PDexSupportingInfoTypeCS

PDex Supporting Info Type

activeDa Vinci PDex2.1.0complete18 concepts

Claim Information Category - Used as the discriminator for supportingInfo

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS
ID
PDexSupportingInfoTypeCS
Version
2.1.0
Publisher
HL7 International / Financial Management
Case Sensitive
No

Concepts (18)

CodeDisplayDefinition
admissionperiodAdmission PeriodDates corresponding with the admission and discharge of the beneficiary to a facility
pointoforiginPoint Of OriginUB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.
admtypeAdmission TypeUB-04 Priority of the admission (FL-14) indicates, for example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled.
billingnetworkcontractingstatusBilling Network Contracting StatusIndicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission.
brandgenericindicatorBrand Generic IndicatorNCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.
clmrecvddateClaim Received DateDate the claim was received by the payer.
compoundcodeCompound CodeNCPDP code indicating whether or not the prescription is a compound.
dawcodeDAW (Dispense As Written) CodeNCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.
dayssupplyDays SupplyNCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.
discharge-statusDischarge StatusUB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.
drgDRGDRG (Diagnosis Related Group), including the code system, the DRG version and the code value
performingnetworkcontractingstatusPerforming Network Contracting StatusIndicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission.
refillnumRefill NumberNCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)
rxorigincodeRx Origin CodeNCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy.
servicefacilityService FacilityThe facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.
typeofbillType of BillUB-04 Type of Bill (FL-04) provides specific information for payer purposes.
medicalrecordnumberMedical Record NumberPatient Medical Record Number associated with the specific claim.
patientaccountnumberPatient Account NumberPatient Account Number associated with the specific claim.