http://hl7.org/fhir/claim-decision
Latest: null
| name | ClaimAdjudicationDecisionCodes | |
| description | This value set provides Claim Adjudication Decision codes. | |
| content | complete | |
| status | active |
Diagnostics
✅ No conflicts in header info
⚠️ Concept removed from major version change
⚠️ Lorem ipsum dolor sit amet
✅ No conflicts in header info
✅ No conflicts in header info
🔴 Some issue lorem ipsum
| code | display | definition | |
| denied | Denied | The claim, or individual services, are not approved for any payment. This may also be known as 'rejected'. | |
| 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 of additional information. |