claim-adjudication-basis-categories
type: ValueSet
node role: treeRoot
id:
  v: claim-adjudication-basis-categories
meta:
  last updated:
    v: 2026-06-12T00:00:00+00:00
  profile:
    v: http://hl7.org/fhir/StructureDefinition/shareablevalueset
    link: http://hl7.org/fhir/StructureDefinition/shareablevalueset
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ValueSet claim-adjudication-basis-categories Last updated: 2026-06-12 00:00:00+0000 Profile: Shareable ValueSet Include all codes defined in http://terminology.hl7.org/CodeSystem/claim-adjudication-basis-categories version ?1.0.0
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  value: code
    v: fm
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  value: integer
    v: 1
url:
  v: http://terminology.hl7.org/ValueSet/claim-adjudication-basis-categories
identifier:
  system:
    v: urn:ietf:rfc:3986
  value:
    v: urn:oid:2.16.840.1.113883.11.21041
version:
  v: 1.0.0
name:
  v: ClaimAdjudicationBasisCategories
title:
  v: Claim Adjudication Basis Categories
status:
  v: active
experimental:
  v: false
date:
  v: 2026-06-12T00:00:00+00:00
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: 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.
copyright:
  v: 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.html
compose:
  include:
    system:
      v: http://terminology.hl7.org/CodeSystem/claim-adjudication-basis-categories