Da Vinci Payer Data Exchange
2.1.0 - STU 2.1 United States of America flag

This page is part of the Da Vinci Payer Data Exchange (v2.1.0: STU2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

CodeSystem: PDex Supporting Info Type

Official URL: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS Version: 2.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: PDexSupportingInfoTypeCS

Copyright/Legal: This CodeSystem is not copyrighted.

Claim Information Category - Used as the discriminator for supportingInfo

This Code system is referenced in the content logical definition of the following value sets:

This case-insensitive code system http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS defines the following codes:

CodeDisplayDefinition
admissionperiod Admission Period Dates corresponding with the admission and discharge of the beneficiary to a facility
pointoforigin Point Of Origin UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.
admtype Admission Type UB-04 Priority of the admission (FL-14) indicates, for example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled.
billingnetworkcontractingstatus Billing Network Contracting Status Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission.
brandgenericindicator Brand Generic Indicator NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.
clmrecvddate Claim Received Date Date the claim was received by the payer.
compoundcode Compound Code NCPDP code indicating whether or not the prescription is a compound.
dawcode DAW (Dispense As Written) Code NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.
dayssupply Days Supply NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.
discharge-status Discharge Status UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.
drg DRG DRG (Diagnosis Related Group), including the code system, the DRG version and the code value
performingnetworkcontractingstatus Performing Network Contracting Status Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission.
refillnum Refill Number NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)
rxorigincode Rx Origin Code NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy.
servicefacility Service Facility The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.
typeofbill Type of Bill UB-04 Type of Bill (FL-04) provides specific information for payer purposes.
medicalrecordnumber Medical Record Number Patient Medical Record Number associated with the specific claim.
patientaccountnumber Patient Account Number Patient Account Number associated with the specific claim.