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

Overview

Methods

Public constructor Create; override;

Properties

Public property category : TCodeableConcept read Getcategory write Setcategory;
Public property reason : TCodeableConcept read Getreason write Setreason;
Public property amount : TMoney read Getamount write Setamount;
Public property quantity : TQuantity read Getquantity write Setquantity;

Description

Methods

Public constructor Create; override;
 

Properties

Public property category : TCodeableConcept read Getcategory write Setcategory;

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.

Public property reason : TCodeableConcept read Getreason write Setreason;

A code supporting the understanding of the adjudication result and explaining variance from expected amount.

Public property amount : TMoney read Getamount write Setamount;

Monetary amount associated with the category.

Public property quantity : TQuantity read Getquantity write Setquantity;

A non-monetary value associated with the category. Mutually exclusive to the amount element above.


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