Final| Description |
description: Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors. |
2.16.840.1.113883.5.4 - Act Code - FHIR: http://terminology.hl7.org/CodeSystem/v3-ActCode - HL7 V2: ACTCODE
| Level/ Type | Code | Display Name | Code System |
|---|---|---|---|
| 1‑A | _InvoiceElementAdjudicated | InvoiceElementAdjudicated | Act Code |
| 2‑L | ADNFPPELAT | adjud. nullified prior-period electronic amount | Act Code |
| 2‑L | ADNFPPELCT | adjud. nullified prior-period electronic count | Act Code |
| 2‑L | ADNFPPMNAT | adjud. nullified prior-period manual amount | Act Code |
| 2‑L | ADNFPPMNCT | adjud. nullified prior-period manual count | Act Code |
| 2‑L | ADNFSPELAT | adjud. nullified same-period electronic amount | Act Code |
| 2‑L | ADNFSPELCT | adjud. nullified same-period electronic count | Act Code |
| 2‑L | ADNFSPMNAT | adjud. nullified same-period manual amount | Act Code |
| 2‑L | ADNFSPMNCT | adjud. nullified same-period manual count | Act Code |
| 2‑L | ADNPPPELAT | adjud. non-payee payable prior-period electronic amount | Act Code |
| 2‑L | ADNPPPELCT | adjud. non-payee payable prior-period electronic count | Act Code |
| 2‑L | ADNPPPMNAT | adjud. non-payee payable prior-period manual amount | Act Code |
| 2‑L | ADNPPPMNCT | adjud. non-payee payable prior-period manual count | Act Code |
| 2‑L | ADNPSPELAT | adjud. non-payee payable same-period electronic amount | Act Code |
| 2‑L | ADNPSPELCT | adjud. non-payee payable same-period electronic count | Act Code |
| 2‑L | ADNPSPMNAT | adjud. non-payee payable same-period manual amount | Act Code |
| 2‑L | ADNPSPMNCT | adjud. non-payee payable same-period manual count | Act Code |
| 2‑L | ADPPPPELAT | adjud. payee payable prior-period electronic amount | Act Code |
| 2‑L | ADPPPPELCT | adjud. payee payable prior-period electronic count | Act Code |
| 2‑L | ADPPPPMNAT | adjud. payee payable prior-period manual amout | Act Code |
| 2‑L | ADPPPPMNCT | adjud. payee payable prior-period manual count | Act Code |
| 2‑L | ADPPSPELAT | adjud. payee payable same-period electronic amount | Act Code |
| 2‑L | ADPPSPELCT | adjud. payee payable same-period electronic count | Act Code |
| 2‑L | ADPPSPMNAT | adjud. payee payable same-period manual amount | Act Code |
| 2‑L | ADPPSPMNCT | adjud. payee payable same-period manual count | Act Code |
| 2‑L | ADRFPPELAT | adjud. refused prior-period electronic amount | Act Code |
| 2‑L | ADRFPPELCT | adjud. refused prior-period electronic count | Act Code |
| 2‑L | ADRFPPMNAT | adjud. refused prior-period manual amount | Act Code |
| 2‑L | ADRFPPMNCT | adjud. refused prior-period manual count | Act Code |
| 2‑L | ADRFSPELAT | adjud. refused same-period electronic amount | Act Code |
| 2‑L | ADRFSPELCT | adjud. refused same-period electronic count | Act Code |
| 2‑L | ADRFSPMNAT | adjud. refused same-period manual amount | Act Code |
| 2‑L | ADRFSPMNCT | adjud. refused same-period manual count | Act Code |
| 1‑A | _InvoiceElementPaid | InvoiceElementPaid | Act Code |
| 2‑L | PDNFPPELAT | paid nullified prior-period electronic amount | Act Code |
| 2‑L | PDNFPPELCT | paid nullified prior-period electronic count | Act Code |
| 2‑L | PDNFPPMNAT | paid nullified prior-period manual amount | Act Code |
| 2‑L | PDNFPPMNCT | paid nullified prior-period manual count | Act Code |
| 2‑L | PDNFSPELAT | paid nullified same-period electronic amount | Act Code |
| 2‑L | PDNFSPELCT | paid nullified same-period electronic count | Act Code |
| 2‑L | PDNFSPMNAT | paid nullified same-period manual amount | Act Code |
| 2‑L | PDNFSPMNCT | paid nullified same-period manual count | Act Code |
| 2‑L | PDNPPPELAT | paid non-payee payable prior-period electronic amount | Act Code |
| 2‑L | PDNPPPELCT | paid non-payee payable prior-period electronic count | Act Code |
| 2‑L | PDNPPPMNAT | paid non-payee payable prior-period manual amount | Act Code |
| 2‑L | PDNPPPMNCT | paid non-payee payable prior-period manual count | Act Code |
| 2‑L | PDNPSPELAT | paid non-payee payable same-period electronic amount | Act Code |
| 2‑L | PDNPSPELCT | paid non-payee payable same-period electronic count | Act Code |
| 2‑L | PDNPSPMNAT | paid non-payee payable same-period manual amount | Act Code |
| 2‑L | PDNPSPMNCT | paid non-payee payable same-period manual count | Act Code |
| 2‑L | PDPPPPELAT | paid payee payable prior-period electronic amount | Act Code |
| 2‑L | PDPPPPELCT | paid payee payable prior-period electronic count | Act Code |
| 2‑L | PDPPPPMNAT | paid payee payable prior-period manual amount | Act Code |
| 2‑L | PDPPPPMNCT | paid payee payable prior-period manual count | Act Code |
| 2‑L | PDPPSPELAT | paid payee payable same-period electronic amount | Act Code |
| 2‑L | PDPPSPELCT | paid payee payable same-period electronic count | Act Code |
| 2‑L | PDPPSPMNAT | paid payee payable same-period manual amount | Act Code |
| 2‑L | PDPPSPMNCT | paid payee payable same-period manual count | Act Code |
| 1‑A | _InvoiceElementSubmitted | InvoiceElementSubmitted | Act Code |
| 2‑L | SBBLELAT | submitted billed electronic amount | Act Code |
| 2‑L | SBBLELCT | submitted billed electronic count | Act Code |
| 2‑L | SBNFELAT | submitted nullified electronic amount | Act Code |
| 2‑L | SBNFELCT | submitted cancelled electronic count | Act Code |
| 2‑L | SBPDELAT | submitted pending electronic amount | Act Code |
| 2‑L | SBPDELCT | submitted pending electronic count | Act Code |
