HL7 V2 | TABLE 0457
Table 0457: Overall Claim Disposition Code
Table of codes specifying the final status of the claim.
- Type
- User-defined (site-defined)
- Codes
- 5
- Introduced
- HL7 v2.4
- Used in
- GP1-3
- THO code system
http://terminology.hl7.org/CodeSystem/v2-0457- OID
2.16.840.1.113883.18.292
User-defined (site-defined): HL7 suggests these values, and each site may use its own. PipeHat notes codes outside this list as information, not errors.
Codes
| Code | Meaning |
|---|---|
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 |
Where it's used
| Element | Name | FHIR (v2-to-FHIR mapping) |
|---|---|---|
GP1-3 | — |
Elements with a dot (such as CX.5) are data type components, used wherever that data type appears.
Source: HL7 Terminology (THO) 7.4.0, published by HL7 International under CC0. Check your trading partner's specification for the values they actually send.