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TX: CodeSystem v2-0457

Properties

Language en
Defining URL http://terminology.hl7.org/CodeSystem/v2-0457
Version 3.0.0
Name OverallClaimDisposition
Title overallClaimDisposition
Status active
Definition

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)

Publisher Health Level Seven International
Committee fm
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
Value Set hl7VS-overallClaimDispositionCode

Properties

This code system defines the following properties for its concepts

Code URI Type Description
status http://hl7.org/fhir/concept-properties#status code A code that indicates the status of the concept
v2-table-deprecated http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated code Version 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:

Code Display Definition
0 No edits present on claim No edits present on claim
1 Only edits present are for line item denial or rejection Only edits present are for line item denial or rejection
2 Multiple-day claim with one or more days denied or rejected Multiple-day claim with one or more days denied or rejected
3 Claim denied, rejected, suspended or returned to provider with only post payment edits Claim denied, rejected, suspended or returned to provider with only post payment edits
4 Claim denied, rejected, suspended or returned to provider with only pre payment edits Claim denied, rejected, suspended or returned to provider with only pre payment edits