{
  "description": "Codes indicating the type of adjudication information provided.",
  "_filename": "CodeSystem-PCTAdjudicationCategoryCS.json",
  "package_name": "hl7.fhir.us.davinci-pct",
  "date": "2024-01-03T18:19:28+00:00",
  "publisher": "HL7 International / Financial Management",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "content": "complete",
  "name": "PCTAdjudicationCategoryCS",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "PCT Adjudication Category CodeSystem",
  "package_version": "1.1.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "fm"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use",
    "_valueCode": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical": "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
      } ]
    }
  } ],
  "status": "active",
  "id": "5f6f79e6-559a-412d-aa9c-23cc4d376c1b",
  "kind": null,
  "count": 6,
  "url": "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS",
  "concept": [ {
    "code": "billingnetworkstatus",
    "display": "Billing Network Status",
    "definition": "Indicates the Billing Provider network status in relation to the patient's coverage."
  }, {
    "code": "renderingnetworkstatus",
    "display": "Rendering Network Status",
    "definition": "Indicates the Rendering Provider network status in relation to the patient's coverage."
  }, {
    "code": "benefitpaymentstatus",
    "display": "Benefit Payment Status",
    "definition": "Indicates the in network or out of network payment status of the claim."
  }, {
    "code": "adjustmentreason",
    "display": "Adjustment Reason",
    "definition": "Defines the adjudication slice to identify the adjustment reason"
  }, {
    "code": "medicalmanagement",
    "display": "Medical Management",
    "definition": "Defines the adjudication slice to identify medical management"
  }, {
    "code": "memberliability",
    "display": "Member Liability",
    "definition": "Defines the adjudication slice to identify member liability"
  } ],
  "caseSensitive": true,
  "version": "1.1.0",
  "contact": [ {
    "name": "HL7 International / Financial Management",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fm",
      "system": "url"
    }, {
      "value": "fmlists@lists.hl7.org",
      "system": "email"
    } ]
  } ]
}