InvoiceElementAdjudicated - HL7 Terminology (THO) v5.4.0

This page is part of the HL7 Terminology (v5.4.0: 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

ValueSet: InvoiceElementAdjudicated

Official URL: http://terminology.hl7.org/ValueSet/v3-InvoiceElementAdjudicated		Version: 3.0.0
Active as of 2014-03-26	Responsible: Health Level Seven International	Computable Name: InvoiceElementAdjudicated
Other Identifiers: id: Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.1.11.17530
Copyright/Legal: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license

Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

This value set includes codes based on the following rules:

Include codes from http://terminology.hl7.org/CodeSystem/v3-ActCode where concept is-a _InvoiceElementAdjudicated

This value set excludes codes based on the following rules:

Exclude these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActCode

Code	Display	Definition
_InvoiceElementAdjudicated	InvoiceElementAdjudicated	Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.

Expansion

This value set contains 40 concepts

Expansion based on codesystem ActCode v9.0.0 (CodeSystem)

Code	System	Display	Inactive	Definition
ADNFPPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified prior-period electronic amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
ADCNPPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified prior-period electronic amount	inactive	Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
ADNFPPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified prior-period electronic count		Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
ADCNPPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified prior-period electronic count	inactive	Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
ADNFPPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified prior-period manual amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADCNPPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified prior-period manual amount	inactive	Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADNFPPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified prior-period manual count		Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADCNPPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified prior-period manual count	inactive	Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADNFSPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified same-period electronic amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
ADCNSPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified same-period electronic amount	inactive	Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
ADNFSPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified same-period electronic count		Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
ADCNSPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified same-period electronic count	inactive	Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
ADNFSPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified same-period manual amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADCNSPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified same-period manual amount	inactive	Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADNFSPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified same-period manual count		Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADCNSPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. nullified same-period manual count	inactive	Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
ADNPPPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. non-payee payable prior-period electronic amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
ADNPPPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. non-payee payable prior-period electronic count		Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
ADNPPPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. non-payee payable prior-period manual amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
ADNPPPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. non-payee payable prior-period manual count		Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
ADNPSPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. non-payee payable same-period electronic amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
ADNPSPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. non-payee payable same-period electronic count		Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
ADNPSPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. non-payee payable same-period manual amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
ADNPSPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. non-payee payable same-period manual count		Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
ADPPPPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. payee payable prior-period electronic amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
ADPPPPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. payee payable prior-period electronic count		Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
ADPPPPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. payee payable prior-period manual amout		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
ADPPPPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. payee payable prior-period manual count		Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
ADPPSPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. payee payable same-period electronic amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
ADPPSPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. payee payable same-period electronic count		Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
ADPPSPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. payee payable same-period manual amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
ADPPSPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. payee payable same-period manual count		Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
ADRFPPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. refused prior-period electronic amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
ADRFPPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. refused prior-period electronic count		Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
ADRFPPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. refused prior-period manual amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
ADRFPPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. refused prior-period manual count		Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
ADRFSPELAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. refused same-period electronic amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
ADRFSPELCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. refused same-period electronic count		Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
ADRFSPMNAT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. refused same-period manual amount		Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
ADRFSPMNCT	http://terminology.hl7.org/CodeSystem/v3-ActCode	adjud. refused same-period manual count		Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.

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

2023-11-14

revise