| Name | Value | Comments |
|---|
 caseSensitive | true | |
| compositional | | |
| content | complete | |
| 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 | |
| date | 2026-07-27T09:27:31+10:00 | 2026-09-20T01:40:27+00:00 | |
| description | Categories of contractual, policy, benefit, or administrative bases used by a payer when adjudicating a healthcare claim and determining the allowed, paid, or adjusted amounts. These codes include categories that describe why a claim line or claim total was adjudicated as it was, rather than the result of the adjudication. | |
| experimental | false | |
| hierarchyMeaning | | |
| jurisdiction | | |
| name | ClaimAdjudicationBasisCategories | |
| publisher | Health Level Seven International | |
| purpose | | |
| status | active | |
| title | Claim Adjudication Basis Categories | |
| url | http://terminology.hl7.org/CodeSystem/claim-adjudication-basis-categories | |
| version | 1.0.0 | |
| versionNeeded | | |