advancedBeneficiaryNotice - HL7 Terminology (THO) v5.5.0

HL7 Terminology (THO)
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CodeSystem: advancedBeneficiaryNotice

Official URL: http://terminology.hl7.org/CodeSystem/v2-0339		Version: 2.0.0
Active as of 2019-12-01	Responsible: Health Level Seven International	Computable Name: AdvancedBeneficiaryNotice
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.18.209
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

Code system of concepts specifying the status of the patient’s or the patient’s representative’s consent for responsibility to pay for potentially uninsured services. This element was introduced to satisfy CMS Medical Necessity requirements for outpatient services in the United States. Includes concepts such as (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service. Used in HL7 Version 2.x messaging in the ORC and FT1 segments.

Underlying Master Code System for V2 table 0339 (Advanced Beneficiary Notice Code)

This Code system is referenced in the content logical definition of the following value sets:

Hl7VSAdvancedBeneficiaryNoticeCode

Properties

This code system defines the following properties for its concepts

Code

URI

Type

Description

status

http://terminology.hl7.org/CodeSystem/utg-concept-properties#status

code

Status of the concept

deprecated

http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated

code

Version of HL7 in which the code was deprecated

Concepts

This case-sensitive code system http://terminology.hl7.org/CodeSystem/v2-0339 defines the following codes in a Is-A heirarchy:

Code	Display	Definition	Deutsch (German, de)
1	Service is subject to medical necessity procedures	Service is subject to medical necessity procedures	Zuzahlung muss abgeklärt werden
2	Patient has been informed of responsibility, and agrees to pay for service	Patient has been informed of responsibility, and agrees to pay for service
3	Patient has been informed of responsibility, and asks that the payer be billed	Patient has been informed of responsibility, and asks that the payer be billed	Patient fragt nach Rechnung
4	Advanced Beneficiary Notice has not been signed	Advanced Beneficiary Notice has not been signed	Zustimmung zur Zuzahlung liegt nicht vor