{
"package" : "hl7.terminology.r4@6.3.0",
"definition" : "Explanatory codes that describe reasons why an Adjudicator has financially adjusted an invoice (claim).\\r\\n\\r\\nA companion domain (ActAdjudicationInformationCode) includes information reasons which do not have a financial impact on an invoice (claim).\\r\\n\\r\\nExample adjudication reason code is AA-CLAIM-0011 - Only Basic Procedure/Test Eligible.\\r\\n\\r\\nCodes from this domain further rationalizes ActAdjudicationCodes (e.g. AA - Adjudicated with Adjustment), which are used to describe the process of adjudicating an invoice. For AS - Adjudicated as Submitted, there should be no specification of ActAdjudicationReason codes, as there are no financial adjustments against the invoice.",
"system" : "http://terminology.hl7.org/CodeSystem/conceptdomains",
"property" : [ {
"code" : "source",
"valueCode" : "v3"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#parent",
"code" : "parent",
"_implicit" : true,
"valueCode" : "ActReason"
} ],
"codesystem" : "33eb862a-4e29-55df-b067-9b9d45b786af",
"concept_id" : "b8c37baf-af9d-58e8-84d9-f33dfa22a640",
"ancestors" : {
"ActReason" : 1,
"ActAdjudicationReason" : 0
},
"id" : "df8147ca-9d8d-4ce3-9b19-73db48fbf1b1",
"code" : "ActAdjudicationReason",
"display" : "ActAdjudicationReason",
"version" : "3.0.0"
}