ClaimProcessingCodes

Claim Processing Codes

activeExtensions for Using Data Elements from FHIR R5 in FHIR R40.1.0complete4 concepts

This value set includes Claim Processing Outcome codes.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/eligibility-outcome
ID
eligibility-outcome
Version
5.0.0
Publisher
Financial Management
Case Sensitive
Yes

Concepts (4)

CodeDisplayDefinition
queuedQueuedThe Claim/Pre-authorization/Pre-determination has been received but processing has not begun.
completeProcessing CompleteThe processing has completed without errors
errorErrorOne or more errors have been detected in the Claim
partialPartial ProcessingNo errors have been detected in the Claim and some of the adjudication has been performed.