chartered by the American National Standards Institute for more than 40 years, develops and maintains EDI standards and XML schemas which drive business processes globally. X12's diverse membership includes technologists and business process experts in health care, insurance, transportation, finance, government, supply chain and other industries.&quot;

The X12 Claim Adjustment Reason Codes describe why a claim or service line was paid differently than it was billed. These codes are listed within an X12 implementation guide (TR3) and maintained by X12.

External code lists maintained by X12 and external code lists maintained by others and distributed by WPC on behalf of the maintainer can be found here: [here](https://x12.org/codes)

Click on the name of any external code list to access more information about the code list, view the codes, or submit a maintenance request. These external code lists were previously published on either [www.wpc-edi.com/reference](http://www.wpc-edi.com/reference) or [www.x12.org/codes](https://x12.org/codes)"/>
  <uniqueId>
    <type value="uri"/>
    <value value="https://x12.org/codes/claim-adjustment-reason-codes"/>
    <preferred value="true"/>
    <comment
             value="This is the URL as specified by the terminology owner, and is considered authoritative."/>
    <period>
      <start value="2020-10-20"/>
    </period>
  </uniqueId>
</NamingSystem>