Besa Fhir Help File

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Identifiers

Class TClaimResponse

Description
Hierarchy
Fields
Methods
Properties

Unit

bsFhir_stu3

Declaration

type TClaimResponse = class(TDomainResource)

Description

This resource provides the adjudication details from the processing of a Claim 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 patient : TReference read Getpatient write Setpatient;
Public property created : string read Getcreated write Setcreated;
Public property createdElement : TdateTime_ read GetcreatedElement write SetcreatedElement;
Public property insurer : TReference read Getinsurer write Setinsurer;
Public property requestProvider : TReference read GetrequestProvider write SetrequestProvider;
Public property requestOrganization : TReference read GetrequestOrganization write SetrequestOrganization;
Public property request : TReference read Getrequest write Setrequest;
Public property outcome : TCodeableConcept read Getoutcome write Setoutcome;
Public property disposition : string read Getdisposition write Setdisposition;
Public property dispositionElement : Tstring read GetdispositionElement write SetdispositionElement;
Public property payeeType : TCodeableConcept read GetpayeeType write SetpayeeType;
Public property item : TClaimResponseItemArray read GetitemArray;
Public property addItem : TClaimResponseAddItemArray read GetaddItemArray;
Public property error : TClaimResponseErrorArray read GeterrorArray;
Public property totalCost : TMoney read GettotalCost write SettotalCost;
Public property unallocDeductable : TMoney read GetunallocDeductable write SetunallocDeductable;
Public property totalBenefit : TMoney read GettotalBenefit write SettotalBenefit;
Public property payment : TClaimResponsePayment read Getpayment write Setpayment;
Public property reserved : TCoding read Getreserved write Setreserved;
Public property form : TCodeableConcept read Getform write Setform;
Public property processNote : TClaimResponseProcessNoteArray read GetprocessNoteArray;
Public property communicationRequest : TReferenceArray read GetcommunicationRequestArray;
Public property insurance : TClaimResponseInsuranceArray read GetinsuranceArray;

Description

Methods

Public constructor Create; override;
 

Properties

Public property identifier : TIdentifierArray read GetidentifierArray;

The Response business identifier.

Public property status : string read Getstatus write Setstatus;

The status of the resource instance.

Public property statusElement : TFinancialResourceStatusCodes read GetstatusElement write SetstatusElement;
 
Public property patient : TReference read Getpatient write Setpatient;

Patient Resource.

Public property created : string read Getcreated write Setcreated;

The date when the enclosed suite of services were performed or completed.

Public property createdElement : TdateTime_ read GetcreatedElement write SetcreatedElement;
 
Public property insurer : TReference read Getinsurer write Setinsurer;

The Insurer who produced this adjudicated response.

Public property requestProvider : TReference read GetrequestProvider write SetrequestProvider;

The practitioner who is responsible for the services rendered to the patient.

Public property requestOrganization : TReference read GetrequestOrganization write SetrequestOrganization;

The organization which is responsible for the services rendered to the patient.

Public property request : TReference read Getrequest write Setrequest;

Original request resource referrence.

Public property outcome : TCodeableConcept read Getoutcome write Setoutcome;

Processing outcome errror, partial or complete processing.

Public property disposition : string read Getdisposition write Setdisposition;

A description of the status of the adjudication.

Public property dispositionElement : Tstring read GetdispositionElement write SetdispositionElement;
 
Public property payeeType : TCodeableConcept read GetpayeeType write SetpayeeType;

Party to be reimbursed: Subscriber, provider, other.

Public property item : TClaimResponseItemArray read GetitemArray;

The first tier service adjudications for submitted services.

Public property addItem : TClaimResponseAddItemArray read GetaddItemArray;

The first tier service adjudications for payor added services.

Public property error : TClaimResponseErrorArray read GeterrorArray;

Mutually exclusive with Services Provided (Item).

Public property totalCost : TMoney read GettotalCost write SettotalCost;

The total cost of the services reported.

Public property unallocDeductable : TMoney read GetunallocDeductable write SetunallocDeductable;

The amount of deductible applied which was not allocated to any particular service line.

Public property totalBenefit : TMoney read GettotalBenefit write SettotalBenefit;

Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductible).

Public property payment : TClaimResponsePayment read Getpayment write Setpayment;

Payment details for the claim if the claim has been paid.

Public property reserved : TCoding read Getreserved write Setreserved;

Status of funds reservation (For provider, for Patient, None).

Public property form : TCodeableConcept read Getform write Setform;

The form to be used for printing the content.

Public property processNote : TClaimResponseProcessNoteArray read GetprocessNoteArray;

Note text.

Public property communicationRequest : TReferenceArray read GetcommunicationRequestArray;

Request for additional supporting or authorizing information, such as: documents, images or resources.

Public property insurance : TClaimResponseInsuranceArray read GetinsuranceArray;

Financial instrument by which payment information for health care.

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