HL7 Terminology (THO)
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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 3.1.5). This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

ValueSet: ActCoverageConfirmationCode

Official URL: http://terminology.hl7.org/ValueSet/v3-ActCoverageConfirmationCode Version: 2.0.0
Active as of 2014-03-26 Computable Name: ActCoverageConfirmationCode
Other Identifiers: : urn:oid:2.16.840.1.113883.1.11.17487

Response to an insurance coverage eligibility query or authorization request.


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:



This value set contains 4 concepts

Expansion based on ActCode v6.1.0 (CodeSystem)

All codes in this table are from the system http://terminology.hl7.org/CodeSystem/v3-ActCode

  _ActCoverageAuthorizationConfirmationCodeActCoverageAuthorizationConfirmationCodeIndication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
  AUTHAuthorizedAuthorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.
  NAUTHNot AuthorizedAuthorization for specified healthcare service(s) and/or product(s) denied.
  _ActCoverageEligibilityConfirmationCodeActCoverageEligibilityConfirmationCodeIndication of eligibility coverage for healthcare service(s) and/or product(s).
  ELGEligibleInsurance coverage is in effect for healthcare service(s) and/or product(s).
  NELGNot EligibleInsurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.

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


2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.