FHIR Release 3 (STU) R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.0.2: STU 3). (v3.5.0: 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: R4 R3 R2

4.2.13.457 4.3.14.457 HL7 Version 2 Table 0457

Vocabulary Work Group   Maturity Level : N/A External Use Context : Any

This is a table defined as part of HL7 v2 . Related FHIR content: v2 Overall Claim Disposition Code .

Summary

http://hl7.org/fhir/v2/0457 http://hl7.org/fhir/ValueSet/v2-0457
Name: Code System URL: v2 Overall Claim Disposition Code http://terminology.hl7.org/CodeSystem/v2-0457
Definition: Value Set URL: FHIR Value set/code system definition for HL7 v2 table 0457 ( Overall Claim Disposition Code) http://terminology.hl7.org/ValueSet/v2-0457
Code System URL: Version: 2.9
Name: v2.0457
Value Set URL: Title: v2 Overall claim disposition code
Definition:

FHIR Value set/code system definition for HL7 v2 table 0457 ( Overall claim disposition code)

OID: ??
CodeSystem Resource XML / JSON
ValueSet Resource XML / JSON

This value set is used in Note: V2 code systems may or may not be case sensitive. V2 Code systems will have the following places: CodeSystem.caseSensitive correctly populated in a future version of this specification.

This value set is the designated 'entire code system' value set for v2 Overall Claim Disposition Code not currently used

4.2.13.457.1 4.3.14.457.1 Code System Content

Overall Claim Disposition Code

Code Description Comment Version
0 No edits present on claim added v2.4
1 Only edits present are for line item denial or rejection added v2.4
2 Multiple-day claim with one or more days denied or rejected added v2.4
3 Claim denied, rejected, suspended or returned to provider with only post payment edits added v2.4
4 Claim denied, rejected, suspended or returned to provider with only pre payment edits added v2.4