AdjudicationCodes

Adjudication Codes

draftFHIR Core package4.3.0complete8 concepts

This value set includes a smattering of Adjudication codes.

Metadata

Code	Display	Definition
`submitted`	Submitted Amount	The total submitted amount for the claim or group or line item.
`copay`	CoPay	Patient Co-Payment
`eligible`	Eligible Amount	Amount of the change which is considered for adjudication.
`deductible`	Deductible	Amount deducted from the eligible amount prior to adjudication.
`unallocdeduct`	Unallocated Deductible	The amount of deductible which could not allocated to other line items.
`eligpercent`	Eligible %	Eligible Percentage.
`tax`	Tax	The amount of tax.
`benefit`	Benefit Amount	Amount payable under the coverage