Besa Fhir Help File

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Class TCoverageEligibilityRequest

Description
Hierarchy
Fields
Methods
Properties

Unit

bsFhir_r4

Declaration

type TCoverageEligibilityRequest = class(TDomainResource)

Description

The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy. If the element is present, it must have either a @value, an @id, or extensions

Hierarchy

Overview

Methods

Public constructor Create; override;

Properties

Public property identifier : TIdentifierArray read GetidentifierArray;
Public property status : string read Getstatus write Setstatus;
Public property statusElement : TFinancialResourceStatusCodes read GetstatusElement write SetstatusElement;
Public property priority : TCodeableConcept read Getpriority write Setpriority;
Public property purpose : TBSFHIRPrimitiveStringArray read GetpurposeArray;
Public property patient : TReference read Getpatient write Setpatient;
Public property serviced : TElement read Getserviced write Setserviced;
Public property created : string read Getcreated write Setcreated;
Public property createdElement : TdateTime_ read GetcreatedElement write SetcreatedElement;
Public property enterer : TReference read Getenterer write Setenterer;
Public property provider : TReference read Getprovider write Setprovider;
Public property insurer : TReference read Getinsurer write Setinsurer;
Public property facility : TReference read Getfacility write Setfacility;
Public property supportingInfo : TCoverageEligibilityRequestSupportingInfoArray read GetsupportingInfoArray;
Public property insurance : TCoverageEligibilityRequestInsuranceArray read GetinsuranceArray;
Public property item : TCoverageEligibilityRequestItemArray read GetitemArray;

Description

Methods

Public constructor Create; override;
 

Properties

Public property identifier : TIdentifierArray read GetidentifierArray;

A unique identifier assigned to this coverage eligiblity request.

Public property status : string read Getstatus write Setstatus;

The status of the resource instance.

Public property statusElement : TFinancialResourceStatusCodes read GetstatusElement write SetstatusElement;
 
Public property priority : TCodeableConcept read Getpriority write Setpriority;

When the requestor expects the processor to complete processing.

Public property purpose : TBSFHIRPrimitiveStringArray read GetpurposeArray;

Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified.

Public property patient : TReference read Getpatient write Setpatient;

The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.

Public property serviced : TElement read Getserviced write Setserviced;

The date or dates when the enclosed suite of services were performed or completed.

Public property created : string read Getcreated write Setcreated;

The date when this resource was created.

Public property createdElement : TdateTime_ read GetcreatedElement write SetcreatedElement;
 
Public property enterer : TReference read Getenterer write Setenterer;

Person who created the request.

Public property provider : TReference read Getprovider write Setprovider;

The provider which is responsible for the request.

Public property insurer : TReference read Getinsurer write Setinsurer;

The Insurer who issued the coverage in question and is the recipient of the request.

Public property facility : TReference read Getfacility write Setfacility;

Facility where the services are intended to be provided.

Public property supportingInfo : TCoverageEligibilityRequestSupportingInfoArray read GetsupportingInfoArray;

Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.

Public property insurance : TCoverageEligibilityRequestInsuranceArray read GetinsuranceArray;

Financial instruments for reimbursement for the health care products and services.

Public property item : TCoverageEligibilityRequestItemArray read GetitemArray;

Service categories or billable services for which benefit details and/or an authorization prior to service delivery may be required by the payor.

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