Id2.16.840.1.113883.1.11.19347Effective Date2011‑07‑26
Statusfinal FinalVersion LabelDEFN=UV=VO=1099-20110726
NameAdjudicatedWithAdjustmentsDisplay NameAdjudicatedWithAdjustments
Description
description:

The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).

Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.

Invoice element can be reversed (nullified).

Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

Source Code System
2.16.840.1.113883.5.4 - Act Code - FHIR: http://terminology.hl7.org/CodeSystem/v3-ActCode - HL7 V2: ACTCODE
Level/ TypeCodeDisplay NameCode System
0‑S
AA
adjudicated with adjustments
Act Code
1‑L
ANF
adjudicated with adjustments and no financial impact
Act Code
Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavor OTH (other) suggests text in originalText. HL7 V3: NullFlavors to appear in @nullFlavor attribute instead of @code.
downloadXML JSON CSV SQL SVS