ActInvoiceAdjudicationPaymentGroupCode - HL7 Terminology (THO) v7.1.0

HL7 Terminology (THO)
7.1.0 - Continuous Process Integration (ci build) 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 7.1.0 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: ActInvoiceAdjudicationPaymentGroupCode

Official URL: http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentGroupCode	Version: 3.0.0	Highlight text changes?
	Responsible: Health Level Seven International	Computable Name: ActInvoiceAdjudicationPaymentGroupCode
Other Identifiers: OID:2.16.840.1.113883.1.11.19414
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

Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.

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)

Language: en

Include codes fromhttp://terminology.hl7.org/CodeSystem/v3-ActCode version 📦10.0.0 where concept descends from _ActInvoicePaymentCode

Expansion

Expansion performed internally based on codesystem ActCode v10.0.0 (CodeSystem)

This value set contains 13 concepts

System	Code	Display (en)	Definition	JSON	XML
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	ALEC	alternate electronic	Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	BONUS	bonus	Bonus payments based on performance, volume, etc. as agreed to by the payor.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	CFWD	carry forward adjusment	An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	EDU	education fees	Fees deducted on behalf of a payee for tuition and continuing education.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	EPYMT	early payment fee	Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	GARN	garnishee	Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	INVOICE	submitted invoice	Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	PINV	paper invoice	Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	PPRD	prior period adjustment	An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	PROA	professional association deduction	Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	RECOV	recovery	Retroactive adjustment such as fee rate adjustment due to contract negotiations.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	RETRO	retro adjustment	Bonus payments based on performance, volume, etc. as agreed to by the payor.
`http://terminology.hl7.org/CodeSystem/v3-ActCode`	TRAN	transaction fee	Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.