<status value="active"/> <experimental value="false"/> <date value="2026-03-20T11:38:03+11:00"/> <publisher value="HL7 International / Financial Management"/> <contact> <name value="HL7 International / Financial Management"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/fm"/> </telecom> <telecom> <system value="email"/> <value value="fmlists@lists.hl7.org"/> </telecom> </contact> <description value="Codes indicating the type of adjudication information provided. This CodeSystem is currently defined by this IG, but is anticipated to be temporary. The concepts within are expected to be moved in a future version to a more central terminology specification such as THO, which will result in a code system url change and possibly modified codes and definitions."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <caseSensitive value="true"/> <content value="complete"/> <count value="6"/> <concept> <code value="billingnetworkstatus"/> <display value="Billing Network Status"/> <definition value="Indicates the Billing Provider network status in relation to the patient's coverage."/> </concept> <concept> <code value="renderingnetworkstatus"/> <display value="Rendering Network Status"/> <definition value="Indicates the Rendering Provider network status in relation to the patient's coverage."/> </concept> <concept> <code value="benefitpaymentstatus"/> <display value="Benefit Payment Status"/> <definition value="Indicates the in network or out of network payment status of the claim."/> </concept> <concept> <code value="adjustmentreason"/> <display value="Adjustment Reason"/> <definition value="Defines the adjudication slice to identify the adjustment reason"/> </concept> <concept> <code value="medicalmanagement"/> <display value="Medical Management"/> <definition value="Defines the adjudication slice to identify medical management"/> </concept> <concept> <code value="memberliability"/> <display value="Member Liability"/> <definition value="Defines the adjudication slice to identify member liability"/> </concept> </CodeSystem>

Generated Narrative: CodeSystem PCTAdjudicationCategoryCS

This case-sensitive code system http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS defines the following codes:

Code	Display	Definition
billingnetworkstatus	Billing Network Status	Indicates the Billing Provider network status in relation to the patient's coverage.
renderingnetworkstatus	Rendering Network Status	Indicates the Rendering Provider network status in relation to the patient's coverage.
benefitpaymentstatus	Benefit Payment Status	Indicates the in network or out of network payment status of the claim.
adjustmentreason	Adjustment Reason	Defines the adjudication slice to identify the adjustment reason
medicalmanagement	Medical Management	Defines the adjudication slice to identify medical management
memberliability	Member Liability	Defines the adjudication slice to identify member liability