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 5.5.0 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: ActAdjudicationCode

Official URL: http://terminology.hl7.org/ValueSet/v3-ActAdjudicationCode Version: 3.0.0
Active as of 2014-03-26 Responsible: Health Level Seven International Computable Name: ActAdjudicationCode
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.1.11.17616

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

Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.

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)

This value set includes codes based on the following rules:

This value set excludes codes based on the following rules:

 

Expansion

Expansion based on codesystem ActCode v9.0.0 (CodeSystem)

This value set contains 13 concepts.

CodeSystemDisplayDefinition
  _ActAdjudicationGroupCodehttp://terminology.hl7.org/CodeSystem/v3-ActCodeActAdjudicationGroupCode

Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).

  CONThttp://terminology.hl7.org/CodeSystem/v3-ActCodecontract

Transaction counts and value totals by Contract Identifier.

  DAYhttp://terminology.hl7.org/CodeSystem/v3-ActCodeday

Transaction counts and value totals for each calendar day within the date range specified.

  LOChttp://terminology.hl7.org/CodeSystem/v3-ActCodelocation

Transaction counts and value totals by service location (e.g clinic).

  MONTHhttp://terminology.hl7.org/CodeSystem/v3-ActCodemonth

Transaction counts and value totals for each calendar month within the date range specified.

  PERIODhttp://terminology.hl7.org/CodeSystem/v3-ActCodeperiod

Transaction counts and value totals for the date range specified.

  PROVhttp://terminology.hl7.org/CodeSystem/v3-ActCodeprovider

Transaction counts and value totals by Provider Identifier.

  WEEKhttp://terminology.hl7.org/CodeSystem/v3-ActCodeweek

Transaction counts and value totals for each calendar week within the date range specified.

  YEARhttp://terminology.hl7.org/CodeSystem/v3-ActCodeyear

Transaction counts and value totals for each calendar year within the date range specified.

  AAhttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjudicated with adjustments

The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).

Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.

Invoice element can be reversed (nullified).

Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

  ANFhttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjudicated with adjustments and no financial impact

The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount.

Invoice element can be reversed (nullified).

Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

  ARhttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjudicated as refused

The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.

Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late').

If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected.

A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer.

Invoice element cannot be reversed (nullified) as there is nothing to reverse.

Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting).

  AShttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjudicated as submitted

The invoice element was/will be paid exactly as submitted, without financial adjustment(s).

If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment".

If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim').

Invoice element can be reversed (nullified).

Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).


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
2022-10-18reviseMarc DuteauTSMGFixing missing metadata; up-349
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26reviseVocabulary (Woody Beeler) (no record of original request)2014T1_2014-03-26_001283 (RIM release ID)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26