http://hl7.org/fhir/claim-decision|5.0.0
name
ClaimAdjudicationDecisionCodes
ClaimAdjudicationDecisionCodes
package
hl7.fhir.r5.core@5.0.0
hl7.fhir.r5.core@5.0.0
content
complete
complete
status
active
active
Claim Adjudication Decision Codes
This value set provides Claim Adjudication Decision codes.
| code | display | definition | hierarchy |
|---|---|---|---|
| denied | Denied | The claim, or individual services, are not approved for any payment. This may also be known as 'reje... | |
| approved | Approved | The claim, or individual services, are approved as submitted.... | |
| partial | Partial | The claim, or individual services, are approved at an amount less than as submitted.... | |
| pending | Pending | The adjudication processing is not complete. This may be due to requiring manual review or receipt o... |