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.

1.25.3.1.459 HL7 Version 2 Table 0459

This is a table defined as part of HL7 v2 . Related FHIR content: v2 Reimbursement Action Code.

Summary

Defining URL:http://hl7.org/fhir/ValueSet/v2-0459
Name:v2 Reimbursement Action Code
Definition:FHIR Value set/code system definition for HL7 v2 table 0459 ( Reimbursement Action Code)
OID:??
System URL:http://hl7.org/fhir/v2/0459
System OID:2.16.840.1.133883.18.293
Source ResourceXML / JSON

This value set is not currently used

1.25.3.1.459.1 Content Logical Definition

Reimbursement Action Code

CodeDescriptionCommentVersion
0 OCE line item denial or rejection is not ignoredadded v2.4
1 OCE line item denial or rejection is ignoredadded v2.4
2 External line item denial. Line item is denied even if no OCE editsadded v2.4
3 External line item rejection. Line item is rejected even if no OCE editsadded v2.4