This resource provides the adjudication details from the processing of a Claim resource.
Properties
BackboneElement
Insurer added line items.
Property methods: addItemBuildValueArray(), addItemCollectionToDisplay(), addItemCollectionToOdbc(), addItemDisplayToCollection(), addItemGet(), addItemGetObject(), addItemGetObjectId(), addItemGetSwizzled(), addItemIsValid(), addItemOdbcToCollection(), addItemSet(), addItemSetObject(), addItemSetObjectId()
Reference
Request for additional information.
CommunicationRequest
Property methods: communicationRequestBuildValueArray(), communicationRequestCollectionToDisplay(), communicationRequestCollectionToOdbc(), communicationRequestDisplayToCollection(), communicationRequestGet(), communicationRequestGetObject(), communicationRequestGetObjectId(), communicationRequestGetSwizzled(), communicationRequestIsValid(), communicationRequestOdbcToCollection(), communicationRequestSet(), communicationRequestSetObject(), communicationRequestSetObjectId()
property created as %String (MAXLEN = 1000000, XMLNAME = "created", XMLPROJECTION = "ATTRIBUTE");
dateTime
Creation date.
Property methods: createdDisplayToLogical(), createdGet(), createdIsValid(), createdLogicalToDisplay(), createdLogicalToOdbc(), createdNormalize(), createdSet()
property disposition as %String (MAXLEN = 1000000, XMLNAME = "disposition", XMLPROJECTION = "ATTRIBUTE");
string
Disposition Message.
Property methods: dispositionDisplayToLogical(), dispositionGet(), dispositionIsValid(), dispositionLogicalToDisplay(), dispositionLogicalToOdbc(), dispositionNormalize(), dispositionSet()
BackboneElement
Processing errors.
Property methods: errorBuildValueArray(), errorCollectionToDisplay(), errorCollectionToOdbc(), errorDisplayToCollection(), errorGet(), errorGetObject(), errorGetObjectId(), errorGetSwizzled(), errorIsValid(), errorOdbcToCollection(), errorSet(), errorSetObject(), errorSetObjectId()
CodeableConcept
Printed Form Identifier.
any FHIR3 code may be used;
forms shows EXAMPLE codes,
but you may use codes from any ValueSet.
Property methods: formGet(), formGetSwizzled(), formIsValid(), formNewObject(), formSet()
Identifier
Response number.
Property methods: identifierBuildValueArray(), identifierCollectionToDisplay(), identifierCollectionToOdbc(), identifierDisplayToCollection(), identifierGet(), identifierGetObject(), identifierGetObjectId(), identifierGetSwizzled(), identifierIsValid(), identifierOdbcToCollection(), identifierSet(), identifierSetObject(), identifierSetObjectId()
BackboneElement
Insurance or medical plan.
Property methods: insuranceBuildValueArray(), insuranceCollectionToDisplay(), insuranceCollectionToOdbc(), insuranceDisplayToCollection(), insuranceGet(), insuranceGetObject(), insuranceGetObjectId(), insuranceGetSwizzled(), insuranceIsValid(), insuranceOdbcToCollection(), insuranceSet(), insuranceSetObject(), insuranceSetObjectId()
Reference
Insurance issuing organization.
Organization
Property methods: insurerGet(), insurerGetSwizzled(), insurerIsValid(), insurerNewObject(), insurerSet()
BackboneElement
Line items.
Property methods: itemBuildValueArray(), itemCollectionToDisplay(), itemCollectionToOdbc(), itemDisplayToCollection(), itemGet(), itemGetObject(), itemGetObjectId(), itemGetSwizzled(), itemIsValid(), itemOdbcToCollection(), itemSet(), itemSetObject(), itemSetObjectId()
CodeableConcept
complete | error | partial
any FHIR3 code may be used;
remittance-outcome shows EXAMPLE codes,
but you may use codes from any ValueSet.
Property methods: outcomeGet(), outcomeGetSwizzled(), outcomeIsValid(), outcomeNewObject(), outcomeSet()
Reference
The subject of the Products and Services.
Patient
Property methods: patientGet(), patientGetSwizzled(), patientIsValid(), patientNewObject(), patientSet()
CodeableConcept
Party to be paid any benefits payable.
any FHIR3 code may be used;
payeetype shows EXAMPLE codes,
but you may use codes from any ValueSet.
Property methods: payeeTypeGet(), payeeTypeGetSwizzled(), payeeTypeIsValid(), payeeTypeNewObject(), payeeTypeSet()
BackboneElement
Payment details,
if paid.
Property methods: paymentGet(), paymentGetSwizzled(), paymentIsValid(), paymentNewObject(), paymentSet()
BackboneElement
Processing notes.
Property methods: processNoteBuildValueArray(), processNoteCollectionToDisplay(), processNoteCollectionToOdbc(), processNoteDisplayToCollection(), processNoteGet(), processNoteGetObject(), processNoteGetObjectId(), processNoteGetSwizzled(), processNoteIsValid(), processNoteOdbcToCollection(), processNoteSet(), processNoteSetObject(), processNoteSetObjectId()
Reference
Id of resource triggering adjudication.
Claim
Property methods: requestGet(), requestGetSwizzled(), requestIsValid(), requestNewObject(), requestSet()
Reference
Responsible organization.
Organization
Property methods: requestOrganizationGet(), requestOrganizationGetSwizzled(), requestOrganizationIsValid(), requestOrganizationNewObject(), requestOrganizationSet()
Reference
Responsible practitioner.
Practitioner
Property methods: requestProviderGet(), requestProviderGetSwizzled(), requestProviderIsValid(), requestProviderNewObject(), requestProviderSet()
Coding
Funds reserved status.
any FHIR3 code may be used;
fundsreserve shows EXAMPLE codes,
but you may use codes from any ValueSet.
Property methods: reservedGet(), reservedGetSwizzled(), reservedIsValid(), reservedNewObject(), reservedSet()
property status as %String (MAXLEN = 1000000, XMLNAME = "status", XMLPROJECTION = "ATTRIBUTE");
code
active | cancelled | draft | entered-in-error
fm-status is the REQUIRED FHIR3 ValueSet for codes;
you may NOT extend fm-status and you may NOT use codes from other ValueSets.
Property methods: statusDisplayToLogical(), statusGet(), statusIsValid(), statusLogicalToDisplay(), statusLogicalToOdbc(), statusNormalize(), statusSet()
Money
Total benefit payable for the Claim.
Property methods: totalBenefitGet(), totalBenefitGetSwizzled(), totalBenefitIsValid(), totalBenefitNewObject(), totalBenefitSet()
Money
Total Cost of service from the Claim.
Property methods: totalCostGet(), totalCostGetSwizzled(), totalCostIsValid(), totalCostNewObject(), totalCostSet()
Money
Unallocated deductible.
Property methods: unallocDeductableGet(), unallocDeductableGetSwizzled(), unallocDeductableIsValid(), unallocDeductableNewObject(), unallocDeductableSet()