Class TClaimResponseInsurance

Unit

Declaration

type TClaimResponseInsurance = 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 sequence : Int64 read Getsequence write Setsequence;
Public property sequenceElement : TpositiveInt read GetsequenceElement write SetsequenceElement;
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 businessArrangement : string read GetbusinessArrangement write SetbusinessArrangement;
Public property businessArrangementElement : Tstring read GetbusinessArrangementElement write SetbusinessArrangementElement;
Public property claimResponse : TReference read GetclaimResponse write SetclaimResponse;

Description

Methods

Public constructor Create; override;
 

Properties

Public property sequence : Int64 read Getsequence write Setsequence;

A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.

Public property sequenceElement : TpositiveInt read GetsequenceElement write SetsequenceElement;
 
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 businessArrangement : string read GetbusinessArrangement write SetbusinessArrangement;

A business agreement number established between the provider and the insurer for special business processing purposes.

Public property businessArrangementElement : Tstring read GetbusinessArrangementElement write SetbusinessArrangementElement;
 
Public property claimResponse : TReference read GetclaimResponse write SetclaimResponse;

The result of the adjudication of the line items for the Coverage specified in this insurance.


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