Class TExplanationOfBenefitDetail
Unit
bsFhir_r5
Declaration
type TExplanationOfBenefitDetail = 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
Properties
Description
Methods
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constructor Create; override; |
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Properties
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property sequence : Int64 read Getsequence write Setsequence; |
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A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
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property sequenceElement : TpositiveInt read GetsequenceElement write SetsequenceElement; |
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property traceNumber : TIdentifierArray read GettraceNumberArray; |
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Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners.
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property revenue : TCodeableConcept read Getrevenue write Setrevenue; |
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The type of revenue or cost center providing the product and/or service.
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property category : TCodeableConcept read Getcategory write Setcategory; |
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Code to identify the general type of benefits under which products and services are provided.
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property productOrService : TCodeableConcept read GetproductOrService write SetproductOrService; |
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When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used.
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property productOrServiceEnd : TCodeableConcept read GetproductOrServiceEnd write SetproductOrServiceEnd; |
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This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims.
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property modifier : TCodeableConceptArray read GetmodifierArray; |
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Item typification or modifiers codes to convey additional context for the product or service.
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property programCode : TCodeableConceptArray read GetprogramCodeArray; |
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Identifies the program under which this may be recovered.
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property patientPaid : TMoney read GetpatientPaid write SetpatientPaid; |
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The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services.
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property quantity : TQuantity read Getquantity write Setquantity; |
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The number of repetitions of a service or product.
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property unitPrice : TMoney read GetunitPrice write SetunitPrice; |
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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.
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property factor : Double read Getfactor write Setfactor; |
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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.
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property factorElement : Tdecimal read GetfactorElement write SetfactorElement; |
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property tax : TMoney read Gettax write Settax; |
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The total of taxes applicable for this product or service.
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property net : TMoney read Getnet write Setnet; |
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The total amount claimed for the group (if a grouper) or the line item.detail. Net = unit price * quantity * factor.
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property udi : TReferenceArray read GetudiArray; |
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Unique Device Identifiers associated with this line item.
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property noteNumber : TBSFHIRPrimitiveStringArray read GetnoteNumberArray; |
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The numbers associated with notes below which apply to the adjudication of this item.
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property reviewOutcome : TExplanationOfBenefitReviewOutcome read GetreviewOutcome write SetreviewOutcome; |
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The high-level results of the adjudication if adjudication has been performed.
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Generated by PasDoc 0.15.0.
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