FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4b |
| Resource Type | ValueSet |
| Id | ValueSet-R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B.json |
| FHIR Version | R4B |
| Source | http://hl7.org/fhir/uv/xver-r5.r4b/0.0.1-snapshot-2/ValueSet-R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B.html |
| URL | http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B |
| Version | 0.0.1-snapshot-2 |
| Status | active |
| Date | 2025-09-01T22:37:04.888591+10:00 |
| Name | R5_v3_ActInvoiceAdjudicationPaymentCode_for_R4B |
| Title | Cross-version VS for R5.ActInvoiceAdjudicationPaymentCode for use in FHIR R4B |
| Realm | uv |
| Authority | hl7 |
| Description | This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentCode|2.0.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4B. |
No resources found
| CodeSystem | |
| v3-ActCode | ActCode |
Note: links and images are rebased to the (stated) source
Generated Narrative: ValueSet R5-v3-ActInvoiceAdjudicationPaymentCode-for-R4B
This value set expansion contains 25 concepts.
| Code | System | Display | Definition |
| ALEC | http://terminology.hl7.org/CodeSystem/v3-ActCode | alternate electronic | Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission). |
| BONUS | http://terminology.hl7.org/CodeSystem/v3-ActCode | bonus | Bonus payments based on performance, volume, etc. as agreed to by the payor. |
| CFWD | http://terminology.hl7.org/CodeSystem/v3-ActCode | carry forward adjusment | An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made. |
| EDU | http://terminology.hl7.org/CodeSystem/v3-ActCode | education fees | Fees deducted on behalf of a payee for tuition and continuing education. |
| EPYMT | http://terminology.hl7.org/CodeSystem/v3-ActCode | early payment fee | Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments. |
| GARN | http://terminology.hl7.org/CodeSystem/v3-ActCode | garnishee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. |
| INVOICE | http://terminology.hl7.org/CodeSystem/v3-ActCode | submitted invoice | Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results.. |
| PINV | http://terminology.hl7.org/CodeSystem/v3-ActCode | paper invoice | Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice. |
| PPRD | http://terminology.hl7.org/CodeSystem/v3-ActCode | prior period adjustment | An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice |
| PROA | http://terminology.hl7.org/CodeSystem/v3-ActCode | professional association deduction | Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association |
| RECOV | http://terminology.hl7.org/CodeSystem/v3-ActCode | recovery | Retroactive adjustment such as fee rate adjustment due to contract negotiations. |
| RETRO | http://terminology.hl7.org/CodeSystem/v3-ActCode | retro adjustment | Bonus payments based on performance, volume, etc. as agreed to by the payor. |
| TRAN | http://terminology.hl7.org/CodeSystem/v3-ActCode | transaction fee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee. |
| CONT | http://terminology.hl7.org/CodeSystem/v3-ActCode | contract | Transaction counts and value totals by Contract Identifier. |
| DAY | http://terminology.hl7.org/CodeSystem/v3-ActCode | day | Transaction counts and value totals for each calendar day within the date range specified. |
| LOC | http://terminology.hl7.org/CodeSystem/v3-ActCode | location | Transaction counts and value totals by service location (e.g clinic). |
| MONTH | http://terminology.hl7.org/CodeSystem/v3-ActCode | month | Transaction counts and value totals for each calendar month within the date range specified. |
| PERIOD | http://terminology.hl7.org/CodeSystem/v3-ActCode | period | Transaction counts and value totals for the date range specified. |
| PROV | http://terminology.hl7.org/CodeSystem/v3-ActCode | provider | Transaction counts and value totals by Provider Identifier. |
| WEEK | http://terminology.hl7.org/CodeSystem/v3-ActCode | week | Transaction counts and value totals for each calendar week within the date range specified. |
| YEAR | http://terminology.hl7.org/CodeSystem/v3-ActCode | year | Transaction counts and value totals for each calendar year within the date range specified. |
| INVTYPE | http://terminology.hl7.org/CodeSystem/v3-ActCode | invoice type | Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense) |
| PAYEE | http://terminology.hl7.org/CodeSystem/v3-ActCode | payee | Transaction counts and value totals by each instance of an invoice payee. |
| PAYOR | http://terminology.hl7.org/CodeSystem/v3-ActCode | payor | Transaction counts and value totals by each instance of an invoice payor. |
| SENDAPP | http://terminology.hl7.org/CodeSystem/v3-ActCode | sending application | Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers. |
FHIR
FHIRsmith{
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"div": "<!-- snip (see above) -->"
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"version": "0.0.1-snapshot-2",
"name": "R5_v3_ActInvoiceAdjudicationPaymentCode_for_R4B",
"title": "Cross-version VS for R5.ActInvoiceAdjudicationPaymentCode for use in FHIR R4B",
