AdjudicationValueCodes

Adjudication Value Codes

draftcomplete8 conceptsv4.0.1

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://terminology.hl7.org/CodeSystem/adjudication
All-Codes Value Set
http://hl7.org/fhir/ValueSet/adjudication
ID
adjudication
Version
4.0.1
Publisher
FHIR Project team
Case Sensitive
Yes
Copyright
This is an example set.
In the unified registry

Concepts (8)

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