This publication includes IP covered under the following statements.

• HL7 Inc.
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  • Claim Processing Codes : EClaimsClaimResponse
  • Claim Type Codes : Claim/CLAIM-0000X , Claim/a7dcd571-d8a2-483a-8a45-e3c8bcbff8b8 , Claim/ae044c1d-9ecb-4294-be9b-0702e7892596 , ClaimResponse/8e0e3d44-4b7a-47d6-8b82-39fa646f8088 and ClaimResponse/fd876fab-979d-4adb-8b32-46dff643b89f
• HL7 International.
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  • Financial Resource Status Codes : EClaimsPaymentNotice , EclaimsCoverage ... Show 8 more , EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
• These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright © 2011 by the National Electrical Manufacturers Association.
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  • DICOM Controlled Terminology Definitions : EClaimsProvenance
• These codes have been appropriated from the UB04 code set owned and managed by the AHA . Users require a license from the AHA in order to use these codes. Note: the codes have been withdrawn in a later version
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  • Example Diagnosis on Admission Codes : EclaimsResponse , KenyaClaimBase ... Show 6 more , KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Example Revenue Center Codes : EclaimsResponse , KenyaClaimBase ... Show 6 more , KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
• This is an example set based on ASTM Standard, E1762-95 (2013) HL7 RoleClass OID 2.16.840.1.113883.5.110, HL7 Role Code 2.16.840.1.113883.5.111, HL7 ParticipationType OID: 2.16.840.1.113883.5.90, HL7 ParticipationFunction codes at OID: 2.16.840.1.113883.5.88, and HL7 Security and Privacy Domain Analysis Model roles classes.
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  • Contract Signer Type Codes : EClaimsProvenance
• This is an example set.
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  • ICD-10 Procedure Codes : EclaimsResponse , KenyaClaimBase ... Show 6 more , KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Adjudication Value Codes : ClaimResponse/8e0e3d44-4b7a-47d6-8b82-39fa646f8088 , ClaimResponse/fd876fab-979d-4adb-8b32-46dff643b89f and EClaimsClaimResponse
  • Adjudication Error Codes : ClaimResponseAdjudicationErrorVS and EClaimsClaimResponse
  • Adjudication Reason Codes : EClaimsClaimResponse
  • Exception Codes : EclaimsResponse , KenyaClaimBase ... Show 6 more , KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Claim Information Category Codes : Claim/CR-00001 , EclaimsResponse ... Show 7 more , KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Coverage Copay Type Codes : EclaimsCoverage
  • Benefit Category Codes : Claim/ECLM-CB-001 , Claim/ECLM-IMG-001 ... Show 13 more , Claim/ECLM-ONC-001, Claim/ECLM-OPT-001, Claim/ECLM-REN-001, Claim/ECLM-SUB-001, Claim/ECLM-SUR-001, EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Example Claim SubType Codes : EClaimsClaimResponse
  • Example Coverage Financial Exception Codes : EclaimsCoverage
  • Example Diagnosis Related Group Codes : EclaimsResponse , KenyaClaimBase ... Show 6 more , KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Example Diagnosis Type Codes : Claim/CR-00001 , EclaimsResponse ... Show 7 more , KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Example Payment Type Codes : EClaimsClaimResponse
  • Example Procedure Type Codes : EclaimsResponse , KenyaClaimBase ... Show 6 more , KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Example Program Reason Codes : EClaimsClaimResponse , EclaimsResponse ... Show 7 more , KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Example Service Place Codes : EClaimsClaimResponse , EclaimsResponse ... Show 7 more , KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Form Codes : ClaimResponseFormsVS and EClaimsClaimResponse
  • Funds Reservation Codes : ClaimResponseFundsReserveVS , EClaimsClaimResponse ... Show 8 more , EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Missing Tooth Reason Codes : EclaimsResponse , KenyaClaimBase ... Show 6 more , KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Modifier type Codes : EClaimsClaimResponse , EclaimsResponse ... Show 7 more , KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Claim Payee Type Codes : Claim/CR-00001 , Claim/ECLM-CB-001 ... Show 16 more , Claim/ECLM-IMG-001, Claim/ECLM-ONC-001, Claim/ECLM-OPT-001, Claim/ECLM-REN-001, Claim/ECLM-SUB-001, Claim/ECLM-SUR-001, ClaimResponsePayeeTypeVS, EClaimsClaimResponse, EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
  • Payment Adjustment Reason Codes : EClaimsClaimResponse
  • Payment Status Codes : EClaimsPaymentNotice and PaymentNotice/ECLM-PN-001
  • Process Priority Codes : Claim/CLAIM-0000X , Claim/CR-00001 ... Show 17 more , Claim/ECLM-CB-001, Claim/ECLM-IMG-001, Claim/ECLM-ONC-001, Claim/ECLM-OPT-001, Claim/ECLM-REN-001, Claim/ECLM-SUB-001, Claim/ECLM-SUR-001, Claim/a7dcd571-d8a2-483a-8a45-e3c8bcbff8b8, Claim/ae044c1d-9ecb-4294-be9b-0702e7892596, EclaimsResponse, KenyaClaimBase, KenyaClaimSubmission, KenyaImagingPreauth, KenyaOncologyPreauth, KenyaOpticalPreauth, KenyaRenalPreauth and KenyaSurgicalPreauth
• This is an extensible set.
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  • SubscriberPolicyholder Relationship Codes : Coverage/ECLM-COV-001 and EclaimsCoverage
• This material contains content from LOINC . LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license . LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  • LOINC: DiagnosticReport/ECLM-DR-001 , EClaimsDiagnosticReport and Observation/ECLM-OBS-001
• This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org .
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  • SNOMED Clinical Terms® (SNOMED CT®) : EClaimsCondition , EClaimsMedicationDispense and EClaimsMedicationRequest