This code system http://terminology.hl7.org/CodeSystem/adjudication defines the following codes:
| Code | Display | Definition |
| submitted | Submitted Amount | The total submitted amount for the claim or group or line item. |
| copay | CoPay | Patient Co-Payment |
| eligible | Eligible Amount | Amount of the change which is considered for adjudication. |
| deductible | Deductible | Amount deducted from the eligible amount prior to adjudication. |
| unallocdeduct | Unallocated Deductible | The amount of deductible which could not allocated to other line items. |
| eligpercent | Eligible % | Eligible Percentage. |
| tax | Tax | The amount of tax. |
| benefit | Benefit Amount | Amount payable under the coverage |