{2 16 840 1 113883 11 21041}
Categories of contractual, policy, benefit, or administrative bases used by a payer when adjudicating a healthcare claim and determining the allowed, paid, or adjusted amounts. These codes include categories that describe why a claim line or claim total was adjudicated as it was, rather than the result of the adjudication.
Status in source: active.
Names: ClaimAdjudicationBasisCategories, claim-adjudication-basis-categories
{
"url": "http://terminology.hl7.org/ValueSet/claim-adjudication-basis-categories",
"date": "2026-06-12T00:00:00+00:00",
"title": "Claim Adjudication Basis Categories",
"status": "active",
"contact": [
{
"telecom": [
{
"value": "http://hl7.org",
"system": "url"
},
{
"value": "hq@HL7.org",
"system": "email"
}
]
}
],
"version": "1.0.0",
"copyright": "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
"publisher": "Health Level Seven International",
"experimental": false,
"resource_type": "ValueSet",
"oid_identifier": {
"value": "urn:oid:2.16.840.1.113883.11.21041",
"system": "urn:ietf:rfc:3986"
}
}Downloaded: 2026-10-19T20:26:54.046133+00:00.
| OID | Name | Direct children | Descendants | Description |
|---|---|---|---|---|
| 2.16.840.1.113883.11.21044 | HL7_Affiliate, hl7-affiliate | 0 | 0 | |
| 2.16.840.1.113883.11.21045 | HL7_Staff_Role, hl7-staff-role | 0 | 0 | |
| 2.16.840.1.113883.11.21046 | HL7_JIRA_SPEC_WORK_GROUP, hl7-jira-spec-work-group | 0 | 0 |