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Overall Claim Disposition Code
Vocabulary Type Code System - Representative
Concept Domain Overall Claim Disposition Code
Code System Name
Code System Identifier
Code System OID
HL7 Table Identifier HL70457
Version
Status Active
Where Used GP1-3
Purpose and Use Table of codes specifying the final status of the claim.


Overall Claim Disposition Code - Code System
Code Display Definition Deprecated
0 No edits present on claim No edits present on claim
1 Only edits present are for line item denial or rejection Only edits present are for line item denial or rejection
2 Multiple-day claim with one or more days denied or rejected 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 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 Claim denied, rejected, suspended or returned to provider with only pre payment edits