A A A+ A- A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 AA AB AC AD AE AF AG AH AI AJ AK AL AM AN AO AP AQ AR AS AT AU AV AW AX AY AZ
ActAdjudicationReason
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UMLS (HL7) C1698042Explanatory codes that describe reasons why an Adjudicator has financially adjusted an invoice (claim).
A companion domain (ActAdjudicationInformationCode) includes information reasons which do not have a financial impact on an invoice (claim).
Example adjudication reason code is AA-CLAIM-0011 - Only Basic Procedure/Test Eligible.
Codes from this domain further rationalizes ActAdjudicationCodes (e.g. AA - Adjudicated with Adjustment), which are used to describe the process of adjudicating an invoice. For AS - Adjudicated as Submitted, there should be no specification of ActAdjudicationReason codes, as there are no financial adjustments against the invoice.
( HL7V3.0 )]- Intellectual Product
Relation/PAR: ActReason
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