This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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: R5 R4B R4 R3
Financial Management Work Group | Maturity Level: N/A | Ballot Status: Informative |
Definition for Code System Claim Processing Codes
{ "resourceType": "CodeSystem", "id": "remittance-outcome", "meta": { "lastUpdated": "2018-04-03T12:05:46.262+10:00", "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ] }, "text": { "status": "generated", "div": "<div>!-- Snipped for Brevity --></div>" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "fm" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status", "valueString": "Trial Use" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 2 } ], "url": "http://hl7.org/fhir/remittance-outcome", "identifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:2.16.840.1.113883.4.642.1.14" }, "version": "3.3.0", "name": "Claim Processing Codes", "status": "draft", "experimental": true, "publisher": "FHIR Project team", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" } ] } ], "description": "This value set includes Claim Processing Outcome codes.", "copyright": "HL7 Inc.", "caseSensitive": true, "valueSet": "http://hl7.org/fhir/ValueSet/remittance-outcome", "content": "complete", "concept": [ { "code": "queued", "display": "Queued", "definition": "The Claim/Pre-authorization/Pre-determination has been received but processing has not begun." }, { "code": "complete", "display": "Processing Complete", "definition": "The processing has completed without errors" }, { "code": "error", "display": "Error", "definition": "One or more errors have been detected in the Claim" }, { "code": "partial", "display": "Partial Processing", "definition": "No errors have been detected in the Claim and some of the adjudication has been performed." } ] }
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.