## Union of http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTFinancialType and http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTFinancialType

This is the CodeSystem that contains all the codes in PCT Financial Type Code System (http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTFinancialType) and PCT Financial Type Code System (http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTFinancialType). E.g. what you have to deal with if you get resources containing codes in either of them

### CodeSystem

Generated Narrative: CodeSystem a9d97f6d-2b14-48ec-847b-5eef28ff691f-11

This code system `http://hl7.org/fhir/comparison/CodeSystem/a9d97f6d-2b14-48ec-847b-5eef28ff691f-11` defines codes, but no codes are represented here

Code | Display | Definition
allowed | Allowed | The maximum amount a plan will pay for a covered health care service. May also be called "payment allowance", or "negotiated rate".
coinsurance | Co-Insurance | The amount the insured individual pays, as a set percentage of the cost of covered services, as an out-of-pocket payment to the provider. Example: Insured pays 20% and the insurer pays 80%.
copay | CoPay | A fixed amount ($20, for example) the insured individual pays for a covered health care service after the deductible is paid.
deductible | Deductible | The amount the insured individual pays for covered health care services before the insurance plan starts to pay.
eligible | Eligible Amount | Amount of the charge which is considered for adjudication.
memberliability | Member Liability | The amount of the member's liability.
noncovered | Noncovered | The portion of the cost of the service that was deemed not eligible by the insurer because the service or member was not covered by the subscriber contract.
out-of-pocket-maximum | Out-of-Pocket Maximum | The most the insured individual has to pay for covered services in a plan year. After this amount is spent on deductibles, copayments, and coinsurance for in-network care and services, the health plan pays 100% of the costs of covered benefits.
visit | Visit | A medical visit means diagnostic, therapeutic, or consultative services provided to a client by a healthcare professional in an outpatient setting.
penalty | Penalty | Benefit penalty is an approach used by the insurance company to reduce their payment on a claim when the patient or medical provider does not satisfy the rules of the health plan. Benefit penalties may occur when a pre-authorization is not obtained, for example.