http://terminology.hl7.org/CodeSystem/v2-0457|2.0.0

name
OverallClaimDisposition
package
hl7.terminology@6.3.0
content
complete
status
active
date
2019-12-01 00:00:00.0

overallClaimDisposition

Code system of concepts specifying the final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment.

{
  "description" : "Code system of concepts specifying the final status of the claim.  Used in HL7 Version 2.x messaging in the GP1 segment.",
  "compose" : null,
  "package" : "hl7.terminology@6.3.0",
  "date" : "2019-12-01T00:00:00Z",
  "versionNeeded" : false,
  "publisher" : "Health Level Seven International",
  "purpose" : "Underlying Master Code System for V2 table 0457 (Overall Claim Disposition Code)",
  "content" : "complete",
  "property" : [ {
    "uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#status",
    "code" : "status",
    "type" : "code",
    "description" : "Status of the concept"
  }, {
    "uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated",
    "code" : "deprecated",
    "type" : "code",
    "description" : "Version of HL7 in which the code was deprecated"
  } ],
  "name" : "OverallClaimDisposition",
  "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",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "overallClaimDisposition",
  "supliment" : null,
  "extension" : [ {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  } ],
  "compositional" : false,
  "status" : "active",
  "hierarchyMeaning" : "is-a",
  "id" : "bc1b9edc-bde4-5645-9726-f2c091f5995d",
  "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0457",
  "url" : "http://terminology.hl7.org/CodeSystem/v2-0457",
  "identifier" : [ {
    "value" : "urn:oid:2.16.840.1.113883.18.292",
    "system" : "urn:ietf:rfc:3986"
  } ],
  "concept" : [ {
    "id" : "4832",
    "code" : "0",
    "display" : "No edits present on claim",
    "property" : [ {
      "code" : "status",
      "valueCode" : "A"
    } ],
    "definition" : "No edits present on claim"
  }, {
    "id" : "4833",
    "code" : "1",
    "display" : "Only edits present are for line item denial or rejection",
    "property" : [ {
      "code" : "status",
      "valueCode" : "A"
    } ],
    "definition" : "Only edits present are for line item denial or rejection"
  }, {
    "id" : "4834",
    "code" : "2",
    "display" : "Multiple-day claim with one or more days denied or rejected",
    "property" : [ {
      "code" : "status",
      "valueCode" : "A"
    } ],
    "definition" : "Multiple-day claim with one or more days denied or rejected"
  }, {
    "id" : "4835",
    "code" : "3",
    "display" : "Claim denied, rejected, suspended or returned to provider with only post payment edits",
    "property" : [ {
      "code" : "status",
      "valueCode" : "A"
    } ],
    "definition" : "Claim denied, rejected, suspended or returned to provider with only post payment edits"
  }, {
    "id" : "4836",
    "code" : "4",
    "display" : "Claim denied, rejected, suspended or returned to provider with only pre payment edits",
    "property" : [ {
      "code" : "status",
      "valueCode" : "A"
    } ],
    "definition" : "Claim denied, rejected, suspended or returned to provider with only pre payment edits"
  } ],
  "caseSensitive" : true,
  "version" : "2.0.0",
  "contact" : [ {
    "telecom" : [ {
      "value" : "http://hl7.org",
      "system" : "url"
    }, {
      "value" : "hq@HL7.org",
      "system" : "email"
    } ]
  } ]
}