FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions

ValueSet: Cross-version VS for R5.ActInvoiceElementSummaryCode for use in FHIR R4

Official URL: http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceElementSummaryCode-for-R4 Version: 0.0.1-snapshot-2
Standards status: Informative Maturity Level: 0 Computable Name: R5_v3_ActInvoiceElementSummaryCode_for_R4

This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceElementSummaryCode 2.0.0 for use in FHIR R4. Concepts not present here have direct equivalent mappings crossing all versions from R5 to R4.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActCode version 8.0.0
    CodeDisplayDefinition
    ADNFPPELATadjud. nullified prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
    ADCNPPELATadjud. nullified prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
    ADNFPPELCTadjud. nullified prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
    ADCNPPELCTadjud. nullified prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
    ADNFPPMNATadjud. nullified prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    ADCNPPMNATadjud. nullified prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    ADNFPPMNCTadjud. nullified prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    ADCNPPMNCTadjud. nullified prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    ADNFSPELATadjud. nullified same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
    ADCNSPELATadjud. nullified same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
    ADNFSPELCTadjud. nullified same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
    ADCNSPELCTadjud. nullified same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
    ADNFSPMNATadjud. nullified same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    ADCNSPMNATadjud. nullified same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    ADNFSPMNCTadjud. nullified same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    ADCNSPMNCTadjud. nullified same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
    ADNPPPELATadjud. non-payee payable prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    ADNPPPELCTadjud. non-payee payable prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    ADNPPPMNATadjud. non-payee payable prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    ADNPPPMNCTadjud. non-payee payable prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    ADNPSPELATadjud. non-payee payable same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    ADNPSPELCTadjud. non-payee payable same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    ADNPSPMNATadjud. non-payee payable same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    ADNPSPMNCTadjud. non-payee payable same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    ADPPPPELATadjud. payee payable prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
    ADPPPPELCTadjud. payee payable prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
    ADPPPPMNATadjud. payee payable prior-period manual amoutIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
    ADPPPPMNCTadjud. payee payable prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
    ADPPSPELATadjud. payee payable same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
    ADPPSPELCTadjud. payee payable same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
    ADPPSPMNATadjud. payee payable same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
    ADPPSPMNCTadjud. payee payable same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
    ADRFPPELATadjud. refused prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
    ADRFPPELCTadjud. refused prior-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
    ADRFPPMNATadjud. refused prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
    ADRFPPMNCTadjud. refused prior-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
    ADRFSPELATadjud. refused same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
    ADRFSPELCTadjud. refused same-period electronic countIdentifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
    ADRFSPMNATadjud. refused same-period manual amountIdentifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
    ADRFSPMNCTadjud. refused same-period manual countIdentifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
    PDNFPPELATpaid nullified prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    PDCNPPELATpaid nullified prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    PDNFPPELCTpaid nullified prior-period electronic countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    PDCNPPELCTpaid nullified prior-period electronic countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    PDNFPPMNATpaid nullified prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    PDCNPPMNATpaid nullified prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    PDNFPPMNCTpaid nullified prior-period manual countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    PDCNPPMNCTpaid nullified prior-period manual countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    PDNFSPELATpaid nullified same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    PDCNSPELATpaid nullified same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
    PDNFSPELCTpaid nullified same-period electronic countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
    PDCNSPELCTpaid nullified same-period electronic countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
    PDNFSPMNATpaid nullified same-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    PDCNSPMNATpaid nullified same-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    PDNFSPMNCTpaid nullified same-period manual countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    PDCNSPMNCTpaid nullified same-period manual countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
    PDNPPPELATpaid non-payee payable prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    PDNPPPELCTpaid non-payee payable prior-period electronic countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    PDNPPPMNATpaid non-payee payable prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    PDNPPPMNCTpaid non-payee payable prior-period manual countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    PDNPSPELATpaid non-payee payable same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    PDNPSPELCTpaid non-payee payable same-period electronic countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
    PDNPSPMNATpaid non-payee payable same-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    PDNPSPMNCTpaid non-payee payable same-period manual countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
    PDPPPPELATpaid payee payable prior-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
    PDPPPPELCTpaid payee payable prior-period electronic countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
    PDPPPPMNATpaid payee payable prior-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
    PDPPPPMNCTpaid payee payable prior-period manual countIdentifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
    PDPPSPELATpaid payee payable same-period electronic amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
    PDPPSPELCTpaid payee payable same-period electronic countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
    PDPPSPMNATpaid payee payable same-period manual amountIdentifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
    PDPPSPMNCTpaid payee payable same-period manual countIdentifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
    SBBLELATsubmitted billed electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
    SBBLATsubmitted billed electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
    SBBLELCTsubmitted billed electronic countIdentifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
    SBBLCTsubmitted billed electronic countIdentifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
    SBNFELATsubmitted nullified electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
    SBCNATsubmitted nullified electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
    SBNFELCTsubmitted cancelled electronic countIdentifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
    SBCNCTsubmitted cancelled electronic countIdentifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
    SBPDELATsubmitted pending electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
    SBPDATsubmitted pending electronic amountIdentifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
    SBPDELCTsubmitted pending electronic countIdentifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
    SBPDCTsubmitted pending electronic countIdentifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.

