Response Status - Claim TWG when final
FHIR: ClaimResponse.decision
to do CREATE VALUE SET FOR THIS
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| Code | Description |
|---|---|
| A | accepted as transmitted - no adjustments |
| B | accepted with Rx price adjustment |
| C | claim captured for batch processing |
| D | pay cardholder claim accepted |
| R | rejected claim/reversal |
Recommendation by LL - review with group
| Code | Description |
|---|---|
| A | accepted |
| R | rejected |