HL7 Terminology (THO)
7.1.0 - Publication International flag

This page is part of the HL7 Terminology (v7.1.0: 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

ValueSet: hl7VS-overallClaimDispositionCode

Official URL: http://terminology.hl7.org/ValueSet/v2-0457 Version: 3.0.0
Responsible: Health Level Seven International Computable Name: Hl7VSOverallClaimDispositionCode
Other Identifiers: OID:2.16.840.1.113883.21.308

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

Value Set of codes specifying the final status of the claim.

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)

Language: en

 

Expansion

Expansion performed internally based on codesystem overallClaimDisposition v3.0.0 (CodeSystem)

This value set contains 5 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/v2-0457  0No edits present on claimNo edits present on claim
http://terminology.hl7.org/CodeSystem/v2-0457  1Only edits present are for line item denial or rejectionOnly edits present are for line item denial or rejection
http://terminology.hl7.org/CodeSystem/v2-0457  2Multiple-day claim with one or more days denied or rejectedMultiple-day claim with one or more days denied or rejected
http://terminology.hl7.org/CodeSystem/v2-0457  3Claim denied, rejected, suspended or returned to provider with only post payment editsClaim denied, rejected, suspended or returned to provider with only post payment edits
http://terminology.hl7.org/CodeSystem/v2-0457  4Claim denied, rejected, suspended or returned to provider with only pre payment editsClaim denied, rejected, suspended or returned to provider with only pre payment edits

Description of the above table(s).

History

DateActionAuthorCustodianComment
2026-03-06reviseMarc DuteauV2MGRemoving include system version from v2 valuesets; up-789
2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.