[Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results. ( HL7V3.0 )]
UMLS (HL7) C1699593 Relation/PAR: HL7DefinedActCodes
Relation/CHD: unrelated service
orthodontic service
repeated service
verbal authorization
manual review
delayed by a previous payor
good faith indicator
late invoice
coverage problem
out of jurisdiction
referral not required
paper documentation to follow
electronic form to follow
fax to follow
public insurance exhausted