draft
5 bindingsClaim Processing Codes
http://hl7.org/fhir/ValueSet/remittance-outcome
This value set includes Claim Processing Outcome codes.
Official specComposition
| Code | Display | Definition |
|---|---|---|
| queued | Queued | The Claim/Pre-authorization/Pre-determination has been received but processing has not begun. |
| complete | Processing Complete | The processing has completed without errors |
| error | Error | One or more errors have been detected in the Claim |
| partial | Partial Processing | No errors have been detected in the Claim and some of the adjudication has been performed. |
Bound by
| Resource | Path | Strength |
|---|---|---|
| ClaimResponse | ClaimResponse.outcome | required |
| CoverageEligibilityResponse | CoverageEligibilityResponse.outcome | required |
| EnrollmentResponse | EnrollmentResponse.outcome | required |
| ExplanationOfBenefit | ExplanationOfBenefit.outcome | required |
| PaymentReconciliation | PaymentReconciliation.outcome | required |