Optional
_Optional
_Preauthorization requirements endpoint
Optional
_Description of the benefit or services covered
Optional
_Excluded from the plan
Optional
_Short name for the benefit
Optional
authorizationAuthorization required flag
Optional
authorizationType of required supporting materials
Optional
authorizationPreauthorization requirements endpoint
Optional
benefitBenefit Summary
Optional
categoryBenefit classification
Optional
descriptionDescription of the benefit or services covered
Optional
excludedExcluded from the plan
Optional
extensionAdditional content defined by implementations
Optional
idUnique id for inter-element referencing
Optional
modifierProduct or service billing modifiers
Optional
modifierExtensions that cannot be ignored even if unrecognized
Optional
nameShort name for the benefit
Optional
networkIn or out of network
Optional
productBilling, service, product, or drug code
Optional
providerPerforming practitioner
Optional
termAnnual or lifetime
Optional
unitIndividual or family
Authorization required flag