A change to the code value appears to have created a conflict with CCD.
This specification states:
The <act> conforms to CCD: 184.108.40.206.1 as well as this specification. This shall be reflected by including the <templateId> elements shown above.
However, in CCD section 220.127.116.11.1 (Coverage activity): CONF-42: The value for "Act / code" in a coverage activity SHALL be "48768-6" "Payment sources" 2.16.840.1.113883.6.1 LOINC STATIC.
This would appear to conflict with the following section of 18.104.22.168.4.1.19322.214.171.124.1.4.17:
<code code='35525-4' displayName='FINANCING AND INSURANCE' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
The <code> element shall be recorded exactly as shown above.