Adjudication Value Codes

{
  "description" : "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.",
  "date" : "2022-02-23T19:42:18-07:00",
  "meta" : {
    "lastUpdated" : "2020-04-09T15:10:28.568-06:00",
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ]
  },
  "publisher" : "FHIR Project team",
  "content" : "complete",
  "property" : null,
  "name" : "AdjudicationValueCodes",
  "copyright" : "This is an example set.",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Adjudication Value Codes",
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    "url" : "http://health-samurai.io/extensions/excised-data"
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    "url" : "http://health-samurai.io/extensions/source",
    "valueCode" : "db"
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  "status" : "draft",
  "id" : "01e87fe4-aea4-43ea-bdf7-ffef55115bad",
  "valueSet" : "http://terminology.hl7.org/ValueSet/adjudication",
  "url" : "http://terminology.hl7.org/CodeSystem/adjudication",
  "identifier" : [ {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1171"
  } ],
  "caseSensitive" : true,
  "version" : "0.1.0",
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  "text" : {
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://terminology.hl7.org/CodeSystem/adjudication defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">submitted<a name=\"adjudication-submitted\"> </a></td><td>Submitted Amount</td><td>The total submitted amount for the claim or group or line item.</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"adjudication-copay\"> </a></td><td>CoPay</td><td>Patient Co-Payment</td></tr><tr><td style=\"white-space:nowrap\">eligible<a name=\"adjudication-eligible\"> </a></td><td>Eligible Amount</td><td>Amount of the change which is considered for adjudication.</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"adjudication-deductible\"> </a></td><td>Deductible</td><td>Amount deducted from the eligible amount prior to adjudication.</td></tr><tr><td style=\"white-space:nowrap\">unallocdeduct<a name=\"adjudication-unallocdeduct\"> </a></td><td>Unallocated Deductible</td><td>The amount of deductible which could not allocated to other line items.</td></tr><tr><td style=\"white-space:nowrap\">eligpercent<a name=\"adjudication-eligpercent\"> </a></td><td>Eligible %</td><td>Eligible Percentage.</td></tr><tr><td style=\"white-space:nowrap\">tax<a name=\"adjudication-tax\"> </a></td><td>Tax</td><td>The amount of tax.</td></tr><tr><td style=\"white-space:nowrap\">benefit<a name=\"adjudication-benefit\"> </a></td><td>Benefit Amount</td><td>Amount payable under the coverage</td></tr></table></div>",
    "status" : "generated"
  }
}