Optional_Optional_Preauthorization requirements endpoint
Optional_Description of the benefit or services covered
Optional_Excluded from the plan
Optional_Short name for the benefit
OptionalauthorizationAuthorization required flag
OptionalauthorizationType of required supporting materials
OptionalauthorizationPreauthorization requirements endpoint
OptionalbenefitBenefit Summary
OptionalcategoryBenefit classification
OptionaldescriptionDescription of the benefit or services covered
OptionalexcludedExcluded from the plan
OptionalextensionAdditional content defined by implementations
OptionalidUnique id for inter-element referencing
OptionalmodifierProduct or service billing modifiers
OptionalmodifierExtensions that cannot be ignored even if unrecognized
OptionalnameShort name for the benefit
OptionalnetworkIn or out of network
OptionalproductBilling, service, product, or drug code
OptionalproviderPerforming practitioner
OptionaltermAnnual or lifetime
OptionalunitIndividual or family
Authorization required flag