Class TExplanationOfBenefitBenefitBalance

Unit

Declaration

type TExplanationOfBenefitBenefitBalance = 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 subCategory : TCodeableConcept read GetsubCategory write SetsubCategory;
Public property excluded : boolean read Getexcluded write Setexcluded;
Public property excludedElement : Tboolean read GetexcludedElement write SetexcludedElement;
Public property name_ : string read Getname_ write Setname_;
Public property name_Element : Tstring read Getname_Element write Setname_Element;
Public property description : string read Getdescription write Setdescription;
Public property descriptionElement : Tstring read GetdescriptionElement write SetdescriptionElement;
Public property network : TCodeableConcept read Getnetwork write Setnetwork;
Public property unit_ : TCodeableConcept read Getunit_ write Setunit_;
Public property term : TCodeableConcept read Getterm write Setterm;
Public property financial : TExplanationOfBenefitFinancialArray read GetfinancialArray;

Description

Methods

Public constructor Create; override;
 

Properties

Public property category : TCodeableConcept read Getcategory write Setcategory;

Dental, Vision, Medical, Pharmacy, Rehab etc.

Public property subCategory : TCodeableConcept read GetsubCategory write SetsubCategory;

Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.

Public property excluded : boolean read Getexcluded write Setexcluded;

True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage.

Public property excludedElement : Tboolean read GetexcludedElement write SetexcludedElement;
 
Public property name_ : string read Getname_ write Setname_;

A short name or tag for the benefit, for example MED01, or DENT2.

Public property name_Element : Tstring read Getname_Element write Setname_Element;
 
Public property description : string read Getdescription write Setdescription;

A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services'.

Public property descriptionElement : Tstring read GetdescriptionElement write SetdescriptionElement;
 
Public property network : TCodeableConcept read Getnetwork write Setnetwork;

Network designation.

Public property unit_ : TCodeableConcept read Getunit_ write Setunit_;

Unit designation: individual or family.

Public property term : TCodeableConcept read Getterm write Setterm;

The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'.

Public property financial : TExplanationOfBenefitFinancialArray read GetfinancialArray;

Benefits Used to date.


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