Package | hl7.fhir.us.davinci-pdex |
Type | CodeSystem |
Id | PDexPayerAdjudicationStatus |
FHIR Version | R4 |
Source | http://hl7.org/fhir/us/davinci-pdex/https://build.fhir.org/ig/HL7/davinci-epdx/CodeSystem-PDexPayerAdjudicationStatus.html |
URL | http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexPayerAdjudicationStatus |
Version | 2.1.0 |
Status | active |
Date | 2025-06-16T14:46:24+00:00 |
Name | PDexPayerAdjudicationStatus |
Title | PDex Payer Adjudication Status |
Realm | us |
Authority | hl7 |
Description | Describes the various status fields used when payers adjudicate a claim, such as whether the claim was adjudicated in or out of network, if the provider was contracted or non-contracted for the service |
Copyright | This CodeSystem is not copyrighted. |
Content | complete |
ValueSet | |
PDexPayerBenefitPaymentStatus | PDex Payer Benefit Payment Status |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: CodeSystem PDexPayerAdjudicationStatus
This case-insensitive code system http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexPayerAdjudicationStatus
defines the following codes:
{ "resourceType": "CodeSystem", "id": "PDexPayerAdjudicationStatus", "text": { "status": "generated", "div": "<!-- snip (see above) -->" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "fm" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 2, "_valueInteger": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical": "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex" } ] } }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use", "_valueCode": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical": "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex" } ] } } ], "url": "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexPayerAdjudicationStatus", "version": "2.1.0", "name": "PDexPayerAdjudicationStatus", "title": "PDex Payer Adjudication Status", "status": "active", "experimental": false, "date": "2025-06-16T14:46:24+00:00", "publisher": "HL7 International / Financial Management", "contact": [ { "name": "HL7 International / Financial Management", "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/fm" }, { "system": "email", "value": "fm@lists.HL7.org" } ] }, { "name": "Mark Scrimshire (mark.scrimshire@onyxhealth.io)", "telecom": [ { "system": "email", "value": "mailto:mark.scrimshire@onyxhealth.io" } ] }, { "name": "HL7 International - Financial Management", "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/fm" } ] } ], "description": "Describes the various status fields used when payers adjudicate a claim, such as whether the claim was adjudicated in or out of network, if the provider was contracted or non-contracted for the service", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US", "display": "United States of America" } ] } ], "copyright": "This CodeSystem is not copyrighted.", "caseSensitive": false, "content": "complete", "count": 8, "concept": [ { "code": "innetwork", "display": "In Network", "definition": "Indicates the claim or claim line was paid in network. This does not indicate the contracting status of the provider" }, { "code": "outofnetwork", "display": "Out Of Network", "definition": "Indicates the claim or claim line was paid out of network. This does not indicate the contracting status of the provider" }, { "code": "other", "display": "Other", "definition": "Indicates other network status or when a network does not apply" }, { "code": "contracted", "display": "Contracted", "definition": "Indicates the provider was contracted for the service" }, { "code": "noncontracted", "display": "Non-Contracted", "definition": "Indicates the provider was not contracted for the service" }, { "code": "paid", "display": "Paid", "definition": "Indicates if the claim was approved for payment" }, { "code": "denied", "display": "Denied", "definition": "Indicates if the claim was denied" }, { "code": "partiallypaid", "display": "Partially Paid", "definition": "Indicates that some line items on the claim were denied" } ] }