overallClaimDisposition
activeContentcompleteURL
http://terminology.hl7.org/CodeSystem/v2-0457Copied!
Version2.0.0Copied!
Date2019-12-01PublisherHealth Level Seven InternationalDescriptionCode system of concepts specifying the final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment.
Concepts
Select a concept to view details
Generated Narrative: CodeSystem v2-0457
Properties
This code system defines the following properties for its concepts
| Name | Code | URI | Type | Description |
| status | status | http://terminology.hl7.org/CodeSystem/utg-concept-properties#status | code | Status of the concept |
| deprecated | 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:
{
"description" : "Code system of concepts specifying the final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment.",
"date" : "2019-12-01",
"versionNeeded" : false,
"publisher" : "Health Level Seven International",
"purpose" : "Underlying Master Code System for V2 table 0457 (Overall Claim Disposition Code)",
"content" : "complete",
"property" : [ {
"description" : "A code that indicates the status of the concept",
"type" : "code",
"code" : "status",
"uri" : "http://hl7.org/fhir/concept-properties#status"
} ],
"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",
"extension" : [ {
"valueCode" : "fm",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
}, {
"extension" : [ {
"valueString" : "concept",
"url" : "path"
}, {
"url" : "count",
"valueInteger" : 5
} ],
"url" : "http://health-samurai.io/extensions/excised-data"
}, {
"url" : "http://health-samurai.io/extensions/source",
"valueCode" : "db"
} ],
"compositional" : false,
"status" : "active",
"hierarchyMeaning" : "is-a",
"id" : "850298d5-456e-4236-84b0-dadbe579aa14",
"valueSet" : "http://terminology.hl7.org/ValueSet/v2-0457",
"url" : "http://terminology.hl7.org/CodeSystem/v2-0457",
"identifier" : [ {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.18.292"
} ],
"caseSensitive" : true,
"version" : "2.0.0",
"contact" : [ {
"telecom" : [ {
"system" : "url",
"value" : "http://hl7.org"
}, {
"system" : "email",
"value" : "hq@HL7.org"
} ]
} ],
"text" : {
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem v2-0457</b></p><a name=\"v2-0457\"> </a><a name=\"hcv2-0457\"> </a><a name=\"v2-0457-en-US\"> </a><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class=\"grid\"><tr><td><b>Name</b></td><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>status</td><td>status</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#status</td><td>code</td><td>Status of the concept</td></tr><tr><td>deprecated</td><td>deprecated</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated</td><td>code</td><td>Version of HL7 in which the code was deprecated</td></tr></table><p><b>Concepts</b></p><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/v2-0457</code> defines the following codes in a Is-A hierarchy:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">0<a name=\"v2-0457-0\"> </a></td><td>No edits present on claim</td><td>No edits present on claim</td></tr><tr><td style=\"white-space:nowrap\">1<a name=\"v2-0457-1\"> </a></td><td>Only edits present are for line item denial or rejection</td><td>Only edits present are for line item denial or rejection</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"v2-0457-2\"> </a></td><td>Multiple-day claim with one or more days denied or rejected</td><td>Multiple-day claim with one or more days denied or rejected</td></tr><tr><td style=\"white-space:nowrap\">3<a name=\"v2-0457-3\"> </a></td><td>Claim denied, rejected, suspended or returned to provider with only post payment edits</td><td>Claim denied, rejected, suspended or returned to provider with only post payment edits</td></tr><tr><td style=\"white-space:nowrap\">4<a name=\"v2-0457-4\"> </a></td><td>Claim denied, rejected, suspended or returned to provider with only pre payment edits</td><td>Claim denied, rejected, suspended or returned to provider with only pre payment edits</td></tr></table></div>",
"status" : "generated"
}
}