Adjudication Codes
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http://terminology.hl7.org/CodeSystem/adjudicationCopied!
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DescriptionThis value set includes a smattering of Adjudication codes.
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This code system http://terminology.hl7.org/CodeSystem/adjudication defines the following codes:
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"title" : "Adjudication Codes",
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"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>",
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