Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot Saudi Arabia flag

Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

ValueSet: Claim response outcome

Official URL: http://nphies.sa/terminology/ValueSet/claim-response-outcome Version: 0.3.0
Active as of 2024-08-15 Computable Name: ClaimResponseOutcome

Copyright/Legal: nphies 2020+ (https://nphies.sa)

Claim processing outcome codes.

References

Logical Definition (CLD)

version: 10; Last updated: 2024-08-15 11:38:33+0300

This value set includes codes based on the following rules:

 

Expansion

This value set contains 5 concepts

CodeSystemDisplay (en-US)Definition
  cancelledhttp://nphies.sa/terminology/CodeSystem/claim-response-outcomecancelledThe Claim/Pre-authorization has been cancelled
  queuedhttp://hl7.org/fhir/remittance-outcomeQueuedThe Claim/Pre-authorization/Pre-determination has been received but processing has not begun.
  completehttp://hl7.org/fhir/remittance-outcomeProcessing CompleteThe processing has completed without errors
  errorhttp://hl7.org/fhir/remittance-outcomeErrorOne or more errors have been detected in the Claim
  partialhttp://hl7.org/fhir/remittance-outcomePartial ProcessingNo errors have been detected in the Claim and some of the adjudication has been performed.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code