Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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 R2

Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.4.1.548 4.4.1.318 Value Set ValueSet http://hl7.org/fhir/ValueSet/remittance-outcome

Financial Management icon Work Group   Maturity Level : 2 0 Trial Use Informative Use Context : Any Country: World
This is a value set defined by the FHIR project. Summary
  • Defining URL: Narrative http://hl7.org/fhir/ValueSet/remittance-outcome
  • Version: XML 4.0.1
  • Name: JSON ClaimProcessingCodes
  • Title: TTL Claim Processing Codes
OID: 2.16.840.1.113883.4.642.3.13 (for OID based terminology systems)
Official URL : Definition: http://hl7.org/fhir/ValueSet/remittance-outcome This value set includes Claim Processing Outcome codes. Committee: Financial Management Work Group Version : 5.0.0
draft as of 2023-03-26 Copyright: Computable Name : RemittanceOutcome HL7 Inc.
Source Resource Flags : Immutable XML / JSON OID : 2.16.840.1.113883.4.642.3.13

This value set is used in the following places:

(code / Required

4.4.1.318.1 Definition )

The outcome of the processing.

4.4.1.548.1 4.4.1.318.2 Content Logical Definition

This value set includes codes from the following code systems:

 

4.4.1.548.2 4.4.1.318.3 Expansion

This expansion generated 01 Nov 2019 26 Mar 2023

This value set contains 4 3 concepts

Expansion based on http://hl7.org/fhir/remittance-outcome version 4.0.1 All codes from system http://hl7.org/fhir/remittance-outcome RemittanceOutcome v5.0.0 (CodeSystem)

queued
Code Display System Definition Display Queued The Claim/Pre-authorization/Pre-determination has been received but processing has not begun. Definition
   complete Processing http://hl7.org/fhir/remittance-outcome Complete

The processing has completed without errors errors.

   error http://hl7.org/fhir/remittance-outcome Error One or more errors have been detected in the Claim

The processing identified errors.

   partial http://hl7.org/fhir/remittance-outcome Partial Processing

No errors have been detected in the Claim and some of the adjudication has been performed.

 

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
Source 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). If the code is in italics, this indicates that the code is not selectable ('Abstract')
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