HL7 Terminology (THO)
4.0.0 - Publication International flag

This page is part of the HL7 Terminology (v4.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

ValueSet: ActInvoiceDetailGenericCode

Official URL: http://terminology.hl7.org/ValueSet/v3-ActInvoiceDetailGenericCode Version: 2.0.0
Active as of 2014-03-26 Computable Name: ActInvoiceDetailGenericCode
Other Identifiers: : urn:oid:2.16.840.1.113883.1.11.19407

The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

This value set excludes codes based on the following rules:

 

Expansion

This value set contains 25 concepts

Expansion based on ActCode v6.1.0 (CodeSystem)

CodeSystemDisplayDefinition
  _ActInvoiceDetailGenericAdjudicatorCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActInvoiceDetailGenericAdjudicatorCode

The billable item codes to identify adjudicator specified components to the total billing of a claim.

  COINhttp://terminology.hl7.org/CodeSystem/v3-ActCodecoinsurance

That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.

  COPAYMENThttp://terminology.hl7.org/CodeSystem/v3-ActCodepatient co-pay

That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.

  DEDUCTIBLEhttp://terminology.hl7.org/CodeSystem/v3-ActCodedeductible

That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.

  PAYhttp://terminology.hl7.org/CodeSystem/v3-ActCodepayment

The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.

  SPENDhttp://terminology.hl7.org/CodeSystem/v3-ActCodespend down

That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results

  COINShttp://terminology.hl7.org/CodeSystem/v3-ActCodeco-insurance

The covered party pays a percentage of the cost of covered services.

  _ActInvoiceDetailGenericModifierCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActInvoiceDetailGenericModifierCode

The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.

  AFTHRShttp://terminology.hl7.org/CodeSystem/v3-ActCodenon-normal hours

Premium paid on service fees in compensation for practicing outside of normal working hours.

  ISOLhttp://terminology.hl7.org/CodeSystem/v3-ActCodeisolation allowance

Premium paid on service fees in compensation for practicing in a remote location.

  OOOhttp://terminology.hl7.org/CodeSystem/v3-ActCodeout of office

Premium paid on service fees in compensation for practicing at a location other than normal working location.

  _ActInvoiceDetailGenericProviderCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActInvoiceDetailGenericProviderCode

The billable item codes to identify provider supplied charges or changes to the total billing of a claim.

  CANCAPThttp://terminology.hl7.org/CodeSystem/v3-ActCodecancelled appointment

A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.

  DSChttp://terminology.hl7.org/CodeSystem/v3-ActCodediscount

A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.

  ESAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeextraordinary service assessment

A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.

  FFSTOPhttp://terminology.hl7.org/CodeSystem/v3-ActCodefee for service top off

Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.

  FNLFEEhttp://terminology.hl7.org/CodeSystem/v3-ActCodefinal fee

Anticipated or actual final fee associated with treating a patient.

  FRSTFEEhttp://terminology.hl7.org/CodeSystem/v3-ActCodefirst fee

Anticipated or actual initial fee associated with treating a patient.

  MARKUPhttp://terminology.hl7.org/CodeSystem/v3-ActCodemarkup or up-charge

An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.

  MISSAPThttp://terminology.hl7.org/CodeSystem/v3-ActCodemissed appointment

A charge to compensate the provider when a patient does not show for an appointment.

  PERFEEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeperiodic fee

Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.

  PERMBNShttp://terminology.hl7.org/CodeSystem/v3-ActCodeperformance bonus

The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.

  RESTOCKhttp://terminology.hl7.org/CodeSystem/v3-ActCoderestocking fee

A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.

  TRAVELhttp://terminology.hl7.org/CodeSystem/v3-ActCodetravel

A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.

  URGENThttp://terminology.hl7.org/CodeSystem/v3-ActCodeurgent

Premium paid on service fees in compensation for providing an expedited response to an urgent situation.

  _ActInvoiceDetailTaxCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActInvoiceDetailTaxCode

The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.

  FSThttp://terminology.hl7.org/CodeSystem/v3-ActCodefederal sales tax

Federal tax on transactions such as the Goods and Services Tax (GST)

  HSThttp://terminology.hl7.org/CodeSystem/v3-ActCodeharmonized sales Tax

Joint Federal/Provincial Sales Tax

  PSThttp://terminology.hl7.org/CodeSystem/v3-ActCodeprovincial/state sales tax

Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax


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

DateActionCustodianAuthorComment
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