CARIN Consumer Directed Payer Data Exchange
0.3.1 - STU1

CARIN Consumer Directed Payer Data Exchange, published by HL7 Financial Management Working Group. This is not an authorized publication; it is the continuous build for version 0.3.1). This version is based on the current content of and changes regularly. See the Directory of published versions

ValueSet: Payer Adjudication Amount Category


Defining URL:
Title:Payer Adjudication Amount Category

This describes the various amount fields used when payers receive and adjudicate a claim.

Publisher:HL7 Financial Management Working Group
Source Resource:XML / JSON / Turtle


Logical Definition (CLD)



This value set contains 9 concepts

Expansion based on Claim Adjudication Category v0.3.1 (CodeSystem)

All codes from system

submittedamountsubmitted amountUndefined
allowedamountallowed amountUndefined
deductibleamountdeductible amountUndefined
coinsuranceamountcoinsurance amountUndefined
copayamountcopay amountUndefined
noncoveredamountnoncovered amountUndefined
cobamountcob amountUndefined
paymentamountpayment amountUndefined
patientpayamountpatient pay amountUndefined

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code