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 6.1.0 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: InvoiceElementAdjudicated

Official URL: http://terminology.hl7.org/ValueSet/v3-InvoiceElementAdjudicated Version: 3.0.0
Active as of 2014-03-26 Responsible: Health Level Seven International Computable Name: InvoiceElementAdjudicated
Other Identifiers: OID:2.16.840.1.113883.1.11.17530

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

Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.

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 v3-InvoiceElementAdjudicated

Language: en

This value set includes codes based on the following rules:

This value set excludes codes based on the following rules:

 

Expansion

Generated Narrative: ValueSet

Language: en

Expansion based on codesystem ActCode v9.0.0 (CodeSystem)

This value set contains 40 concepts

CodeSystemDisplayInactiveDefinition
  ADNFPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

  ADCNPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period electronic amountinactive

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

  ADNFPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

  ADCNPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period electronic countinactive

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

  ADNFPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADCNPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period manual amountinactive

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADNFPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADCNPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period manual countinactive

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADNFSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

  ADCNSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period electronic amountinactive

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

  ADNFSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

  ADCNSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period electronic countinactive

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

  ADNFSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADCNSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period manual amountinactive

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADNFSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADCNSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period manual countinactive

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADNPPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  ADNPPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable prior-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  ADNPPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  ADNPPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable prior-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  ADNPSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  ADNPSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable same-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  ADNPSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable same-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  ADNPSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable same-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  ADPPPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

  ADPPPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable prior-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

  ADPPPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable prior-period manual amout

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

  ADPPPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable prior-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

  ADPPSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

  ADPPSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable same-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

  ADPPSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable same-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

  ADPPSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable same-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

  ADRFPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.

  ADRFPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused prior-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.

  ADRFPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.

  ADRFPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused prior-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.

  ADRFSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.

  ADRFSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused same-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.

  ADRFSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused same-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.

  ADRFSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused same-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.


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

DateActionCustodianAuthorComment
2023-11-14reviseTSMGMarc DuteauAdd standard copyright and contact to internal content; up-476
2022-10-18reviseTSMGMarc DuteauFixing missing metadata; up-349
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26revise2014T1_2014-03-26_001283 (RIM release ID)Vocabulary (Woody Beeler) (no record of original request)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26