Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: R5V3ActInvoiceAdjudicationPaymentCodeForR4B | ||
This cross-version ValueSet represents content from http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentCode|2.0.0 for use in FHIR R4B.
This value set is part of the cross-version definitions generated to enable use of the
value set http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentCode|2.0.0 as defined in FHIR R5
in FHIR R4B.
The source value set is bound to the following FHIR R5 elements:
Note that all concepts are included in this cross-version definition because no concepts have compatible representations
Following are the generation technical comments:
FHIR ValueSet http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentCode|2.0.0, defined in FHIR R5 does not have any mapping to FHIR R4B
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://terminology.hl7.org/CodeSystem/v3-ActCode version 📍8.0.0| Code | Display | Definition |
| ALEC | alternate electronic | Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission). |
| BONUS | bonus | Bonus payments based on performance, volume, etc. as agreed to by the payor. |
| CFWD | carry forward adjusment | An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made. |
| CONT | contract | Transaction counts and value totals by Contract Identifier. |
| DAY | day | Transaction counts and value totals for each calendar day within the date range specified. |
| EDU | education fees | Fees deducted on behalf of a payee for tuition and continuing education. |
| EPYMT | early payment fee | Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments. |
| GARN | garnishee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. |
| INVOICE | submitted invoice | Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results.. |
| INVTYPE | invoice type | Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense) |
| LOC | location | Transaction counts and value totals by service location (e.g clinic). |
| MONTH | month | Transaction counts and value totals for each calendar month within the date range specified. |
| PAYEE | payee | Transaction counts and value totals by each instance of an invoice payee. |
| PAYOR | payor | Transaction counts and value totals by each instance of an invoice payor. |
| PERIOD | period | Transaction counts and value totals for the date range specified. |
| PINV | paper invoice | Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice. |
| PPRD | prior period adjustment | An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice |
| PROA | professional association deduction | Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association |
| PROV | provider | Transaction counts and value totals by Provider Identifier. |
| RECOV | recovery | Retroactive adjustment such as fee rate adjustment due to contract negotiations. |
| RETRO | retro adjustment | Bonus payments based on performance, volume, etc. as agreed to by the payor. |
| SENDAPP | sending application | Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers. |
| TRAN | transaction fee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. |
| WEEK | week | Transaction counts and value totals for each calendar week within the date range specified. |
| YEAR | year | Transaction counts and value totals for each calendar year within the date range specified. |
| _ActInvoiceAdjudicationPaymentGroupCode | ActInvoiceAdjudicationPaymentGroupCode | Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc. |
| _ActInvoiceAdjudicationPaymentSummaryCode | ActInvoiceAdjudicationPaymentSummaryCode | Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc. |
| _ActInvoicePaymentCode | ActInvoiceAdjudicationPaymentGroupCode | Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc. |
This value set expansion contains 28 concepts.
| System | Version | Code | Display | Definition | JSON | XML |
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | ALEC | alternate electronic | Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission). | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | BONUS | bonus | Bonus payments based on performance, volume, etc. as agreed to by the payor. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | CFWD | carry forward adjusment | An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | CONT | contract | Transaction counts and value totals by Contract Identifier. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | DAY | day | Transaction counts and value totals for each calendar day within the date range specified. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | EDU | education fees | Fees deducted on behalf of a payee for tuition and continuing education. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | EPYMT | early payment fee | Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | GARN | garnishee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | INVOICE | submitted invoice | Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results.. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | INVTYPE | invoice type | Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense) | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | LOC | location | Transaction counts and value totals by service location (e.g clinic). | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | MONTH | month | Transaction counts and value totals for each calendar month within the date range specified. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PAYEE | payee | Transaction counts and value totals by each instance of an invoice payee. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PAYOR | payor | Transaction counts and value totals by each instance of an invoice payor. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PERIOD | period | Transaction counts and value totals for the date range specified. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PINV | paper invoice | Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PPRD | prior period adjustment | An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PROA | professional association deduction | Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | PROV | provider | Transaction counts and value totals by Provider Identifier. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | RECOV | recovery | Retroactive adjustment such as fee rate adjustment due to contract negotiations. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | RETRO | retro adjustment | Bonus payments based on performance, volume, etc. as agreed to by the payor. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | SENDAPP | sending application | Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | TRAN | transaction fee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | WEEK | week | Transaction counts and value totals for each calendar week within the date range specified. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | YEAR | year | Transaction counts and value totals for each calendar year within the date range specified. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | _ActInvoiceAdjudicationPaymentGroupCode | ActInvoiceAdjudicationPaymentGroupCode | Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | _ActInvoiceAdjudicationPaymentSummaryCode | ActInvoiceAdjudicationPaymentSummaryCode | Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | 8.0.0 | _ActInvoicePaymentCode | ActInvoiceAdjudicationPaymentGroupCode | Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc. |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |