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"adjudication": [ { "amount": { "currency": string, // Default currency defined in the Core module configuration "value": float // Same as Claim.item.unitPrice }, "category": { "coding": [ { "code": string"-2" // resultAlways from the AI Model execution - "0": Accepted, "1": Rejectedas "-2" (Rejected by AI Model) } ], "text": string // Description of the resultAlways as "accepted" or "rejectedAI" }, "reason": { "coding": [ { "code": "-2" string // Always as "-2" (Rejected by AI Model) result from the AI Model execution - "0": Accepted, "1": Rejected } ], "text": string } // Description of the result as "accepted" or ]"rejected" }, "value": float // Same as Claim.item.quantity } ] |
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