Adjudication Value Codes

This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc.

Copyright Statement: This is an example set.

This code system http://hl7.org/fhir/adjudication defines the following codes:

CodeDisplayDefinition
total TotalTotal submitted
copay CoPayPatient Co-Payment
eligible Eligible AmountAmount of the change which is considered for adjudication
deductible DeductableAmount deducted from the eligible amount prior to adjudication
eligpercent Eligible %Eligible Percentage
tax Emergency DepartmentEmergency Department
benefit Benefit AmountAmount payable under the coverage