Generated Narrative: CodeSystem claim-decision-reason

This case-sensitive code system http://hl7.org/fhir/claim-decision-reason defines the following codes:

Code Display Definition
0001 Not medically necessary The payer has determined this product, service, or procedure as not medically necessary.
0002 Prior authorization not obtained Prior authorization was not obtained prior to providing the product, service, or procedure.
0003 Provider out-of-network This provider is considered out-of-network by the payer for this plan.
0004 Service inconsistent with patient age The payer has determined this product, service, or procedure is not consistent with the patient's age.
0005 Benefit limits exceeded The patient or subscriber benefit's have been exceeded.
<status value="active"/> <experimental value="false"/> <publisher value="HL7 International"/> <description value="This value set provides example Claim Adjudication Decision Reason codes."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <copyright value="HL7 Inc."/> <caseSensitive value="true"/> <content value="complete"/> <concept> <code value="0001"/> <display value="Not medically necessary"/> <definition value="The payer has determined this product, service, or procedure as not medically necessary."/> </concept> <concept> <code value="0002"/> <display value="Prior authorization not obtained"/> <definition value="Prior authorization was not obtained prior to providing the product, service, or procedure."/> </concept> <concept> <code value="0003"/> <display value="Provider out-of-network"/> <definition value="This provider is considered out-of-network by the payer for this plan."/> </concept> <concept> <code value="0004"/> <display value="Service inconsistent with patient age"/> <definition value="The payer has determined this product, service, or procedure is not consistent with the patient's age."/> </concept> <concept> <code value="0005"/> <display value="Benefit limits exceeded"/> <definition value="The patient or subscriber benefit's have been exceeded."/> </concept> </CodeSystem>