v2+ Vocabulary
0.3.0 - Working Draft to present the concept ideas (FO)
v2+ Vocabulary
0.3.0 - Working Draft to present the concept ideas (FO)
v2+ Vocabulary - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://terminology.hl7.org/v2plusvocab/ValueSet/hl7VSreimbursementActionCodeV100 | Version: 1.0.0 | |||
| Active as of 2025-08-05 | Computable Name: Hl7VSreimbursementActionCodeV100 | |||
| Other Identifiers: OID:2.16.840.1.113883.21.309 | ||||
Copyright/Legal: HL7 Inc., 2024 |
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Value Set of codes that specify the action to be taken during reimbursement calculations.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://terminology.hl7.org/v2plusvocab/CodeSystem/reimbursementActionV100
Expansion performed internally based on codesystem Reimbursement Action Code (2.4 - 1.0.0) v1.0.0 (CodeSystem)
This value set contains 4 concepts
| Code | System | Display (en-US) | Definition |
| 0 | http://terminology.hl7.org/v2plusvocab/CodeSystem/reimbursementActionV100 | OCE line item denial or rejection is not ignored | OCE line item denial or rejection is not ignored |
| 1 | http://terminology.hl7.org/v2plusvocab/CodeSystem/reimbursementActionV100 | OCE line item denial or rejection is ignored | OCE line item denial or rejection is ignored |
| 2 | http://terminology.hl7.org/v2plusvocab/CodeSystem/reimbursementActionV100 | External line item denial. Line item is denied even if no OCE edits | External line item denial. Line item is denied even if no OCE edits |
| 3 | http://terminology.hl7.org/v2plusvocab/CodeSystem/reimbursementActionV100 | External line item rejection. Line item is rejected even if no OCE edits | External line item rejection. Line item is rejected even if no OCE edits |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |