adjudication — CodeSystems — FHIR R3 package : Core — FHIR IG

Adjudication Value Codes

draftFHIR R3 package : Core3.0.2complete7 concepts

This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc.

Metadata

hl7.org/fhir

Canonical URL: http://hl7.org/fhir/adjudication
ID: adjudication
Version: 3.0.2
Publisher: FHIR Project team
Case Sensitive: Yes

Concepts (7)

Code	Display	Definition
`total`	Total	Total submitted
`copay`	CoPay	Patient Co-Payment
`eligible`	Eligible Amount	Amount of the change which is considered for adjudication
`deductible`	Deductable	Amount deducted from the eligible amount prior to adjudication
`eligpercent`	Eligible %	Eligible Percentage
`tax`	Emergency Department	Emergency Department
`benefit`	Benefit Amount	Amount payable under the coverage