IGUHealth
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    Interface ClaimResponse

    interface ClaimResponse {
        _created?: Element;
        _disposition?: Element;
        _implicitRules?: Element;
        _language?: Element;
        _outcome?: Element;
        _preAuthRef?: Element;
        _status?: Element;
        _use?: Element;
        addItem?: ClaimResponseAddItem[];
        adjudication?: ClaimResponseItemAdjudication[];
        communicationRequest?: Reference[];
        contained?: ConcreteType[];
        created: dateTime;
        disposition?: string;
        error?: ClaimResponseError[];
        extension?: Extension[];
        form?: Attachment;
        formCode?: CodeableConcept;
        fundsReserve?: CodeableConcept;
        id?: id;
        identifier?: Identifier[];
        implicitRules?: uri;
        insurance?: ClaimResponseInsurance[];
        insurer: Reference;
        item?: ClaimResponseItem[];
        language?: code;
        meta?: Meta;
        modifierExtension?: Extension[];
        outcome: code;
        patient: Reference;
        payeeType?: CodeableConcept;
        payment?: ClaimResponsePayment;
        preAuthPeriod?: Period;
        preAuthRef?: string;
        processNote?: ClaimResponseProcessNote[];
        request?: Reference;
        requestor?: Reference;
        resourceType: "ClaimResponse";
        status: code;
        subType?: CodeableConcept;
        text?: Narrative;
        total?: ClaimResponseTotal[];
        type: CodeableConcept;
        use: code;
    }
    Index

    Properties

    _created? _disposition? _implicitRules? _language? _outcome? _preAuthRef? _status? _use? addItem? adjudication? communicationRequest? contained? created disposition? error? extension? form? formCode? fundsReserve? id? identifier? implicitRules? insurance? insurer item? language? meta? modifierExtension? outcome patient payeeType? payment? preAuthPeriod? preAuthRef? processNote? request? requestor? resourceType status subType? 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_status

    _status?: Element

    active | cancelled | draft | entered-in-error

    Optional_use

    _use?: Element

    claim | preauthorization | predetermination

    addItem?: ClaimResponseAddItem[]

    Insurer added line items

    adjudication?: ClaimResponseItemAdjudication[]

    Header-level adjudication

    communicationRequest?: Reference[]

    Request for additional information

    contained?: ConcreteType[]

    Contained, inline Resources

    created: dateTime

    Response creation date

    disposition?: string

    Disposition Message

    error?: ClaimResponseError[]

    Processing errors

    extension?: Extension[]

    Additional content defined by implementations

    form?: Attachment

    Printed reference or actual form

    formCode?: CodeableConcept

    Printed form identifier

    fundsReserve?: CodeableConcept

    Funds reserved status

    id?: id

    Logical id of this artifact

    identifier?: Identifier[]

    Business Identifier for a claim response

    implicitRules?: uri

    A set of rules under which this content was created

    insurance?: ClaimResponseInsurance[]

    Patient insurance information

    insurer: Reference

    Party responsible for reimbursement

    item?: ClaimResponseItem[]

    Adjudication for claim line items

    language?: code

    Language of the resource content

    meta?: Meta

    Metadata about the resource

    modifierExtension?: Extension[]

    Extensions that cannot be ignored

    outcome: code

    queued | complete | error | partial

    patient: Reference

    The recipient of the products and services

    payeeType?: CodeableConcept

    Party to be paid any benefits payable

    payment?: ClaimResponsePayment

    Payment Details

    preAuthPeriod?: Period

    Preauthorization reference effective period

    preAuthRef?: string

    Preauthorization reference

    processNote?: ClaimResponseProcessNote[]

    Note concerning adjudication

    request?: Reference

    Id of resource triggering adjudication

    requestor?: Reference

    Party responsible for the claim

    resourceType: "ClaimResponse"
    status: code

    active | cancelled | draft | entered-in-error

    subType?: CodeableConcept

    More granular claim type

    Optionaltext

    text?: Narrative

    Text summary of the resource, for human interpretation

    total?: ClaimResponseTotal[]

    Adjudication totals

    type: CodeableConcept

    More granular claim type

    use: code

    claim | preauthorization | predetermination

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