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;
}

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

OptionaladdItem

addItem?: ClaimResponseAddItem[]

Insurer added line items

Optionaladjudication

adjudication?: ClaimResponseItemAdjudication[]

Header-level adjudication

OptionalcommunicationRequest

communicationRequest?: Reference[]

Request for additional information

Optionalcontained

contained?: ConcreteType[]

Contained, inline Resources

created

created: dateTime

Response creation date

Optionaldisposition

disposition?: string

Disposition Message

Optionalerror

error?: ClaimResponseError[]

Processing errors

Optionalextension

extension?: Extension[]

Additional content defined by implementations

Optionalform

form?: Attachment

Printed reference or actual form

OptionalformCode

formCode?: CodeableConcept

Printed form identifier

OptionalfundsReserve

fundsReserve?: CodeableConcept

Funds reserved status

Optionalid

id?: id

Logical id of this artifact

Optionalidentifier

identifier?: Identifier[]

Business Identifier for a claim response

OptionalimplicitRules

implicitRules?: uri

A set of rules under which this content was created

Optionalinsurance

insurance?: ClaimResponseInsurance[]

Patient insurance information

insurer

insurer: Reference

Party responsible for reimbursement

Optionalitem

item?: ClaimResponseItem[]

Adjudication for claim line items

Optionallanguage

language?: code

Language of the resource content

Optionalmeta

meta?: Meta

Metadata about the resource

OptionalmodifierExtension

modifierExtension?: Extension[]

Extensions that cannot be ignored

outcome

outcome: code

queued | complete | error | partial

patient

patient: Reference

The recipient of the products and services

OptionalpayeeType

payeeType?: CodeableConcept

Party to be paid any benefits payable

Optionalpayment

payment?: ClaimResponsePayment

Payment Details

OptionalpreAuthPeriod

preAuthPeriod?: Period

Preauthorization reference effective period

OptionalpreAuthRef

preAuthRef?: string

Preauthorization reference

OptionalprocessNote

processNote?: ClaimResponseProcessNote[]

Note concerning adjudication

Optionalrequest

request?: Reference

Id of resource triggering adjudication

Optionalrequestor

requestor?: Reference

Party responsible for the claim

resourceType

resourceType

status

status: code

active | cancelled | draft | entered-in-error

OptionalsubType

subType?: CodeableConcept

More granular claim type

Optionaltext

text?: Narrative

Text summary of the resource, for human interpretation

Optionaltotal

total?: ClaimResponseTotal[]

Adjudication totals

type

type: CodeableConcept

More granular claim type

use

use: code

claim | preauthorization | predetermination

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