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Packagehl7.terminology
Resource TypeCodeSystem
IdCodeSystem-v2-0457.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/HL7/UTG/CodeSystem-v2-0457.html
URLhttp://terminology.hl7.org/CodeSystem/v2-0457
Version3.0.0
Statusactive
Date2019-12-01
NameOverallClaimDisposition
TitleoverallClaimDisposition
Realmuv
Authorityhl7
DescriptionCode system of concepts specifying the final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment.
PurposeUnderlying Master Code System for V2 table 0457 (Overall Claim Disposition Code)
CopyrightThis material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
Contentcomplete

Resources that use this resource

ValueSet
v2-0457hl7VS-overallClaimDispositionCode
R4-v2-0457-for-R4BCross-version VS for R4.v2.0457 for use in FHIR R4B
R5-v2-0457-for-R4BCross-version VS for R5.Hl7VSOverallClaimDispositionCode for use in FHIR R4B
R4-v2-0457-for-R5Cross-version VS for R4.v2.0457 for use in FHIR R5
R5-v2-0457-for-R4Cross-version VS for R5.Hl7VSOverallClaimDispositionCode for use in FHIR R4

Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: CodeSystem v2-0457

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
Statusstatushttp://hl7.org/fhir/concept-properties#statuscodeA code that indicates the status of the concept
deprecatedv2-table-deprecatedhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecatedcodeVersion of HL7 in which the code was deprecated

Concepts

This case-sensitive code system http://terminology.hl7.org/CodeSystem/v2-0457 defines the following codes in a Is-A hierarchy:

CodeDisplayDefinitionStatus
0 No edits present on claimNo edits present on claimactive
1 Only edits present are for line item denial or rejectionOnly edits present are for line item denial or rejectionactive
2 Multiple-day claim with one or more days denied or rejectedMultiple-day claim with one or more days denied or rejectedactive
3 Claim denied, rejected, suspended or returned to provider with only post payment editsClaim denied, rejected, suspended or returned to provider with only post payment editsactive
4 Claim denied, rejected, suspended or returned to provider with only pre payment editsClaim denied, rejected, suspended or returned to provider with only pre payment editsactive

Source1

{
  "resourceType": "CodeSystem",
  "id": "v2-0457",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/v2-0457",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.18.292"
    }
  ],
  "version": "3.0.0",
  "name": "OverallClaimDisposition",
  "title": "overallClaimDisposition",
  "status": "active",
  "experimental": false,
  "date": "2019-12-01",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "Code system of concepts specifying the final status of the claim.  Used in HL7 Version 2.x messaging in the GP1 segment.",
  "purpose": "Underlying Master Code System for V2 table 0457 (Overall Claim Disposition Code)",
  "copyright": "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/v2-0457",
  "hierarchyMeaning": "is-a",
  "compositional": false,
  "versionNeeded": false,
  "content": "complete",
  "property": [
    {
      "code": "status",
      "uri": "http://hl7.org/fhir/concept-properties#status",
      "description": "A code that indicates the status of the concept",
      "type": "code"
    },
    {
      "code": "v2-table-deprecated",
      "uri": "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated",
      "description": "Version of HL7 in which the code was deprecated",
      "type": "code"
    }
  ],
  "concept": [
    {
      "id": "4832",
      "code": "0",
      "display": "No edits present on claim",
      "definition": "No edits present on claim",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "id": "4833",
      "code": "1",
      "display": "Only edits present are for line item denial or rejection",
      "definition": "Only edits present are for line item denial or rejection",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "id": "4834",
      "code": "2",
      "display": "Multiple-day claim with one or more days denied or rejected",
      "definition": "Multiple-day claim with one or more days denied or rejected",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "id": "4835",
      "code": "3",
      "display": "Claim denied, rejected, suspended or returned to provider with only post payment edits",
      "definition": "Claim denied, rejected, suspended or returned to provider with only post payment edits",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "id": "4836",
      "code": "4",
      "display": "Claim denied, rejected, suspended or returned to provider with only pre payment edits",
      "definition": "Claim denied, rejected, suspended or returned to provider with only pre payment edits",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    }
  ]
}