Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
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Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - Downloaded Version null See the Directory of published versions

CodeSystem: Adjudication Value Codes (Experimental)

Official URL: http://hl7.org/fhir/adjudication Version: 3.0.2
Standards status: Informative Maturity Level: 1 Responsible: Financial Management Computable Name: Adjudication Value Codes

Copyright/Legal: This is an example set.

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.

This Code system is referenced in the content logical definition of the following value sets:

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

CodeDisplayDefinition
total Total Total submitted
copay CoPay Patient Co-Payment
eligible Eligible Amount Amount of the change which is considered for adjudication
deductible Deductable Amount deducted from the eligible amount prior to adjudication
eligpercent Eligible % Eligible Percentage
tax Emergency Department Emergency Department
benefit Benefit Amount Amount payable under the coverage