GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3 R2

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

1.25.3.1.457 HL7 Version 2 Table 0457

This is a table defined as part of HL7 v2 . Related FHIR content: v2 Overall Claim Disposition Code.

Summary

Defining URL:

http://hl7.org/fhir/ValueSet/v2-0457

Name:

v2 Overall Claim Disposition Code

Definition:

FHIR Value set/code system definition for HL7 v2 table 0457 ( Overall Claim Disposition Code)

OID:

??

System URL:

http://hl7.org/fhir/v2/0457

System OID:

2.16.840.1.133883.18.292

Source Resource

This value set is not currently used

1.25.3.1.457.1 Content Logical Definition

Overall Claim Disposition Code

Code

Description

Comment

Version

0

No edits present on claim

added v2.4

1

Only edits present are for line item denial or rejection

added v2.4

2

Multiple-day claim with one or more days denied or rejected

added v2.4

3

Claim denied, rejected, suspended or returned to provider with only post payment edits

added v2.4

4

Claim denied, rejected, suspended or returned to provider with only pre payment edits

added v2.4