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TX: ValueSet v2-0457

Properties

Defining URL http://terminology.hl7.org/ValueSet/v2-0457
Version 3.0.0
Name Hl7VSOverallClaimDispositionCode
Title hl7VS-overallClaimDispositionCode
Status active
Definition

Value Set of codes specifying the final status of the claim.
Publisher Health Level Seven International
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

Logical Definition

This value set includes codes based on the following rules:

Expansion

This ValueSet depends on the following items:

Code System Display
0 http://terminology.hl7.org/CodeSystem/v2-0457 No edits present on claim
1 http://terminology.hl7.org/CodeSystem/v2-0457 Only edits present are for line item denial or rejection
2 http://terminology.hl7.org/CodeSystem/v2-0457 Multiple-day claim with one or more days denied or rejected
3 http://terminology.hl7.org/CodeSystem/v2-0457 Claim denied, rejected, suspended or returned to provider with only post payment edits
4 http://terminology.hl7.org/CodeSystem/v2-0457 Claim denied, rejected, suspended or returned to provider with only pre payment edits