IGUHealth
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    Interface ExplanationOfBenefit

    interface ExplanationOfBenefit {
        _created?: Element;
        _disposition?: Element;
        _implicitRules?: Element;
        _language?: Element;
        _outcome?: Element;
        _preAuthRef?: Element[];
        _precedence?: Element;
        _status?: Element;
        _use?: Element;
        accident?: ExplanationOfBenefitAccident;
        addItem?: ExplanationOfBenefitAddItem[];
        adjudication?: ExplanationOfBenefitItemAdjudication[];
        benefitBalance?: ExplanationOfBenefitBenefitBalance[];
        benefitPeriod?: Period;
        billablePeriod?: Period;
        careTeam?: ExplanationOfBenefitCareTeam[];
        claim?: Reference;
        claimResponse?: Reference;
        contained?: ConcreteType[];
        created: dateTime;
        diagnosis?: ExplanationOfBenefitDiagnosis[];
        disposition?: string;
        enterer?: Reference;
        extension?: Extension[];
        facility?: Reference;
        form?: Attachment;
        formCode?: CodeableConcept;
        fundsReserve?: CodeableConcept;
        fundsReserveRequested?: CodeableConcept;
        id?: id;
        identifier?: Identifier[];
        implicitRules?: uri;
        insurance: ExplanationOfBenefitInsurance[];
        insurer: Reference;
        item?: ExplanationOfBenefitItem[];
        language?: code;
        meta?: Meta;
        modifierExtension?: Extension[];
        originalPrescription?: Reference;
        outcome: code;
        patient: Reference;
        payee?: ExplanationOfBenefitPayee;
        payment?: ExplanationOfBenefitPayment;
        preAuthRef?: string[];
        preAuthRefPeriod?: Period[];
        precedence?: positiveInt;
        prescription?: Reference;
        priority?: CodeableConcept;
        procedure?: ExplanationOfBenefitProcedure[];
        processNote?: ExplanationOfBenefitProcessNote[];
        provider: Reference;
        referral?: Reference;
        related?: ExplanationOfBenefitRelated[];
        resourceType: "ExplanationOfBenefit";
        status: code;
        subType?: CodeableConcept;
        supportingInfo?: ExplanationOfBenefitSupportingInfo[];
        text?: Narrative;
        total?: ExplanationOfBenefitTotal[];
        type: CodeableConcept;
        use: code;
    }
    Index

    Properties

    _created? _disposition? _implicitRules? _language? _outcome? _preAuthRef? _precedence? _status? _use? accident? addItem? adjudication? benefitBalance? benefitPeriod? billablePeriod? careTeam? claim? claimResponse? contained? created diagnosis? disposition? enterer? extension? facility? form? formCode? fundsReserve? fundsReserveRequested? id? identifier? implicitRules? insurance insurer item? language? meta? modifierExtension? originalPrescription? outcome patient payee? payment? preAuthRef? preAuthRefPeriod? precedence? prescription? priority? procedure? processNote? provider referral? related? resourceType status subType? supportingInfo? text? total? type use

    Properties

    Optional_created

    _created?: Element

    Response creation date

    Optional_disposition

    _disposition?: Element

    Disposition Message

    Optional_implicitRules

    _implicitRules?: Element

    A set of rules under which this content was created

    Optional_language

    _language?: Element

    Language of the resource content

    Optional_outcome

    _outcome?: Element

    queued | complete | error | partial

    Optional_preAuthRef

    _preAuthRef?: Element[]

    Preauthorization reference

    Optional_precedence

    _precedence?: Element

    Precedence (primary, secondary, etc.)

    Optional_status

    _status?: Element

    active | cancelled | draft | entered-in-error

    Optional_use

    _use?: Element

    claim | preauthorization | predetermination

    accident?: ExplanationOfBenefitAccident

    Details of the event

    addItem?: ExplanationOfBenefitAddItem[]

    Insurer added line items

    adjudication?: ExplanationOfBenefitItemAdjudication[]

    Header-level adjudication

    benefitBalance?: ExplanationOfBenefitBenefitBalance[]

    Balance by Benefit Category

    benefitPeriod?: Period

    When the benefits are applicable

    billablePeriod?: Period

    Relevant time frame for the claim

    careTeam?: ExplanationOfBenefitCareTeam[]

    Care Team members

    claim?: Reference

    Claim reference

    claimResponse?: Reference

    Claim response reference

    contained?: ConcreteType[]

    Contained, inline Resources

    created: dateTime

    Response creation date

    diagnosis?: ExplanationOfBenefitDiagnosis[]

    Pertinent diagnosis information

    disposition?: string

    Disposition Message

    enterer?: Reference

    Author of the claim

    extension?: Extension[]

    Additional content defined by implementations

    facility?: Reference

    Servicing Facility

    form?: Attachment

    Printed reference or actual form

    formCode?: CodeableConcept

    Printed form identifier

    fundsReserve?: CodeableConcept

    Funds reserved status

    fundsReserveRequested?: CodeableConcept

    For whom to reserve funds

    id?: id

    Logical id of this artifact

    identifier?: Identifier[]

    Business Identifier for the resource

    implicitRules?: uri

    A set of rules under which this content was created

    insurance: ExplanationOfBenefitInsurance[]

    Patient insurance information

    insurer: Reference

    Party responsible for reimbursement

    item?: ExplanationOfBenefitItem[]

    Product or service provided

    language?: code

    Language of the resource content

    meta?: Meta

    Metadata about the resource

    modifierExtension?: Extension[]

    Extensions that cannot be ignored

    originalPrescription?: Reference

    Original prescription if superceded by fulfiller

    outcome: code

    queued | complete | error | partial

    patient: Reference

    The recipient of the products and services

    payee?: ExplanationOfBenefitPayee

    Recipient of benefits payable

    payment?: ExplanationOfBenefitPayment

    Payment Details

    preAuthRef?: string[]

    Preauthorization reference

    preAuthRefPeriod?: Period[]

    Preauthorization in-effect period

    precedence?: positiveInt

    Precedence (primary, secondary, etc.)

    prescription?: Reference

    Prescription authorizing services or products

    priority?: CodeableConcept

    Desired processing urgency

    procedure?: ExplanationOfBenefitProcedure[]

    Clinical procedures performed

    processNote?: ExplanationOfBenefitProcessNote[]

    Note concerning adjudication

    provider: Reference

    Party responsible for the claim

    referral?: Reference

    Treatment Referral

    related?: ExplanationOfBenefitRelated[]

    Prior or corollary claims

    resourceType: "ExplanationOfBenefit"
    status: code

    active | cancelled | draft | entered-in-error

    subType?: CodeableConcept

    More granular claim type

    supportingInfo?: ExplanationOfBenefitSupportingInfo[]

    Supporting information

    Optionaltext

    text?: Narrative

    Text summary of the resource, for human interpretation

    total?: ExplanationOfBenefitTotal[]

    Adjudication totals

    type: CodeableConcept

    Category or discipline

    use: code

    claim | preauthorization | predetermination

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