HL7 Terminology (THO)
6.3.0 - UTG Consensus Review Change Request UP-676 International flag

HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 6.3.0 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)

 

Expansion

Expansion performed internally based on codesystem overallClaimDisposition v2.0.0 (CodeSystem)

This value set contains 5 concepts

SystemCodeDisplay (en)DefinitionstatusJSONXML
http://terminology.hl7.org/CodeSystem/v2-0457  0No edits present on claimNo edits present on claimA
http://terminology.hl7.org/CodeSystem/v2-0457  1Only edits present are for line item denial or rejectionOnly edits present are for line item denial or rejectionA
http://terminology.hl7.org/CodeSystem/v2-0457  2Multiple-day claim with one or more days denied or rejectedMultiple-day claim with one or more days denied or rejectedA
http://terminology.hl7.org/CodeSystem/v2-0457  3Claim denied, rejected, suspended or returned to provider with only post payment editsClaim denied, rejected, suspended or returned to provider with only post payment editsA
http://terminology.hl7.org/CodeSystem/v2-0457  4Claim denied, rejected, suspended or returned to provider with only pre payment editsClaim denied, rejected, suspended or returned to provider with only pre payment editsA

Description of the above table(s).

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.