Besa Fhir Help File

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Class TCoverageEligibilityResponseItem

Description
Hierarchy
Fields
Methods
Properties

Unit

bsFhir_r4

Declaration

type TCoverageEligibilityResponseItem = class(TBackboneElement)

Description

This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.

Hierarchy

Overview

Methods

Public constructor Create; override;

Properties

Public property category : TCodeableConcept read Getcategory write Setcategory;
Public property productOrService : TCodeableConcept read GetproductOrService write SetproductOrService;
Public property modifier : TCodeableConceptArray read GetmodifierArray;
Public property provider : TReference read Getprovider write Setprovider;
Public property excluded : boolean read Getexcluded write Setexcluded;
Public property excludedElement : Tboolean read GetexcludedElement write SetexcludedElement;
Public property name_ : string read Getname_ write Setname_;
Public property name_Element : Tstring read Getname_Element write Setname_Element;
Public property description : string read Getdescription write Setdescription;
Public property descriptionElement : Tstring read GetdescriptionElement write SetdescriptionElement;
Public property network : TCodeableConcept read Getnetwork write Setnetwork;
Public property unit_ : TCodeableConcept read Getunit_ write Setunit_;
Public property term : TCodeableConcept read Getterm write Setterm;
Public property benefit : TCoverageEligibilityResponseBenefitArray read GetbenefitArray;
Public property authorizationRequired : boolean read GetauthorizationRequired write SetauthorizationRequired;
Public property authorizationRequiredElement : Tboolean read GetauthorizationRequiredElement write SetauthorizationRequiredElement;
Public property authorizationSupporting : TCodeableConceptArray read GetauthorizationSupportingArray;
Public property authorizationUrl : string read GetauthorizationUrl write SetauthorizationUrl;
Public property authorizationUrlElement : Turi read GetauthorizationUrlElement write SetauthorizationUrlElement;

Description

Methods

Public constructor Create; override;
 

Properties

Public property category : TCodeableConcept read Getcategory write Setcategory;

Code to identify the general type of benefits under which products and services are provided.

Public property productOrService : TCodeableConcept read GetproductOrService write SetproductOrService;

This contains the product, service, drug or other billing code for the item.

Public property modifier : TCodeableConceptArray read GetmodifierArray;

Item typification or modifiers codes to convey additional context for the product or service.

Public property provider : TReference read Getprovider write Setprovider;

The practitioner who is eligible for the provision of the product or service.

Public property excluded : boolean read Getexcluded write Setexcluded;

True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.

Public property excludedElement : Tboolean read GetexcludedElement write SetexcludedElement;
 
Public property name_ : string read Getname_ write Setname_;

A short name or tag for the benefit.

Public property name_Element : Tstring read Getname_Element write Setname_Element;
 
Public property description : string read Getdescription write Setdescription;

A richer description of the benefit or services covered.

Public property descriptionElement : Tstring read GetdescriptionElement write SetdescriptionElement;
 
Public property network : TCodeableConcept read Getnetwork write Setnetwork;

Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.

Public property unit_ : TCodeableConcept read Getunit_ write Setunit_;

Indicates if the benefits apply to an individual or to the family.

Public property term : TCodeableConcept read Getterm write Setterm;

The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.

Public property benefit : TCoverageEligibilityResponseBenefitArray read GetbenefitArray;

Benefits used to date.

Public property authorizationRequired : boolean read GetauthorizationRequired write SetauthorizationRequired;

A boolean flag indicating whether a preauthorization is required prior to actual service delivery.

Public property authorizationRequiredElement : Tboolean read GetauthorizationRequiredElement write SetauthorizationRequiredElement;
 
Public property authorizationSupporting : TCodeableConceptArray read GetauthorizationSupportingArray;

Codes or comments regarding information or actions associated with the preauthorization.

Public property authorizationUrl : string read GetauthorizationUrl write SetauthorizationUrl;

A web location for obtaining requirements or descriptive information regarding the preauthorization.

Public property authorizationUrlElement : Turi read GetauthorizationUrlElement write SetauthorizationUrlElement;
 
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