FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4b |
| Resource Type | ValueSet |
| Id | ValueSet-R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4B.json |
| FHIR Version | R4B |
| Source | http://hl7.org/fhir/uv/xver-r5.r4b/0.0.1-snapshot-2/ValueSet-R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4B.html |
| URL | http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4B |
| Version | 0.0.1-snapshot-2 |
| Status | active |
| Date | 2025-09-01T22:37:04.888688+10:00 |
| Name | R5_v3_ActInvoiceAdjudicationPaymentGroupCode_for_R4B |
| Title | Cross-version VS for R5.ActInvoiceAdjudicationPaymentGroupCode for use in FHIR R4B |
| Realm | uv |
| Authority | hl7 |
| Description | This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentGroupCode|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-ActInvoiceAdjudicationPaymentGroupCode-for-R4B
This value set expansion contains 13 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. |
FHIR
FHIRsmith{
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"id": "R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4B",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
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{
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],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
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{
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"valueInteger": 0,
"_valueInteger": {
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"url": "http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActInvoiceAdjudicationPaymentGroupCode-for-R4B",
"version": "0.0.1-snapshot-2",
"name": "R5_v3_ActInvoiceAdjudicationPaymentGroupCode_for_R4B",
"title": "Cross-version VS for R5.ActInvoiceAdjudicationPaymentGroupCode for use in FHIR R4B",
"status": "active",
"experimental": false,
"date": "2025-09-01T22:37:04.888688+10:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
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"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
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],
"description": "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActInvoiceAdjudicationPaymentGroupCode|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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{
"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"
}
]
}
]
},
"expansion": {
"timestamp": "2025-09-01T22:37:04.888689+10:00",
"contains": [
{
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"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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"code": "CFWD",
"display": "carry forward adjusment"
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{
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"version": "8.0.0",
"code": "EDU",
"display": "education fees"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version": "8.0.0",
"code": "EPYMT",
"display": "early payment fee"
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{
"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"
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{
"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"
}
]
}
}