Claim Adjudication Decision Reason Codes

draft
URL
http://hl7.org/fhir/ValueSet/claim-decision-reason
Version
5.0.0
PublisherFHIR Project teamDescription

This value set includes example Claim Adjudication Decision Reason codes.

Expansion
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CodeDisplaySystem
0001Not medically necessaryhttp://hl7.org/fhir/claim-decision-reason
0002Prior authorization not obtainedhttp://hl7.org/fhir/claim-decision-reason
0003Provider out-of-networkhttp://hl7.org/fhir/claim-decision-reason
0004Service inconsistent with patient agehttp://hl7.org/fhir/claim-decision-reason
0005Benefit limits exceededhttp://hl7.org/fhir/claim-decision-reason