<status value="draft"/> <experimental value="false"/> <date value="2023-09-08T19:47:13-06:00"/> <publisher value="FHIR Project team"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/fhir"/> </telecom> </contact> <description value="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 value="This is an example set."/> <caseSensitive value="true"/> <valueSet value="http://terminology.hl7.org/ValueSet/adjudication"/> <content value="complete"/> <concept> <code value="submitted"/> <display value="Submitted Amount"/> <definition value="The total submitted amount for the claim or group or line item."/> </concept> <concept> <code value="copay"/> <display value="CoPay"/> <definition value="Patient Co-Payment"/> </concept> <concept> <code value="eligible"/> <display value="Eligible Amount"/> <definition value="Amount of the change which is considered for adjudication."/> </concept> <concept> <code value="deductible"/> <display value="Deductible"/> <definition value="Amount deducted from the eligible amount prior to adjudication."/> </concept> <concept> <code value="unallocdeduct"/> <display value="Unallocated Deductible"/> <definition value="The amount of deductible which could not allocated to other line items."/> </concept> <concept> <code value="eligpercent"/> <display value="Eligible %"/> <definition value="Eligible Percentage."/> </concept> <concept> <code value="tax"/> <display value="Tax"/> <definition value="The amount of tax."/> </concept> <concept> <code value="benefit"/> <display value="Benefit Amount"/> <definition value="Amount payable under the coverage"/> </concept> </CodeSystem>

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