"status": "active",
"experimental": false,
"date": "2025-09-01T22:37:04.888591+10:00",
"publisher": "FHIR Infrastructure",
"contact": [
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"telecom": [
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"description": "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentCode|2.0.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4B.",
"jurisdiction": [
{
"coding": [
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"compose": {
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{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"concept": [
{
"code": "ALEC",
"display": "alternate electronic"
},
{
"code": "BONUS",
"display": "bonus"
},
{
"code": "CFWD",
"display": "carry forward adjusment"
},
{
"code": "EDU",
"display": "education fees"
},
{
"code": "EPYMT",
"display": "early payment fee"
},
{
"code": "GARN",
"display": "garnishee"
},
{
"code": "INVOICE",
"display": "submitted invoice"
},
{
"code": "PINV",
"display": "paper invoice"
},
{
"code": "PPRD",
"display": "prior period adjustment"
},
{
"code": "PROA",
"display": "professional association deduction"
},
{
"code": "RECOV",
"display": "recovery"
},
{
"code": "RETRO",
"display": "retro adjustment"
},
{
"code": "TRAN",
"display": "transaction fee"
},
{
"code": "CONT",
"display": "contract"
},
{
"code": "DAY",
"display": "day"
},
{
"code": "LOC",
"display": "location"
},
{
"code": "MONTH",
"display": "month"
},
{
"code": "PERIOD",
"display": "period"
},
{
"code": "PROV",
"display": "provider"
},
{
"code": "WEEK",
"display": "week"
},
{
"code": "YEAR",
"display": "year"
},
{
"code": "INVTYPE",
"display": "invoice type"
},
{
"code": "PAYEE",
"display": "payee"
},
{
"code": "PAYOR",
"display": "payor"
},
{
"code": "SENDAPP",
"display": "sending application"
}
]
}
]
},
"expansion": {
"timestamp": "2025-09-01T22:37:04.888592+10:00",
"contains": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "ALEC",
"display": "alternate electronic"
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{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "BONUS",
"display": "bonus"
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{
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"code": "CFWD",
"display": "carry forward adjusment"
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{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "EDU",
"display": "education fees"
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{
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"version": "8.0.0",
"code": "EPYMT",
"display": "early payment fee"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "GARN",
"display": "garnishee"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "INVOICE",
"display": "submitted invoice"
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{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PINV",
"display": "paper invoice"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PPRD",
"display": "prior period adjustment"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "PROA",
"display": "professional association deduction"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "RECOV",
"display": "recovery"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "RETRO",
"display": "retro adjustment"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "TRAN",
"display": "transaction fee"
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{
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"version": "8.0.0",
"code": "CONT",
"display": "contract"
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{
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"version": "8.0.0",
"code": "DAY",
"display": "day"
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{
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"code": "LOC",
"display": "location"
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{
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"code": "MONTH",
"display": "month"
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{
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"version": "8.0.0",
"code": "PERIOD",
"display": "period"
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{
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"code": "PROV",
"display": "provider"
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"code": "YEAR",
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{
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"version": "8.0.0",
"code": "INVTYPE",
"display": "invoice type"
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{
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"version": "8.0.0",
"code": "PAYEE",
"display": "payee"
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{
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"code": "PAYOR",
"display": "payor"
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{
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"code": "SENDAPP",
"display": "sending application"
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}
}