This page is part of the FHIR Specification (v3.0.2: STU 3). 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
Vocabulary Work Group | Maturity Level: N/A | Ballot Status: Informative |
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/shareablecodesystem"/> </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/structuredefinition-ballot-status"> <valueString value="External"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="0"/> </extension> <url value="http://hl7.org/fhir/v2/0457"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.18.292"/> </identifier> <version value="2.8.2"/> <name value="v2 Overall Claim Disposition Code"/> <status value="active"/> <experimental value="false"/> <publisher value="HL7, Inc"/> <contact> <telecom> <system value="url"/> <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>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.