Value Set AdjudicatedWithAdjustments 2014‑03‑26

2.16.840.1.113883.1.11.19347

ref

(from repository: ad2bbr-)

Effective Date

valid from 2014‑03‑26

Other versions of this value set

AdjudicatedWithAdjustments DEFN=UV=VO=1099-20110726 - 2011‑07‑26

Status

Final

Version Label

DEFN=UV=VO=1360-20160323

Name

AdjudicatedWithAdjustments

Display Name

AdjudicatedWithAdjustments

Description

History description 2014-03-26: Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26

description:

The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).

Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.

Invoice element can be reversed (nullified).

Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

Source Code System

2.16.840.1.113883.5.4 - Act Code

Level/ Type	Code	Display Name	Code System
0‑S	AA	adjudicated with adjustments	Act Code
1‑L	ANF	adjudicated with adjustments and no financial impact	Act Code

Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear in @nullFlavor attribute instead of @code.

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