IGUHealth
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    Interface ExplanationOfBenefitItemDetailSubDetail

    interface ExplanationOfBenefitItemDetailSubDetail {
        _factor?: Element;
        _noteNumber?: Element[];
        _sequence?: Element;
        adjudication?: ExplanationOfBenefitItemAdjudication[];
        category?: CodeableConcept;
        extension?: Extension[];
        factor?: decimal;
        id?: id;
        modifier?: CodeableConcept[];
        modifierExtension?: Extension[];
        net?: Money;
        noteNumber?: positiveInt[];
        productOrService: CodeableConcept;
        programCode?: CodeableConcept[];
        quantity?: Quantity;
        revenue?: CodeableConcept;
        sequence: positiveInt;
        udi?: Reference[];
        unitPrice?: Money;
    }
    Index

    Properties

    _factor? _noteNumber? _sequence? adjudication? category? extension? factor? id? modifier? modifierExtension? net? noteNumber? productOrService programCode? quantity? revenue? sequence udi? unitPrice?

    Properties

    Optional_factor

    _factor?: Element

    Price scaling factor

    Optional_noteNumber

    _noteNumber?: Element[]

    Applicable note numbers

    Optional_sequence

    _sequence?: Element

    Product or service provided

    adjudication?: ExplanationOfBenefitItemAdjudication[]

    Subdetail level adjudication details

    category?: CodeableConcept

    Benefit classification

    extension?: Extension[]

    Additional content defined by implementations

    factor?: decimal

    Price scaling factor

    id?: id

    Unique id for inter-element referencing

    modifier?: CodeableConcept[]

    Service/Product billing modifiers

    modifierExtension?: Extension[]

    Extensions that cannot be ignored even if unrecognized

    net?: Money

    Total item cost

    noteNumber?: positiveInt[]

    Applicable note numbers

    productOrService: CodeableConcept

    Billing, service, product, or drug code

    programCode?: CodeableConcept[]

    Program the product or service is provided under

    quantity?: Quantity

    Count of products or services

    revenue?: CodeableConcept

    Revenue or cost center code

    sequence: positiveInt

    Product or service provided

    udi?: Reference[]

    Unique device identifier

    unitPrice?: Money

    Fee, charge or cost per item

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