HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 6.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

ValueSet: hl7VS-overallClaimDispositionCode

Official URL: http://terminology.hl7.org/ValueSet/v2-0457 Version: 2.0.0
Active as of 2019-12-01 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)

Generated Narrative: ValueSet v2-0457

 

Expansion

Generated Narrative: ValueSet

Expansion based on codesystem overallClaimDisposition v2.0.0 (CodeSystem)

This value set contains 5 concepts

CodeSystemDisplayDefinition
  0http://terminology.hl7.org/CodeSystem/v2-0457No edits present on claim

No edits present on claim

  1http://terminology.hl7.org/CodeSystem/v2-0457Only edits present are for line item denial or rejection

Only edits present are for line item denial or rejection

  2http://terminology.hl7.org/CodeSystem/v2-0457Multiple-day claim with one or more days denied or rejected

Multiple-day claim with one or more days denied or rejected

  3http://terminology.hl7.org/CodeSystem/v2-0457Claim 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

  4http://terminology.hl7.org/CodeSystem/v2-0457Claim 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


Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

History

DateActionAuthorCustodianComment
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.