Claim Processing Codes
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http://hl7.org/fhir/eligibility-outcomeCopied!
Version5.0.0Copied!
PublisherFHIR Project teamDescriptionThis value set includes Claim Processing Outcome codes.
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This code system
http://hl7.org/fhir/eligibility-outcome defines the following codes:
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"title" : "Claim Processing Codes",
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"id" : "eligibility-outcome",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>This code system \n <code>http://hl7.org/fhir/eligibility-outcome</code> defines the following codes:\n </p>\n <table class=\"codes\">\n <tr>\n <td style=\"white-space:nowrap\">\n <b>Code</b>\n </td>\n <td>\n <b>Display</b>\n </td>\n <td>\n <b>Definition</b>\n </td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">queued\n <a name=\"eligibility-outcome-queued\"> </a>\n </td>\n <td>Queued</td>\n <td>The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.</td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">complete\n <a name=\"eligibility-outcome-complete\"> </a>\n </td>\n <td>Processing Complete</td>\n <td>The processing has completed without errors</td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">error\n <a name=\"eligibility-outcome-error\"> </a>\n </td>\n <td>Error</td>\n <td>One or more errors have been detected in the Claim</td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">partial\n <a name=\"eligibility-outcome-partial\"> </a>\n </td>\n <td>Partial Processing</td>\n <td>No errors have been detected in the Claim and some of the adjudication has been performed.</td>\n </tr>\n </table>\n </div>",
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}