Changes since version 1.1.0:

Generated Narrative: ValueSet PCTTotal

This value set includes codes based on the following rules:

• Added:Import all the codes that are contained in PCT Adjudication Value Set
• Added:Include these codes as defined in http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTNetworkStatusCS

  Code	Display	Definition
  innetwork	In Network	Indicates an in network status in relation to a patient's coverage
  outofnetwork	Out Of Network	Indicates a not in network status in relation to a patient's coverage
  negotiated	Negotiated Service or Product	Indicates a special negotiated status in relation to a patient's coverage

• Removed:Include these codes as defined in http://terminology.hl7.org/CodeSystem/adjudication

  Code	Display	Definition
  submitted	Submitted Amount	The total submitted amount for the claim or group or line item.
  copay	CoPay	Patient Co-Payment
  eligible	Eligible Amount	Amount of the change which is considered for adjudication.
  deductible	Deductible	Amount deducted from the eligible amount prior to adjudication.
  benefit	Benefit Amount	Amount payable under the coverage

• Removed:Include these codes as defined in http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudication

  Code	Display	Definition
  coinsurance	Coinsurance	The amount the insured individual pays, as a set percentage of the cost of covered medical services, as an out-of-pocket payment to the provider. Example: Insured pays 20% and the insurer pays 80%.
  noncovered	Noncovered	The portion of the cost of this service that was deemed not eligible by the insurer because the service or member was not covered by the subscriber contract.
  memberliability	Member liability	The amount of the member's liability.
  discount	Discount	The amount of the discount

ValueSet

This value set contains 12 concepts