Class TExplanationOfBenefitInsurance

Unit

Declaration

type TExplanationOfBenefitInsurance = class(TBackboneElement)

Description

This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.

Hierarchy

Overview

Methods

Public constructor Create; override;

Properties

Public property focal : boolean read Getfocal write Setfocal;
Public property focalElement : Tboolean read GetfocalElement write SetfocalElement;
Public property coverage : TReference read Getcoverage write Setcoverage;
Public property preAuthRef : TBSFHIRPrimitiveStringArray read GetpreAuthRefArray;

Description

Methods

Public constructor Create; override;
 

Properties

Public property focal : boolean read Getfocal write Setfocal;

A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.

Public property focalElement : Tboolean read GetfocalElement write SetfocalElement;
 
Public property coverage : TReference read Getcoverage write Setcoverage;

Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.

Public property preAuthRef : TBSFHIRPrimitiveStringArray read GetpreAuthRefArray;

Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.


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