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HS.SDA3.MedicalClaimLine

serial class HS.SDA3.MedicalClaimLine extends HS.SDA3.SuperClass, HS.SDA3.AbstractClaimLine

MedicalClaim is neither parsed from HL7, nor is it stored to the Viewer
Cache. It appears in the SDA as a list property of HS.SDA3.MedicalClaim.

Property Inventory

Properties

property APC as %String (MAXLEN = 50);
CMS APC methodology expected.
Property methods: APCDisplayToLogical(), APCGet(), APCIsValid(), APCLogicalToDisplay(), APCLogicalToOdbc(), APCNormalize(), APCSet()
property APCVersion as %String (MAXLEN = 50);
Version identifier of the APC Grouper used.
Property methods: APCVersionDisplayToLogical(), APCVersionGet(), APCVersionIsValid(), APCVersionLogicalToDisplay(), APCVersionLogicalToOdbc(), APCVersionNormalize(), APCVersionSet()
property ActualPaidDate as HS.SDA3.TimeStamp;
The date that appears on the check and/or remit and/or explanation of benefits and corresponds to any and all types of payment for this claim line (Claims paid in full, partial or zero paid).
837apP: loop2300().loop2400().loop2430(1).DTP:DateTimePeriod
Property methods: ActualPaidDateDisplayToLogical(), ActualPaidDateGet(), ActualPaidDateIsValid(), ActualPaidDateLogicalToDisplay(), ActualPaidDateLogicalToTimeStamp(), ActualPaidDateLogicalToXSD(), ActualPaidDateNormalize(), ActualPaidDateOdbcToLogical(), ActualPaidDateSet(), ActualPaidDateXSDToLogical()
deprecated property AllowedAmount as HS.SDA3.Numeric;
Deprecated
The maximum amount contractually allowed and payable for this claim line as defined by the carrier or its designee.
837apP: loop2300().loop2400().HCP:MonetaryAmount
This property is deprecated and has been replaced by the AdjudicationDetails property where "allowed" may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: AllowedAmountDisplayToLogical(), AllowedAmountGet(), AllowedAmountIsValid(), AllowedAmountLogicalToDisplay(), AllowedAmountNormalize(), AllowedAmountSet(), AllowedAmountXSDToLogical()
property AuthorizationNeeded as %String (DISPLAYLIST = ",Yes,No,Unknown,Other,NotApplicable", VALUELIST = ",1,2,3,4,5");
Numeric indicator that reports if a claim line requires an authorization by the carrier or its designee.
837apP: loop2300().loop2400().REF(1):RefIdQualifier
Property methods: AuthorizationNeededDisplayToLogical(), AuthorizationNeededGet(), AuthorizationNeededIsValid(), AuthorizationNeededLogicalToDisplay(), AuthorizationNeededLogicalToOdbc(), AuthorizationNeededNormalize(), AuthorizationNeededSet()
property AuthorizationNumber as %String (MAXLEN = 50);
Property methods: AuthorizationNumberDisplayToLogical(), AuthorizationNumberGet(), AuthorizationNumberIsValid(), AuthorizationNumberLogicalToDisplay(), AuthorizationNumberLogicalToOdbc(), AuthorizationNumberNormalize(), AuthorizationNumberSet()
deprecated property COBAmount as HS.SDA3.Numeric;
Deprecated
Coordination of benefit amount.
This property is deprecated and has been replaced by the AdjudicationDetails property where "cob" or another value may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: COBAmountDisplayToLogical(), COBAmountGet(), COBAmountIsValid(), COBAmountLogicalToDisplay(), COBAmountNormalize(), COBAmountSet(), COBAmountXSDToLogical()
property ClaimLineType as HS.SDA3.CodeTableDetail.ClaimLineType;
A code that reports the final outcome of the claim line during the submission period of the carrier or its designee.
Example: Original, Void, Replacement, Back Out, Amendment.Mbr>
Property methods: ClaimLineTypeGet(), ClaimLineTypeGetObject(), ClaimLineTypeGetObjectId(), ClaimLineTypeGetSwizzled(), ClaimLineTypeIsEmpty(), ClaimLineTypeIsValid(), ClaimLineTypeNewObject(), ClaimLineTypeSet(), ClaimLineTypeSetObject(), ClaimLineTypeSetObjectId(), ClaimLineTypeUnSwizzle()
