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 value : Double read Getvalue write Setvalue;
Public property valueElement : Tdecimal read GetvalueElement write SetvalueElement;

Description

Methods

Public constructor Create; override;
 

Properties

Public property category : TCodeableConcept read Getcategory write Setcategory;

Code indicating: Co-Pay, deductable, elegible, benefit, tax, etc.

Public property reason : TCodeableConcept read Getreason write Setreason;

Adjudication reason such as limit reached.

Public property amount : TMoney read Getamount write Setamount;

Monitory amount associated with the code.

Public property value : Double read Getvalue write Setvalue;

A non-monetary value for example a percentage. Mutually exclusive to the amount element above.

Public property valueElement : Tdecimal read GetvalueElement write SetvalueElement;
 

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