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 |