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CodeSystem: PCT Adjudication Category CodeSystem
Official URL: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS
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Version:
1.1.0
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Standards status:
Trial-use
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Computable Name: PCTAdjudicationCategoryCS |
Codes indicating the type of adjudication information provided.
This Code system is referenced in the content logical definition of the following value sets:
This case-sensitive code system http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS
defines the following codes:
Code | Display | Definition |
billingnetworkstatus | Billing Network Status | Indicates the Billing Provider network status in relation to the patient's coverage. |
renderingnetworkstatus | Rendering Network Status | Indicates the Rendering Provider network status in relation to the patient's coverage. |
benefitpaymentstatus | Benefit Payment Status | Indicates the in network or out of network payment status of the claim. |
adjustmentreason | Adjustment Reason | Defines the adjudication slice to identify the adjustment reason |
medicalmanagement | Medical Management | Defines the adjudication slice to identify medical management |
memberliability | Member Liability | Defines the adjudication slice to identify member liability |