Adjudication Codes

{
  "description" : "This value set includes a smattering of Adjudication codes.",
  "meta" : {
    "lastUpdated" : "2022-05-28T12:47:40.239+10:00",
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ]
  },
  "content" : "complete",
  "property" : null,
  "name" : "AdjudicationCodes",
  "copyright" : "This is an example set.",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Adjudication Codes",
  "extension" : [ {
    "valueCode" : "fm",
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
  }, {
    "extension" : [ {
      "valueString" : "concept",
      "url" : "path"
    }, {
      "url" : "count",
      "valueInteger" : 8
    } ],
    "url" : "http://health-samurai.io/extensions/excised-data"
  }, {
    "url" : "http://health-samurai.io/extensions/source",
    "valueCode" : "db"
  } ],
  "status" : "draft",
  "id" : "acd8d7ed-25ff-449c-b83a-8d8c946cd08b",
  "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" : "4.3.0",
  "text" : {
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>This code system http://terminology.hl7.org/CodeSystem/adjudication defines the following codes:</p>\n            <table class=\"codes\">\n              <tr>\n                <td style=\"white-space:nowrap\">\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">submitted\n                  <a name=\"adjudication-submitted\"> </a>\n                </td>\n                <td>Submitted Amount</td>\n                <td>The total submitted amount for the claim or group or line item.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">copay\n                  <a name=\"adjudication-copay\"> </a>\n                </td>\n                <td>CoPay</td>\n                <td>Patient Co-Payment</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">eligible\n                  <a name=\"adjudication-eligible\"> </a>\n                </td>\n                <td>Eligible Amount</td>\n                <td>Amount of the change which is considered for adjudication.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">deductible\n                  <a name=\"adjudication-deductible\"> </a>\n                </td>\n                <td>Deductible</td>\n                <td>Amount deducted from the eligible amount prior to adjudication.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">unallocdeduct\n                  <a name=\"adjudication-unallocdeduct\"> </a>\n                </td>\n                <td>Unallocated Deductible</td>\n                <td>The amount of deductible which could not allocated to other line items.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">eligpercent\n                  <a name=\"adjudication-eligpercent\"> </a>\n                </td>\n                <td>Eligible %</td>\n                <td>Eligible Percentage.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">tax\n                  <a name=\"adjudication-tax\"> </a>\n                </td>\n                <td>Tax</td>\n                <td>The amount of tax.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">benefit\n                  <a name=\"adjudication-benefit\"> </a>\n                </td>\n                <td>Benefit Amount</td>\n                <td>Amount payable under the coverage</td>\n              </tr>\n            </table>\n          </div>",
    "status" : "generated"
  }
}