Id2.16.840.1.113883.1.11.20197Effective Date2011‑07‑26
Statusfinal FinalVersion LabelDEFN=UV=VO=1099-20110726
NameActClassFinancialAdjudicationDisplay NameActClassFinancialAdjudication
Description
description:

A transformation process where a requested invoice is transformed into an agreed invoice. Represents the adjudication processing of an invoice (claim). Adjudication results can be adjudicated as submitted, with adjustments or refused.

Adjudication results comprise 2 components: the adjudication processing results and a restated (or adjudicated) invoice or claim

Source Code System
2.16.840.1.113883.5.6 - ActClass - FHIR: http://terminology.hl7.org/CodeSystem/v3-ActClass
Level/ TypeCodeDisplay NameCode System
0‑L
ADJUD
financial adjudication financial adjudication results
ActClass

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.
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