Patient Cost Transparency Implementation Guide
2.0.2 - STU 2 United States of America flag

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

ValueSet: PCT AEOB Process Note Types

Official URL: http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAEOBProcessNoteVS Version: 2.0.2
Standards status: Trial-use Maturity Level: 2 Computable Name: PCTAEOBProcessNoteVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.48.4

Indicates the type of .processNote for AEOB.

References

Changes since version 1.1.0:

  • The logical definition of the value set has changed

    • Logical Definition (CLD)

    This value set includes codes based on the following rules:

     

    Expansion

    Expansion performed internally based on codesystem PCT AEOB Process Note Code System v2.0.2 (CodeSystem)

    This value set contains 4 concepts

    SystemCodeDisplay (en)DefinitionJSONXML
    http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCS  disclaimerDisclaimerIndicates a disclaimer type of process note
    http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCS  adjudication-noteAdjudication NoteIndicates an adjudication note type of process note
    http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCS  conditionalConditionalIndicates a conditional type of note which supplements information that is already included in the required Medical Management or Prior Authorization information. A process note that includes information about conditional factors of the estimate not captured in the originating GFE submission of the advanced explanation of benefit.
    http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAEOBProcessNoteCS  otherOtherIndicates other type of AEOB process note

    Description of the above table(s).