This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3
Definition for Code System Adjudication Codes
<CodeSystem xmlns="http://hl7.org/fhir"> <id value="adjudication"/> <meta> <lastUpdated value="2016-03-31T08:01:25.570+11:00"/> <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h2>Adjudication Codes</h2> <p>This value set includes a smattering of Adjudication codes.</p> <p> <b>Copyright Statement:</b> This is an example set. </p> <p>This code system http://hl7.org/fhir/adjudication defines the following codes:</p> <table class="codes"> <tr> <td> <b>Code</b> </td> <td> <b>Display</b> </td> <td> <b>Definition</b> </td> </tr> <tr> <td>total <a name="total"> </a> </td> <td>Total</td> <td>Total submitted</td> </tr> <tr> <td>copay <a name="copay"> </a> </td> <td>CoPay</td> <td>Patient Co-Payment</td> </tr> <tr> <td>eligible <a name="eligible"> </a> </td> <td>Eligible Amount</td> <td>Amount of the change which is considered for adjudication</td> </tr> <tr> <td>deductible <a name="deductible"> </a> </td> <td>Deductable</td> <td>Amount deducted from the eligible amount prior to adjudication</td> </tr> <tr> <td>eligpercent <a name="eligpercent"> </a> </td> <td>Eligible %</td> <td>Eligible Percentage</td> </tr> <tr> <td>tax <a name="tax"> </a> </td> <td>Emergency Department</td> <td>Emergency Department</td> </tr> <tr> <td>benefit <a name="benefit"> </a> </td> <td>Benefit Amount</td> <td>Amount payable under the coverage</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid"> <valueUri value="urn:oid:2.16.840.1.113883.4.642.1.325"/> </extension> <url value="http://hl7.org/fhir/adjudication"/> <version value="1.4.0"/> <name value="Adjudication Codes"/> <status value="draft"/> <experimental value="true"/> <publisher value="FHIR Project team"/> <contact> <telecom> <system value="other"/> <value value="http://hl7.org/fhir"/> </telecom> </contact> <description value="This value set includes a smattering of Adjudication codes."/> <copyright value="This is an example set."/> <caseSensitive value="true"/> <valueSet value="http://hl7.org/fhir/ValueSet/adjudication"/> <content value="complete"/> <concept> <code value="total"/> <display value="Total"/> <definition value="Total submitted"/> </concept> <concept> <code value="copay"/> <display value="CoPay"/> <definition value="Patient Co-Payment"/> </concept> <concept> <code value="eligible"/> <display value="Eligible Amount"/> <definition value="Amount of the change which is considered for adjudication"/> </concept> <concept> <code value="deductible"/> <display value="Deductable"/> <definition value="Amount deducted from the eligible amount prior to adjudication"/> </concept> <concept> <code value="eligpercent"/> <display value="Eligible %"/> <definition value="Eligible Percentage"/> </concept> <concept> <code value="tax"/> <display value="Emergency Department"/> <definition value="Emergency Department"/> </concept> <concept> <code value="benefit"/> <display value="Benefit Amount"/> <definition value="Amount payable under the coverage"/> </concept> </CodeSystem>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.