HL7 Terminology (THO)
5.0.0 - Publication
This page is part of the HL7 Terminology (v5.0.0: 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/v3-ActInvoiceAdjudicationPaymentGroupCode | Version: 2.0.0 | |||
Active as of 2014-03-26 | Computable Name: ActInvoiceAdjudicationPaymentGroupCode | |||
Other Identifiers: : urn:oid:2.16.840.1.113883.1.11.19414 |
Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
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/v3-ActCode
where concept descends from _ActInvoicePaymentCode
This value set contains 13 concepts
Expansion based on ActCode v7.0.0 (CodeSystem)
Code | System | Display | Definition |
ALEC | http://terminology.hl7.org/CodeSystem/v3-ActCode | alternate electronic | Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission). |
BONUS | http://terminology.hl7.org/CodeSystem/v3-ActCode | bonus | Bonus payments based on performance, volume, etc. as agreed to by the payor. |
CFWD | http://terminology.hl7.org/CodeSystem/v3-ActCode | carry forward adjusment | An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made. |
EDU | http://terminology.hl7.org/CodeSystem/v3-ActCode | education fees | Fees deducted on behalf of a payee for tuition and continuing education. |
EPYMT | http://terminology.hl7.org/CodeSystem/v3-ActCode | early payment fee | Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments. |
GARN | http://terminology.hl7.org/CodeSystem/v3-ActCode | garnishee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. |
INVOICE | http://terminology.hl7.org/CodeSystem/v3-ActCode | submitted invoice | Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results.. |
PINV | http://terminology.hl7.org/CodeSystem/v3-ActCode | paper invoice | Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice. |
PPRD | http://terminology.hl7.org/CodeSystem/v3-ActCode | prior period adjustment | An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice |
PROA | http://terminology.hl7.org/CodeSystem/v3-ActCode | professional association deduction | Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association |
RECOV | http://terminology.hl7.org/CodeSystem/v3-ActCode | recovery | Retroactive adjustment such as fee rate adjustment due to contract negotiations. |
RETRO | http://terminology.hl7.org/CodeSystem/v3-ActCode | retro adjustment | Bonus payments based on performance, volume, etc. as agreed to by the payor. |
TRAN | http://terminology.hl7.org/CodeSystem/v3-ActCode | transaction fee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. |
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 |
2022-10-18 | revise | Marc Duteau | TSMG | Fixing missing metadata; up-349 |
2020-05-06 | revise | Ted Klein | Vocabulary WG | Migrated to the UTG maintenance environment and publishing tooling. |
2014-03-26 | revise | Vocabulary (Woody Beeler) (no record of original request) | 2014T1_2014-03-26_001283 (RIM release ID) | Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26 |