Adjudication Reason Codes

{
  "description" : "This value set includes smattering of Adjudication Reason codes.",
  "date" : "2026-03-08T18:17:17-06:00",
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    "lastUpdated" : "2024-04-24T00:00:00+00:00",
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  "publisher" : "Health Level Seven International",
  "content" : "complete",
  "property" : null,
  "name" : "AdjudicationReasonCodes",
  "copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Adjudication Reason Codes",
  "extension" : [ {
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  "status" : "active",
  "language" : "en",
  "id" : "adjudication-reason",
  "valueSet" : "http://terminology.hl7.org/ValueSet/adjudication-reason",
  "url" : "http://terminology.hl7.org/CodeSystem/adjudication-reason",
  "identifier" : [ {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1172"
  } ],
  "caseSensitive" : true,
  "version" : "1.0.1",
  "contact" : [ {
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      "value" : "http://hl7.org"
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  "text" : {
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem adjudication-reason</b></p><a name=\"adjudication-reason\"> </a><a name=\"hcadjudication-reason\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-04-24 00:00:00+0000; Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R5/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/adjudication-reason</code> 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\">ar001<a name=\"adjudication-reason-ar001\"> </a></td><td>Not covered</td><td>Not covered</td></tr><tr><td style=\"white-space:nowrap\">ar002<a name=\"adjudication-reason-ar002\"> </a></td><td>Plan Limit Reached</td><td>Plan Limit Reached</td></tr></table></div>",
    "status" : "generated"
  }
}