compose.inactivecompose.lockedDatecopyrightdatedescriptionexperimentalimmutablejurisdictionnamepublisherpurposestatustitleurlversion| Name | Value | Comments | |
|---|---|---|---|
| compose.inactive | |||
| compose.lockedDate | |||
| copyright | Copyright HL7. Licensed under creative commons public domain | ||
| date | 2019-12-01 | ||
| description | Value Set of codes specifying the final status of the claim. | ||
| experimental | false | ||
| immutable | |||
| jurisdiction | |||
| name | Hl7VSOverallClaimDispositionCode | ||
| publisher | HL7, Inc | ||
| purpose | |||
| status | active | ||
| title | hl7VS-overallClaimDispositionCode | ||
| url | http://terminology.hl7.org/ValueSet/v2-0457 | ||
| version | 2.0.0 | ||
| Item | Property | Value | Comments | ||
|---|---|---|---|---|---|
| include | http://terminology.hl7.org/CodeSystem/v2-0457 | 2.1.0 | |||
| Code | Display | Comments | |
|---|---|---|---|
| 0 | No edits present on claim | ||
| 1 | Only edits present are for line item denial or rejection | ||
| 2 | Multiple-day claim with one or more days denied or rejected | ||
| 3 | Claim 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 edits | ||