Claim Adjudication Category

ValueSet 'VsAdjudicationCategory'

Version1.1
Published bybWell Connected Health
StatusActive
ExperimentalFalse

Code values bwell uses to represent adjudication categories on the ExplanationOfBenefit resource

This value set includes codes from the following code systems:

  • The following codes from system: AdjudicationValueCodes

    CodeDisplay
    benefitBenefit Amount
    copaycopay
    eligibleEligible Amount
    deductibledeductible
    taxTax
    submittedSubmitted Amount
  • The following codes from system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication

    CodeDisplay
    memberliabilityMember liability
    noncoveredNoncovered
  • The following codes from system: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory

    CodeDisplay
    paymentamountPayment Amount
    allowedamountAllowed Amount
    coinsuranceamountCo-Insurance Amount
    copayamountCopay Amount
    deductibleamountDeductible Amount
    submittedamountSubmitted Amount
    cobamountCollection of Benefits Amount
  • Import all codes from the following ValueSet(s):