Integration Soup

HL7® Reference Guide

Tables

0459Reimbursement Action Code

Table of codes specifying the action to be taken during reimbursement calculations.

Values

ValueDescription
0OCE line item denial or rejection is not ignored
1OCE line item denial or rejection is ignored
2External line item denial. Line item is denied even if no OCE edits
3External line item rejection. Line item is rejected even if no OCE edits