R6 Ballot (1st Draft)

This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

4.3.2.228 CodeSystem http://hl7.org/fhir/eligibility-outcome

Financial Management icon Work Group Maturity Level: 2Trial Use Use Context: Country: World
Official URL: http://hl7.org/fhir/eligibility-outcome Version: 6.0.0-ballot1
active as of 2023-12-18 Computable Name: ClaimProcessingCodes
Flags: CaseSensitive, Complete. All codes ValueSet: Eligibility Outcome OID: 2.16.840.1.113883.4.642.4.2072

This Code system is used in the following value sets:

4.3.2.228.1 Definition

This value set includes Claim Processing Outcome codes.

4.3.2.228.2 Content

This case-sensitive code system http://hl7.org/fhir/eligibility-outcome defines the following codes:

CodeDisplayDefinitionCopy
queued QueuedThe Claim/Pre-authorization/Pre-determination has been received but processing has not begun.btn btn
complete Processing CompleteThe processing has completed without errorsbtn btn
error ErrorOne or more errors have been detected in the Claimbtn btn
partial Partial ProcessingNo errors have been detected in the Claim and some of the adjudication has been performed.btn btn

 

See the full registry of code systems defined as part of FHIR.

Explanation of the columns that may appear on this page:

LevelA few code lists that FHIR defines are hierarchical - each code is assigned a level. See Code System for further information.
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code