V2-0457.cs.xml

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

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v2-0457"/>
  <meta>
    <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/>
  </meta>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>Overall Claim Disposition Code</p>

      <table class="grid">
        <tr>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>Description</b>
          </td>
          <td>
            <b>Comment</b>
          </td>
          <td>
            <b>Version</b>
          </td>
        </tr>
        <tr>
          <td>0
            <a name="0"> </a>
          </td>
          <td>No edits present on claim</td>
          <td/>
          <td>added v2.4</td>
        </tr>
        <tr>
          <td>1
            <a name="1"> </a>
          </td>
          <td>Only edits present are for line item denial or rejection</td>
          <td/>
          <td>added v2.4</td>
        </tr>
        <tr>
          <td>2
            <a name="2"> </a>
          </td>
          <td>Multiple-day claim with one or more days denied or rejected</td>
          <td/>
          <td>added v2.4</td>
        </tr>
        <tr>
          <td>3
            <a name="3"> </a>
          </td>
          <td>Claim denied, rejected, suspended or returned to provider with only post payment edits</td>
          <td/>
          <td>added v2.4</td>
        </tr>
        <tr>
          <td>4
            <a name="4"> </a>
          </td>
          <td>Claim denied, rejected, suspended or returned to provider with only pre payment edits</td>
          <td/>
          <td>added v2.4</td>
        </tr>
      </table>

    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
    <valueUri value="urn:oid:2.16.840.1.133883.18.292"/>
  </extension>
  <url value="http://hl7.org/fhir/v2/0457"/>
  <version value="2.8.2"/>
  <name value="v2 Overall Claim Disposition Code"/>
  <status value="active"/>
  <experimental value="true"/>
  <publisher value="HL7, Inc"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org"/>
    </telecom>
  </contact>
  <description value="FHIR Value set/code system definition for HL7 v2 table 0457 ( Overall Claim Disposition
     Code)"/>
  <caseSensitive value="false"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/v2-0457"/>
  <content value="complete"/>
  <concept>
    <code value="0"/>
    <display value="No edits present on claim"/>
  </concept>
  <concept>
    <code value="1"/>
    <display value="Only edits present are for line item denial or rejection"/>
  </concept>
  <concept>
    <code value="2"/>
    <display value="Multiple-day claim with one or more days denied or rejected"/>
  </concept>
  <concept>
    <code value="3"/>
    <display value="Claim denied, rejected, suspended or returned to provider with only post payment edits"/>
  </concept>
  <concept>
    <code value="4"/>
    <display value="Claim denied, rejected, suspended or returned to provider with only pre payment edits"/>
  </concept>
</CodeSystem>