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5.2.0.267 0339 - Advanced Beneficiary Notice Code (2.C.2.267)

Concept Domain Information

Display Name: Advanced Beneficiary Notice Code
Description:
Interpretation: Hinweis zur Zuzahlung

Value Set Information

OID: 2.16.840.1.113883.21.221
Description: Status codes specifying a patient's or a patient's representative's consent for responsibility to pay for potentially uninsured services. Note that this set of codes is generally used in the US only.
Symbolic Name: advancedBeneficiaryNotice

Binding Information

Binding: representative

Table Metadata

Table: 339
Steward: OO

Code System Identification Information

CS-OID: 2.16.840.1.113883.18.209
Description: Code system of concepts specifying the status of the patient's or the patient's representative's consent for responsibility to pay for potentially uninsured services. This element was introduced to satisfy CMS Medical Necessity requirements for outpatient services in the United States. Includes concepts such as (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service. Used in HL7 Version 2.x messaging in the ORC and FT1 segments.
CS Symbolic Name: advancedBeneficiaryNotice
case insensitive: Falsch
contains 'unknown': Falsch
contains 'other': Falsch

Code System Version Information

OID Version:
1

Table Values

Value Display Name Interpretation Comment Usage Note Modification Date Active
1 Service is subject to medical necessity procedures Zuzahlung muss abgeklärt werden Jul 13 2015  
2 Patient has been informed of responsibility, and agrees to pay for service Jul 13 2015  
3 Patient has been informed of responsibility, and asks that the payer be billed Patient fragt nach Rechnung Jul 13 2015  
4 Advanced Beneficiary Notice has not been signed Zustimmung zur Zuzahlung liegt nicht vor Jul 13 2015