Class TExplanationOfBenefitAddItem

Unit

Declaration

type TExplanationOfBenefitAddItem = 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 itemSequence : TBSFHIRPrimitiveStringArray read GetitemSequenceArray;
Public property detailSequence : TBSFHIRPrimitiveStringArray read GetdetailSequenceArray;
Public property subDetailSequence : TBSFHIRPrimitiveStringArray read GetsubDetailSequenceArray;
Public property provider : TReferenceArray read GetproviderArray;
Public property productOrService : TCodeableConcept read GetproductOrService write SetproductOrService;
Public property modifier : TCodeableConceptArray read GetmodifierArray;
Public property programCode : TCodeableConceptArray read GetprogramCodeArray;
Public property serviced : TElement read Getserviced write Setserviced;
Public property location : TElement read Getlocation write Setlocation;
Public property quantity : TQuantity read Getquantity write Setquantity;
Public property unitPrice : TMoney read GetunitPrice write SetunitPrice;
Public property factor : Double read Getfactor write Setfactor;
Public property factorElement : Tdecimal read GetfactorElement write SetfactorElement;
Public property net : TMoney read Getnet write Setnet;
Public property bodySite : TCodeableConcept read GetbodySite write SetbodySite;
Public property subSite : TCodeableConceptArray read GetsubSiteArray;
Public property noteNumber : TBSFHIRPrimitiveStringArray read GetnoteNumberArray;
Public property adjudication : TExplanationOfBenefitAdjudicationArray read GetadjudicationArray;
Public property detail : TExplanationOfBenefitDetail1Array read GetdetailArray;

Description

Methods

Public constructor Create; override;
 

Properties

Public property itemSequence : TBSFHIRPrimitiveStringArray read GetitemSequenceArray;

Claim items which this service line is intended to replace.

Public property detailSequence : TBSFHIRPrimitiveStringArray read GetdetailSequenceArray;

The sequence number of the details within the claim item which this line is intended to replace.

Public property subDetailSequence : TBSFHIRPrimitiveStringArray read GetsubDetailSequenceArray;

The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.

Public property provider : TReferenceArray read GetproviderArray;

The providers who are authorized for the services rendered to the patient.

Public property productOrService : TCodeableConcept read GetproductOrService write SetproductOrService;

When the value is a group code then this item collects a set of related claim details, otherwise 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 programCode : TCodeableConceptArray read GetprogramCodeArray;

Identifies the program under which this may be recovered.

Public property serviced : TElement read Getserviced write Setserviced;

The date or dates when the service or product was supplied, performed or completed.

Public property location : TElement read Getlocation write Setlocation;

Where the product or service was provided.

Public property quantity : TQuantity read Getquantity write Setquantity;

The number of repetitions of a service or product.

Public property unitPrice : TMoney read GetunitPrice write SetunitPrice;

If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.

Public property factor : Double read Getfactor write Setfactor;

A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.

Public property factorElement : Tdecimal read GetfactorElement write SetfactorElement;
 
Public property net : TMoney read Getnet write Setnet;

The quantity times the unit price for an additional service or product or charge.

Public property bodySite : TCodeableConcept read GetbodySite write SetbodySite;

Physical service site on the patient (limb, tooth, etc.).

Public property subSite : TCodeableConceptArray read GetsubSiteArray;

A region or surface of the bodySite, e.g. limb region or tooth surface(s).

Public property noteNumber : TBSFHIRPrimitiveStringArray read GetnoteNumberArray;

The numbers associated with notes below which apply to the adjudication of this item.

Public property adjudication : TExplanationOfBenefitAdjudicationArray read GetadjudicationArray;

The adjudication results.

Public property detail : TExplanationOfBenefitDetail1Array read GetdetailArray;

The second-tier service adjudications for payor added services.


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