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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This is not an authorized publication; it is the continuous build for version 5.0.0). This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

NamingSystem: X12 Claim Adjustment Reason Codes

Official URL: http://terminology.hl7.org/NamingSystem/X12ClaimAdjustmentReasonCodes Version:
Active as of 2022-05-26 Responsible: X12 Computable Name: X12ClaimAdjustmentReasonCodes

“X12, chartered by the American National Standards Institute for more than 40 years, develops and maintains EDI standards and XML schemas which drive business processes globally. X12’s diverse membership includes technologists and business process experts in health care, insurance, transportation, finance, government, supply chain and other industries.”

The X12 Claim Adjustment Reason Codes describe why a claim or service line was paid differently than it was billed. These codes are listed within an X12 implementation guide (TR3) and maintained by X12.

External code lists maintained by X12 and external code lists maintained by others and distributed by WPC on behalf of the maintainer can be found here: here

Click on the name of any external code list to access more information about the code list, view the codes, or submit a maintenance request. These external code lists were previously published on either www.wpc-edi.com/reference or www.x12.org/codes

Summary

Defining URLhttp://terminology.hl7.org/NamingSystem/X12ClaimAdjustmentReasonCodes
NameX12ClaimAdjustmentReasonCodes
Statusactive
Definition

"X12, chartered by the American National Standards Institute for more than 40 years, develops and maintains EDI standards and XML schemas which drive business processes globally. X12's diverse membership includes technologists and business process experts in health care, insurance, transportation, finance, government, supply chain and other industries."

The X12 Claim Adjustment Reason Codes describe why a claim or service line was paid differently than it was billed. These codes are listed within an X12 implementation guide (TR3) and maintained by X12.

External code lists maintained by X12 and external code lists maintained by others and distributed by WPC on behalf of the maintainer can be found here: here

Click on the name of any external code list to access more information about the code list, view the codes, or submit a maintenance request. These external code lists were previously published on either www.wpc-edi.com/reference or www.x12.org/codes

PublisherX12

Identifiers

TypeValuePreferredPeriodComment
URIhttps://x12.org/codes/claim-adjustment-reason-codestrue2020-10-20 --> (ongoing)This is the URL as specified by the terminology owner, and is considered authoritative.

History

DateActionCustodianAuthorComment
2022-08-30createHTAJessica BotaAdd X12 Claim Adjustment Reason Codes per HTA; up-328
2022-08-02createHTAJessica BotaAdd X12 Claim Adjustment Reason Codes per HTA; up-328