This is the CodeSystem that contains codes in both PCT Adjudication Category CodeSystem (http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS) and PCT Adjudication Category CodeSystem (http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS).
This code system http://hl7.org/fhir/comparison/CodeSystem/7e8baa30-5283-4224-b835-bb4efd3bc2e9-9
defines codes, but no codes are represented here
Code | Display | Definition |
billingnetworkstatus | Billing Network Status | Indicates the Billing Provider network status in relation to the patient's coverage. |
renderingnetworkstatus | Rendering Network Status | Indicates the Rendering Provider network status in relation to the patient's coverage. |
benefitpaymentstatus | Benefit Payment Status | Indicates the in network or out of network payment status of the claim. |
adjustmentreason | Adjustment Reason | Defines the adjudication slice to identify the adjustment reason |
medicalmanagement | Medical Management | Defines the adjudication slice to identify medical management |
memberliability | Member Liability | Defines the adjudication slice to identify member liability |