HL7 Terminology (THO)
4.0.0 - Publication
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
Official URL: http://terminology.hl7.org/ValueSet/v2-0457 | Version: 2.0.0 | |||
Active as of 2019-12-01 | Responsible: HL7, Inc | Computable Name: Hl7VSOverallClaimDispositionCode | ||
Other Identifiers: : urn:oid:2.16.840.1.113883.21.308 | ||||
Copyright/Legal: Copyright HL7. Licensed under creative commons public domain |
Value Set of codes specifying the final status of the claim.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://terminology.hl7.org/CodeSystem/v2-0457
This value set contains 5 concepts
Expansion based on overallClaimDisposition v2.1.0 (CodeSystem)
Code | System | Display | Definition |
0 | http://terminology.hl7.org/CodeSystem/v2-0457 | No edits present on claim | No edits present on claim |
1 | http://terminology.hl7.org/CodeSystem/v2-0457 | Only edits present are for line item denial or rejection | Only edits present are for line item denial or rejection |
2 | http://terminology.hl7.org/CodeSystem/v2-0457 | Multiple-day claim with one or more days denied or rejected | Multiple-day claim with one or more days denied or rejected |
3 | http://terminology.hl7.org/CodeSystem/v2-0457 | Claim denied, rejected, suspended or returned to provider with only post payment edits | Claim denied, rejected, suspended or returned to provider with only post payment edits |
4 | http://terminology.hl7.org/CodeSystem/v2-0457 | Claim denied, rejected, suspended or returned to provider with only pre payment edits | Claim denied, rejected, suspended or returned to provider with only pre payment edits |
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 |
System | 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
Date | Action | Author | Custodian | Comment |
2020-05-06 | revise | Ted Klein | Vocabulary WG | Migrated to the UTG maintenance environment and publishing tooling. |