HL7 v2.4 Vocabulary
0.1.0 - ci-build

HL7 v2.4 Vocabulary, published by HL7/FO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/frankoemig/hl7.v2.terminology.v24/ and changes regularly. See the Directory of published versions

CodeSystem: Overall Claim Disposition Code (2.4 - 1.0.0) (Experimental)

Official URL: http://terminology.hl7.org/v2plusvocab/CodeSystem/overallClaimDisposition Version: 1.0.0
Active as of 2026-01-27 Computable Name: OverallClaimDisposition
Other Identifiers: OID:2.16.840.1.113883.18.292

Copyright/Legal: HL7 Inc., 2026

Code system of concepts specifying the final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment.

This Code system is referenced in the content logical definition of the following value sets:

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
versionIntroduced versionIntroduced http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced string version when was this code introduced
versionDeprecated versionDeprecated http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated string version when was this code deprecated
status status http://hl7.org/fhir/concept-properties#status code A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired
comment comment http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment string A string that provides additional detail pertinent to the use or understanding of the concept
usage usage http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage string usage notes for this code
modified modified http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified dateTime date of last modification

Concepts

This case-sensitive code system http://terminology.hl7.org/v2plusvocab/CodeSystem/overallClaimDisposition defines the following codes:

CodeDisplayDefinitionversionIntroduced
0 No edits present on claim No edits present on claim 2.4
1 Only edits present are for line item denial or rejection Only edits present are for line item denial or rejection 2.4
2 Multiple-day claim with one or more days denied or rejected Multiple-day claim with one or more days denied or rejected 2.4
3 Claim denied, rejected, suspended or returned to provider with only post payment edits Claim denied, rejected, suspended or returned to provider with only post payment edits 2.4
4 Claim denied, rejected, suspended or returned to provider with only pre payment edits Claim denied, rejected, suspended or returned to provider with only pre payment edits 2.4