Besa Fhir Help File
Class TExplanationOfBenefitAdjudication
Unit
Declaration
type TExplanationOfBenefitAdjudication = 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
- TBSTypedObject
- TBSFHIRValue
- TBSFHIRObject
- TBase
- TElement
- TBackboneElement
- TExplanationOfBenefitAdjudication
Overview
Methods
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constructor Create; override; |
Properties
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property category : TCodeableConcept read Getcategory write Setcategory; |
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property reason : TCodeableConcept read Getreason write Setreason; |
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property amount : TMoney read Getamount write Setamount; |
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property quantity : TQuantity read Getquantity write Setquantity; |
Description
Methods
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constructor Create; override; |
Properties
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property category : TCodeableConcept read Getcategory write Setcategory; |
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A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item. | |
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property reason : TCodeableConcept read Getreason write Setreason; |
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A code supporting the understanding of the adjudication result and explaining variance from expected amount. | |
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property amount : TMoney read Getamount write Setamount; |
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Monetary amount associated with the category. | |
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property quantity : TQuantity read Getquantity write Setquantity; |
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A non-monetary value associated with the category. Mutually exclusive to the amount element above. | |
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