overallClaimDisposition - HL7 Terminology (THO) v6.0.2

HL7 Terminology (THO)
6.0.2 - Publication International flag

This page is part of the HL7 Terminology (v6.0.2: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

CodeSystem: overallClaimDisposition

Official URL: http://terminology.hl7.org/CodeSystem/v2-0457		Version: 2.0.0
Active as of 2019-12-01	Responsible: Health Level Seven International	Computable Name: OverallClaimDisposition
Other Identifiers: OID:2.16.840.1.113883.18.292
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.html

Code system of concepts specifying the final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment.

Underlying Master Code System for V2 table 0457 (Overall Claim Disposition Code)

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

Generated Narrative: CodeSystem v2-0457

Properties

This code system defines the following properties for its concepts

Name

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/v2-0457 defines the following codes in a Is-A hierarchy:

Code	Display	Definition
0	No edits present on claim	No edits present on claim
1	Only edits present are for line item denial or rejection	Only edits present are for line item denial or rejection
2	Multiple-day claim with one or more days denied or rejected	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	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	Claim denied, rejected, suspended or returned to provider with only pre payment edits