HL7 Terminology (THO)
5.2.0 - Publication
This page is part of the HL7 Terminology (v5.2.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: http://terminology.hl7.org/ValueSet/v3-AdjudicatedWithAdjustments | Version: 2.0.0 | |||
Active as of 2014-03-26 | Computable Name: AdjudicatedWithAdjustments | |||
Other Identifiers: id: urn:oid:2.16.840.1.113883.1.11.19347 |
The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).
Also includes the concept ‘Adjudicate as zero’ and items not covered under a particular Policy.
Invoice element can be reversed (nullified).
Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
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 is-a AA
This value set contains 2 concepts
Expansion based on ActCode v8.0.1 (CodeSystem)
Level | Code | System | Display | Definition |
1 | AA | http://terminology.hl7.org/CodeSystem/v3-ActCode | adjudicated with adjustments | The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges). Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting). |
2 | ANF | http://terminology.hl7.org/CodeSystem/v3-ActCode | adjudicated with adjustments and no financial impact | The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting). |
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 | Custodian | Author | Comment |
2022-10-18 | revise | TSMG | Marc Duteau | Fixing missing metadata; up-349 |
2020-05-06 | revise | Vocabulary WG | Ted Klein | Migrated to the UTG maintenance environment and publishing tooling. |
2014-03-26 | revise | 2014T1_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 |