- 1. payee
- [The role of an organization or individual designated to receive payment for a claim against a particular coverage. The scoping entity is the organization that is the submitter of the invoice in question. ( HL7V3.0 )] (UMLS (HL7) C1551371) =Idea or Concept =RoleClassRelationshipFormal;
| - 6. Payment Adjustment Code
- (UMLS (HL7) C1547846) =Intellectual Product =HL7 Vocabulary Version 2.5;
=No payment adjustment;
Designated current drug or biological payment adjustment applies to APC (status indicator G);
Designated new device payment adjustment applies to APC (status indicator H);
Designated new drug or new biological payment adjustment applies to APC (status indicator J);
Deductible not applicable (specific list of HCPCS codes);
|
- 2. payee
- [Transaction counts and value totals by each instance of an invoice payee. ( HL7V3.0 )] (UMLS (HL7) C1555685) =Intellectual Product =ActInvoiceAdjudicationPaymentSummaryCode;
| - 7. PaymentTerms
- [Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice. ( HL7V3.0 )] (UMLS (HL7) C1553855) =Intellectual Product =CodeSystem;
=Net 30 days;
Net 60 days;
Net 90 days;
Cash on Delivery |
- 3. Payment
- (UMLS (HL7) C1546428) =Idea or Concept =Transaction Type;
| - 8. payor
- [Transaction counts and value totals by each instance of an invoice payor. ( HL7V3.0 )] (UMLS (HL7) C1555684) =Intellectual Product =ActInvoiceAdjudicationPaymentSummaryCode;
|
- 4. payment
- [The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization. ( HL7V3.0 )] (UMLS (HL7) C1571887) =Intellectual Product; ;
=ActInvoiceDetailGenericAdjudicatorCode;
| - 9. Payor Contact
- [A contact role used to identify a person within a Payor organization to whom this communication is addressed. ( HL7V3.0 )] (UMLS (HL7) C1555530) =Intellectual Product =AdministrativeContactRoleType;
|
- 5. Payment
- [A sum of money paid. ( NCI )] (UMLS (NCI) C0680264) =Quantitative Concept
| |
home
