0457

Overall Claim Disposition Code

Introduced in v2.4· user· Steward: FM· example· 5 values

THO:OverallClaimDispositionv2.0.0

Code system of concepts specifying the final status of the claim. Used in HL7 Version 2.x messaging in the GP1 segment.

OID & Vocabulary Information

THO Canonical URL (v2.0.0)
http://terminology.hl7.org/CodeSystem/v2-0457
Table OID
2.16.840.1.113883.12.457
Codesystem OID (v1)
2.16.840.1.113883.18.292
Value Set OID
2.16.840.1.113883.21.308
Binding
example
Expansion
All codes from codesystem
Where Used
GP1-3
UTG Code Table
prev version
Used In Data Elements
5
0
No edits present on claim
1
Only edits present are for line item denial or rejection
2
Multiple-day claim with one or more days denied or rejected
3
Claim denied, rejected, suspended or returned to provider with only post payment edits
4
Claim denied, rejected, suspended or returned to provider with only pre payment edits
5 codes