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
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.
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