Adjudication Value Codes
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.
Copyright Statement: This is an example set.
This code system http://hl7.org/fhir/adjudication defines the following codes:
|
Code
|
Display
|
Definition
|
| 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 |