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Packagehl7.fhir.uv.xver-r5.r4b
Resource TypeCodeSystem
IdCodeSystem-enrollment-outcome.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4b/0.0.1-snapshot-2/CodeSystem-enrollment-outcome.html
URLhttp://hl7.org/fhir/enrollment-outcome
Version5.0.0
Statusactive
Date2025-09-13T17:27:08-04:00
NameClaimProcessingCodes
TitleClaim Processing Codes
Realmuv
Authorityhl7
DescriptionThis value set includes Claim Processing Outcome codes.
CopyrightHL7 Inc.
Contentcomplete

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Narrative

Note: links and images are rebased to the (stated) source

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

Code Display Definition
queued Queued The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.
complete Processing Complete The processing has completed without errors
error Error One or more errors have been detected in the Claim
partial Partial Processing No errors have been detected in the Claim and some of the adjudication has been performed.

Source1

{
  "resourceType": "CodeSystem",
  "id": "enrollment-outcome",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r4b"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://hl7.org/fhir/enrollment-outcome",
  "version": "5.0.0",
  "name": "ClaimProcessingCodes",
  "title": "Claim Processing Codes",
  "status": "active",
  "experimental": false,
  "date": "2025-09-13T17:27:08-04:00",
  "publisher": "Financial Management",
  "contact": [
    {
      "name": "Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "This value set includes Claim Processing Outcome codes.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "copyright": "HL7 Inc.",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/enrollment-outcome",
  "content": "complete",
  "concept": [
    {
      "code": "queued",
      "display": "Queued",
      "definition": "The Claim/Pre-authorization/Pre-determination has been received but processing has not begun."
    },
    {
      "code": "complete",
      "display": "Processing Complete",
      "definition": "The processing has completed without errors"
    },
    {
      "code": "error",
      "display": "Error",
      "definition": "One or more errors have been detected in the Claim"
    },
    {
      "code": "partial",
      "display": "Partial Processing",
      "definition": "No errors have been detected in the Claim and some of the adjudication has been performed."
    }
  ]
}