HL7 Terminology (THO)
7.1.0 - Continuous Process Integration (ci build)
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
| Official URL: http://terminology.hl7.org/ValueSet/v3-AdjudicatedWithAdjustments | Version: 3.0.0 | ||||
| Responsible: Health Level Seven International | Computable Name: AdjudicatedWithAdjustments | ||||
| Other Identifiers: OID:2.16.840.1.113883.1.11.19347 | |||||
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 |
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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).
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
Language: en
http://terminology.hl7.org/CodeSystem/v3-ActCode version 📦10.0.0 where concept is-a AA
Expansion performed internally based on codesystem ActCode v10.0.0 (CodeSystem)
This value set contains 2 concepts
| Level | System | Code | Display (en) | Definition | JSON | XML |
| 1 | http://terminology.hl7.org/CodeSystem/v3-ActCode | AA | adjudicated 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). | ||
| 2 | http://terminology.hl7.org/CodeSystem/v3-ActCode | ANF | adjudicated 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). |
Description of the above table(s).
History
| Date | Action | Author | Custodian | Comment |
| 2023-11-14 | revise | Marc Duteau | TSMG | Add standard copyright and contact to internal content; up-476 |
| 2022-10-18 | revise | Marc Duteau | TSMG | Fixing missing metadata; up-349 |
| 2020-05-06 | revise | Ted Klein | Vocabulary WG | Migrated to the UTG maintenance environment and publishing tooling. |
| 2014-03-26 | revise | Vocabulary (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 |