type: codesystemcodesystem: eligibility-outcome

Claim Processing Codes

Official URL: http://hl7.org/fhir/eligibility-outcome
Version: 6.0.0
Status: active
Name: ClaimProcessingCodes
Title: Claim Processing Codes
Publisher: FHIR Project team
Description: This value set includes Claim Processing Outcome codes.
Case Sensitive: true
Content: complete

Concepts

Code	Display	Definition
queued	Queued	The Claim/Pre-authorization/Pre-determination has been received but processing has not begun.
complete	Processing Complete	The processing has completed without errors
error	Error	One or more errors have been detected in the Claim
partial	Partial Processing	No errors have been detected in the Claim and some of the adjudication has been performed.

CodeSystem XML

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="eligibility-outcome"/>
  <meta>
    <lastUpdated value="2020-12-28T16:55:11.085+11:00"/>
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <url value="http://hl7.org/fhir/eligibility-outcome"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.4.2072"/>
  </identifier>
  <version value="6.0.0"/>
  <name value="ClaimProcessingCodes"/>
  <title value="Claim Processing Codes"/>
  <status value="active"/>
  <experimental value="false"/>
  <publisher value="FHIR Project team"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description value="This value set includes Claim Processing Outcome codes."/>
  <copyright value="HL7 Inc."/>
  <caseSensitive value="true"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/eligibility-outcome"/>
  <content value="complete"/>
  <concept>
    <code value="queued"/>
    <display value="Queued"/>
    <definition value="The Claim/Pre-authorization/Pre-determination has been received but processing has not begun."/>
  </concept>
  <concept>
    <code value="complete"/>
    <display value="Processing Complete"/>
    <definition value="The processing has completed without errors"/>
  </concept>
  <concept>
    <code value="error"/>
    <display value="Error"/>
    <definition value="One or more errors have been detected in the Claim"/>
  </concept>
  <concept>
    <code value="partial"/>
    <display value="Partial Processing"/>
    <definition value="No errors have been detected in the Claim and some of the adjudication has been performed."/>
  </concept>
</CodeSystem>