{
"description": "Describes the various amount fields used when payers receive and adjudicate a claim. It includes the values \\ndefined in http://terminology.hl7.org/CodeSystem/adjudication, as well as those defined in the C4BB Adjudication CodeSystem.",
"compose": {
"include": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"concept": [ {
"code": "submitted"
}, {
"code": "copay"
}, {
"code": "eligible"
}, {
"code": "deductible"
}, {
"code": "benefit"
} ]
}, {
"system": "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudication",
"concept": [ {
"code": "coinsurance",
"display": "Coinsurance"
}, {
"code": "noncovered",
"display": "Noncovered"
}, {
"code": "memberliability",
"display": "Member liability"
}, {
"code": "discount",
"display": "Discount"
} ]
} ]
},
"_filename": "ValueSet-PCTAdjudication.json",
"package_name": "hl7.fhir.us.davinci",
"date": "2023-03-30T13:34:22+00:00",
"publisher": "HL7 International - Financial Management Work Group",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "PCTAdjudication",
"copyright": "This Valueset is not copyrighted.",
"type": null,
"experimental": "false",
"resourceType": "ValueSet",
"title": "PCT Adjudication Value Set",
"package_version": "pct-1.0.0",
"status": "active",
"id": "af214fdd-4180-4722-862c-ca1e89245f9a",
"kind": null,
"url": "http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjudication",
"version": "1.0.0",
"contact": [ {
"name": "HL7 International - Financial Management Work Group",
"telecom": [ {
"value": "http://hl7.org/Special/committees/fm",
"system": "url"
}, {
"value": "fmlists@lists.hl7.org",
"system": "email"
} ]
} ]
}