{
  "package" : "hl7.terminology@6.3.0",
  "definition" : "The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.\\r\\n\\r\\nIncludes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late').\\r\\n\\r\\nIf one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected.\\r\\n\\r\\nA refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer.\\r\\n\\r\\nInvoice element cannot be reversed (nullified) as there is nothing to reverse.\\r\\n\\r\\nRecommend that the invoice element is not saved for DUR (Drug Utilization Reporting).",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#status",
    "code" : "status",
    "valueCode" : "active"
  }, {
    "_uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
    "code" : "internalId",
    "valueCode" : "17619"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_ActAdjudicationCode"
  } ],
  "codesystem" : "638964c5-6f49-5686-925e-fad50ec626e9",
  "concept_id" : "d218bb9c-a070-5eaf-ba9d-e516a7eb8d5d",
  "ancestors" : {
    "AR" : 0,
    "_ActAdjudicationCode" : 1
  },
  "id" : "8024449f-7331-42e5-b64d-31aad0099bb0",
  "code" : "AR",
  "display" : "adjudicated as refused",
  "version" : "9.0.0"
}