Class TExplanationOfBenefitAddItem

Unit

Declaration

type TExplanationOfBenefitAddItem = 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 sequenceLinkId : TBSFHIRPrimitiveStringArray read GetsequenceLinkIdArray;
Public property revenue : TCodeableConcept read Getrevenue write Setrevenue;
Public property category : TCodeableConcept read Getcategory write Setcategory;
Public property service : TCodeableConcept read Getservice write Setservice;
Public property modifier : TCodeableConceptArray read GetmodifierArray;
Public property fee : TMoney read Getfee write Setfee;
Public property noteNumber : TBSFHIRPrimitiveStringArray read GetnoteNumberArray;
Public property adjudication : TExplanationOfBenefitAdjudicationArray read GetadjudicationArray;
Public property detail : TExplanationOfBenefitDetail1Array read GetdetailArray;

Description

Methods

Public constructor Create; override;
 

Properties

Public property sequenceLinkId : TBSFHIRPrimitiveStringArray read GetsequenceLinkIdArray;

List of input service items which this service line is intended to replace.

Public property revenue : TCodeableConcept read Getrevenue write Setrevenue;

The type of reveneu or cost center providing the product and/or service.

Public property category : TCodeableConcept read Getcategory write Setcategory;

Health Care Service Type Codes to identify the classification of service or benefits.

Public property service : TCodeableConcept read Getservice write Setservice;

If this is an actual service or product line, ie. not a Group, then use code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'.

Public property modifier : TCodeableConceptArray read GetmodifierArray;

Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.

Public property fee : TMoney read Getfee write Setfee;

The fee charged for the professional service or product.

Public property noteNumber : TBSFHIRPrimitiveStringArray read GetnoteNumberArray;

A list of note references to the notes provided below.

Public property adjudication : TExplanationOfBenefitAdjudicationArray read GetadjudicationArray;

The adjudications results.

Public property detail : TExplanationOfBenefitDetail1Array read GetdetailArray;

The second tier service adjudications for payor added services.


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