 

Expansion

This value set expansion contains 84 concepts.

CodeSystemDisplayDefinition
  ADNFPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

  ADCNPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

  ADNFPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

  ADCNPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

  ADNFPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADCNPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADNFPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADCNPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified prior-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADNFSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

  ADCNSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

  ADNFSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

  ADCNSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

  ADNFSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADCNSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADNFSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADCNSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. nullified same-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

  ADNPPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  ADNPPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable prior-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  ADNPPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  ADNPPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable prior-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  ADNPSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  ADNPSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable same-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  ADNPSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable same-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  ADNPSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. non-payee payable same-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  ADPPPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

  ADPPPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable prior-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

  ADPPPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable prior-period manual amout

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

  ADPPPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable prior-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

  ADPPSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

  ADPPSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable same-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

  ADPPSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable same-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

  ADPPSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. payee payable same-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

  ADRFPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.

  ADRFPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused prior-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.

  ADRFPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.

  ADRFPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused prior-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.

  ADRFSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.

  ADRFSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused same-period electronic count

Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.

  ADRFSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused same-period manual amount

Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.

  ADRFSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodeadjud. refused same-period manual count

Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.

  PDNFPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.

  PDCNPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.

  PDNFPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified prior-period electronic count

Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.

  PDCNPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified prior-period electronic count

Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.

  PDNFPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

  PDCNPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

  PDNFPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified prior-period manual count

Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

  PDCNPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified prior-period manual count

Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

  PDNFSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.

  PDCNSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.

  PDNFSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified same-period electronic count

Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.

  PDCNSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified same-period electronic count

Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.

  PDNFSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified same-period manual amount

Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

  PDCNSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified same-period manual amount

Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

  PDNFSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified same-period manual count

Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

  PDCNSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid nullified same-period manual count

Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

  PDNPPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid non-payee payable prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  PDNPPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid non-payee payable prior-period electronic count

Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  PDNPPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid non-payee payable prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  PDNPPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid non-payee payable prior-period manual count

Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  PDNPSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid non-payee payable same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  PDNPSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid non-payee payable same-period electronic count

Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

  PDNPSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid non-payee payable same-period manual amount

Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  PDNPSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid non-payee payable same-period manual count

Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.

  PDPPPPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid payee payable prior-period electronic amount

Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.

  PDPPPPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid payee payable prior-period electronic count

Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.

  PDPPPPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid payee payable prior-period manual amount

Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.

  PDPPPPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid payee payable prior-period manual count

Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.

  PDPPSPELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid payee payable same-period electronic amount

Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.

  PDPPSPELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid payee payable same-period electronic count

Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.

  PDPPSPMNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid payee payable same-period manual amount

Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.

  PDPPSPMNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodepaid payee payable same-period manual count

Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.

  SBBLELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted billed electronic amount

Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.

  SBBLAThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted billed electronic amount

Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.

  SBBLELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted billed electronic count

Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.

  SBBLCThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted billed electronic count

Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.

  SBNFELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted nullified electronic amount

Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.

  SBCNAThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted nullified electronic amount

Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.

  SBNFELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted cancelled electronic count

Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.

  SBCNCThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted cancelled electronic count

Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.

  SBPDELAThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted pending electronic amount

Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.

  SBPDAThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted pending electronic amount

Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.

  SBPDELCThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted pending electronic count

Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.

  SBPDCThttp://terminology.hl7.org/CodeSystem/v3-ActCodesubmitted pending electronic count

Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.


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