# Adjudication Codes in Claims Data, Normalized

Adjudication codes label financial amounts on a claim, such as the billed amount, plan payment, and member responsibility. For supported payer endpoints, Flexpa translates these codes to a standard set and calculates missing financial values using its documented equations.

How it works: Supported payer EOB -> Code normalization -> Returned EOB. Financial normalization is supported for selected payer endpoints.

## Normalization for supported payer endpoints

### Behind the scenes

1. Parse the payer's original ExplanationOfBenefit.
2. Translate its adjudication codes to a standard set.
3. Calculate missing values from the liability and payment equations.
4. Return the normalized ExplanationOfBenefit.

## Where to look

The financial guide identifies total[], item.adjudication[], and adjudication[] as possible locations for adjudication values in an ExplanationOfBenefit. The location varies by payer and claim type.

## Questions

**What are adjudication codes?** Adjudication codes identify financial amounts in an ExplanationOfBenefit, such as plan payment or member responsibility. Payers can use different code sets and locations within the resource.

**Does Flexpa normalize adjudication codes?** For supported payer endpoints, Flexpa translates adjudication codes into a standard set in the returned ExplanationOfBenefit and calculates financial values using its documented equations.

## More

- [Adjudication codes (financial data guide)](https://www.flexpa.com/docs/guides/financial#adjudication-codes)
- [Code normalization (financial data guide)](https://www.flexpa.com/docs/guides/financial#code-normalization)
- [CCIR and CCSR condition classification (blog)](https://www.flexpa.com/blog/ccir-ccsr-condition-classification)

Last updated 2026-11-11.