Class TClaimResponseAdjudication

Unit

Declaration

type TClaimResponseAdjudication = class(TBackboneElement)

Description

This resource provides the adjudication details from the processing of a Claim resource.

Hierarchy

Overview

Methods

Public constructor Create; override;

Properties

Public property category : TCodeableConcept read Getcategory write Setcategory;
Public property reason : TCodeableConcept read Getreason write Setreason;
Public property amount : TMoney read Getamount write Setamount;
Public property value : Double read Getvalue write Setvalue;
Public property valueElement : Tdecimal read GetvalueElement write SetvalueElement;

Description

Methods

Public constructor Create; override;
 

Properties

Public property category : TCodeableConcept read Getcategory write Setcategory;

A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item.

Public property reason : TCodeableConcept read Getreason write Setreason;

A code supporting the understanding of the adjudication result and explaining variance from expected amount.

Public property amount : TMoney read Getamount write Setamount;

Monetary amount associated with the category.

Public property value : Double read Getvalue write Setvalue;

A non-monetary value associated with the category. Mutually exclusive to the amount element above.

Public property valueElement : Tdecimal read GetvalueElement write SetvalueElement;
 

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