Name | Value | Comments |
---|
compose.inactive | | |
compose.lockedDate | | |
copyright | This is an example set. | This Valueset is not copyrighted. | |
date | 2019-11-01T09:29:23+11:00 | 2023-03-30T13:34:22+00:00 | |
description | 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. | Describes the various amount fields used when payers receive and adjudicate a claim. It includes the values
defined in http://terminology.hl7.org/CodeSystem/adjudication, as well as those defined in the C4BB Adjudication CodeSystem. | |
experimental | false | |
immutable | true | | |
jurisdiction | | |
jurisdiction[0] | | urn:iso:std:iso:3166#US | - Added the item 'urn:iso:std:iso:3166#US'
|
name | AdjudicationValueCodes | PCTAdjudication | |
publisher | FHIR Project team | HL7 International - Financial Management Work Group | |
purpose | | |
status | draft | active | |
title | Adjudication Value Codes | PCT Adjudication Value Set | |
url | http://hl7.org/fhir/ValueSet/adjudication | http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjudication | |
version | 4.0.1 | 1.0.0 | |
System | Code | Display | Comments |
---|
http://terminology.hl7.org/CodeSystem/adjudication | submitted | Submitted Amount | |
http://terminology.hl7.org/CodeSystem/adjudication | copay | CoPay | |
http://terminology.hl7.org/CodeSystem/adjudication | eligible | Eligible Amount | |
http://terminology.hl7.org/CodeSystem/adjudication | deductible | Deductible | |
http://terminology.hl7.org/CodeSystem/adjudication | unallocdeduct | Unallocated Deductible | | |
http://terminology.hl7.org/CodeSystem/adjudication | eligpercent | Eligible % | | |
http://terminology.hl7.org/CodeSystem/adjudication | tax | Tax | | |
http://terminology.hl7.org/CodeSystem/adjudication | benefit | Benefit Amount | |
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudication | coinsurance | | Coinsurance | |
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudication | noncovered | | Noncovered | |
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudication | memberliability | | Member liability | |
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudication | discount | | Discount | |