Generated Narrative: ValueSet PCTAdjudicationVS
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/adjudication version ?1.0.1| 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. |
| benefit | Benefit Amount | Amount payable under the coverage |
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudication version ?2.0.1| Code | Display | Definition |
| coinsurance | Co-insurance | The amount the insured individual pays, as a set percentage of the cost of covered medical services, as an out-of-pocket payment to the provider. Example: Insured pays 20% and the insurer pays 80%. |
| noncovered | Noncovered | The portion of the cost of this service that was deemed not eligible by the insurer because the service or member was not covered by the subscriber contract. |
| memberliability | Member liability | The amount of the member's liability. |
| discount | Discount | The amount of the discount |