# text.div
Generated Narrative: CodeSystem adjudication

Last updated: 2024-04-24 00:00:00+0000

Profile: Shareable CodeSystem

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

Code | Display | Definition
submitted | Submitted Amount | The total submitted amount for the claim or group or line item.
copay | CoPay | Patient Co-Payment
eligible | Eligible Amount | Amount of the change which is considered for adjudication.
deductible | Deductible | Amount deducted from the eligible amount prior to adjudication.
unallocdeduct | Unallocated Deductible | The amount of deductible which could not allocated to other line items.
eligpercent | Eligible % | Eligible Percentage.
tax | Tax | The amount of tax.
benefit | Benefit Amount | Amount payable under the coverage

# description
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
This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license

# concept[].definition
The total submitted amount for the claim or group or line item.

# concept[].definition
Amount of the change which is considered for adjudication.

# concept[].definition
Amount deducted from the eligible amount prior to adjudication.

# concept[].definition
The amount of deductible which could not allocated to other line items.