Besa Fhir Help File

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Identifiers

Class TCoverageEligibilityResponse

Description
Hierarchy
Fields
Methods
Properties

Unit

bsFhir_r5

Declaration

type TCoverageEligibilityResponse = class(TDomainResource)

Description

This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. 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 purpose : TBSFHIRPrimitiveStringArray read GetpurposeArray;
Public property patient : TReference read Getpatient write Setpatient;
Public property event : TCoverageEligibilityResponseEventArray read GeteventArray;
Public property servicedDate : string read GetservicedDate write SetservicedDate;
Public property servicedDateElement : Tdate_ read GetservicedDateElement write SetservicedDateElement;
Public property servicedPeriod : TPeriod read GetservicedPeriod write SetservicedPeriod;
Public property created : string read Getcreated write Setcreated;
Public property createdElement : TdateTime_ read GetcreatedElement write SetcreatedElement;
Public property requestor : TReference read Getrequestor write Setrequestor;
Public property request : TReference read Getrequest write Setrequest;
Public property outcome : string read Getoutcome write Setoutcome;
Public property outcomeElement : TEligibilityOutcome read GetoutcomeElement write SetoutcomeElement;
Public property disposition : string read Getdisposition write Setdisposition;
Public property dispositionElement : Tstring read GetdispositionElement write SetdispositionElement;
Public property insurer : TReference read Getinsurer write Setinsurer;
Public property insurance : TCoverageEligibilityResponseInsuranceArray read GetinsuranceArray;
Public property preAuthRef : string read GetpreAuthRef write SetpreAuthRef;
Public property preAuthRefElement : Tstring read GetpreAuthRefElement write SetpreAuthRefElement;
Public property form : TCodeableConcept read Getform write Setform;
Public property error : TCoverageEligibilityResponseErrorArray read GeterrorArray;

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 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 event : TCoverageEligibilityResponseEventArray read GeteventArray;

Information code for an event with a corresponding date or period.

Public property servicedDate : string read GetservicedDate write SetservicedDate;

The date or dates when the enclosed suite of services were performed or completed. (choose any one of serviced*, but only one)

Public property servicedDateElement : Tdate_ read GetservicedDateElement write SetservicedDateElement;
 
Public property servicedPeriod : TPeriod read GetservicedPeriod write SetservicedPeriod;

The date or dates when the enclosed suite of services were performed or completed. (choose any one of serviced*, but only one)

Public property created : string read Getcreated write Setcreated;

The date this resource was created.

Public property createdElement : TdateTime_ read GetcreatedElement write SetcreatedElement;
 
Public property requestor : TReference read Getrequestor write Setrequestor;

The provider which is responsible for the request.

Public property request : TReference read Getrequest write Setrequest;

Reference to the original request resource.

Public property outcome : string read Getoutcome write Setoutcome;

The outcome of the request processing.

Public property outcomeElement : TEligibilityOutcome read GetoutcomeElement write SetoutcomeElement;
 
Public property disposition : string read Getdisposition write Setdisposition;

A human readable description of the status of the adjudication.

Public property dispositionElement : Tstring read GetdispositionElement write SetdispositionElement;
 
Public property insurer : TReference read Getinsurer write Setinsurer;

The Insurer who issued the coverage in question and is the author of the response.

Public property insurance : TCoverageEligibilityResponseInsuranceArray read GetinsuranceArray;

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

Public property preAuthRef : string read GetpreAuthRef write SetpreAuthRef;

A reference from the Insurer to which these services pertain to be used on further communication and as proof that the request occurred.

Public property preAuthRefElement : Tstring read GetpreAuthRefElement write SetpreAuthRefElement;
 
Public property form : TCodeableConcept read Getform write Setform;

A code for the form to be used for printing the content.

Public property error : TCoverageEligibilityResponseErrorArray read GeterrorArray;

Errors encountered during the processing of the request.

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