property CoInsuranceDays as HS.SDA3.Numeric;
Property methods: CoInsuranceDaysDisplayToLogical(), CoInsuranceDaysGet(), CoInsuranceDaysIsValid(), CoInsuranceDaysLogicalToDisplay(), CoInsuranceDaysNormalize(), CoInsuranceDaysSet(), CoInsuranceDaysXSDToLogical()
deprecated property CoinsuranceAmount as HS.SDA3.Numeric;
Depreacted
The coinsurance amount applied to a claim line or full claim as calculated by the carrier or its designee.
837apP: loop2300().loop2400().loop2430(1).CAS(1):MonetaryAmount2
This property is deprecated and has been replaced by the AdjudicationDetails property where "coinsurance" may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: CoinsuranceAmountDisplayToLogical(), CoinsuranceAmountGet(), CoinsuranceAmountIsValid(), CoinsuranceAmountLogicalToDisplay(), CoinsuranceAmountNormalize(), CoinsuranceAmountSet(), CoinsuranceAmountXSDToLogical()
deprecated property CopayAmount as HS.SDA3.Numeric;
Deprecated
The copay amount applied to a claim line or full claim as calculated by the carrier or its designee.
837apP: loop2300().loop2400().loop2430(1).CAS(1):MonetaryAmount
This property is deprecated and has been replaced by the AdjudicationDetails property where "copay" may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: CopayAmountDisplayToLogical(), CopayAmountGet(), CopayAmountIsValid(), CopayAmountLogicalToDisplay(), CopayAmountNormalize(), CopayAmountSet(), CopayAmountXSDToLogical()
property CoveredDays as HS.SDA3.Numeric;
Amount of inpatient days paid for by the carrier.
If not available, the number of days authorized by the carrier for the admission.
Property methods: CoveredDaysDisplayToLogical(), CoveredDaysGet(), CoveredDaysIsValid(), CoveredDaysLogicalToDisplay(), CoveredDaysNormalize(), CoveredDaysSet(), CoveredDaysXSDToLogical()
deprecated property DeductibleAmount as HS.SDA3.Numeric;
Deprecated
The copay amount applied to a claim line or full claim as calculated by the carrier or its designee.
837apP: loop2300().loop2400().loop2430(1).CAS(1):MonetaryAmount
This property is deprecated and has been replaced by the AdjudicationDetails property where "deductible" may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: DeductibleAmountDisplayToLogical(), DeductibleAmountGet(), DeductibleAmountIsValid(), DeductibleAmountLogicalToDisplay(), DeductibleAmountNormalize(), DeductibleAmountSet(), DeductibleAmountXSDToLogical()
property DeniedFlag as %String (DISPLAYLIST = ",Yes,No,Unknown,Other,NotApplicable", VALUELIST = ",1,2,3,4,5");
Numeric indicator that reports if the claim line was denied by the claims processor.
Property methods: DeniedFlagDisplayToLogical(), DeniedFlagGet(), DeniedFlagIsValid(), DeniedFlagLogicalToDisplay(), DeniedFlagLogicalToOdbc(), DeniedFlagNormalize(), DeniedFlagSet()
property DiagnosticPointer as HS.SDA3.Numeric;
A numeric indicator that aligns each claim line service to a diagnosis:
1 for Principal Diagnosis; 2 for Other Diagnosis-1; 3 for Other Diagnosis-2, etc.
837apP: loop2300().loop2400().SV1:CompositeDiagnosisCodePointe
Property methods: DiagnosticPointerDisplayToLogical(), DiagnosticPointerGet(), DiagnosticPointerIsValid(), DiagnosticPointerLogicalToDisplay(), DiagnosticPointerNormalize(), DiagnosticPointerSet(), DiagnosticPointerXSDToLogical()
property DischargeDate as HS.SDA3.TimeStamp;
The date the Member was discharged from the inpatient facility.
Inpatient claims may or may not repeat this date on all lines.
Property methods: DischargeDateDisplayToLogical(), DischargeDateGet(), DischargeDateIsValid(), DischargeDateLogicalToDisplay(), DischargeDateLogicalToTimeStamp(), DischargeDateLogicalToXSD(), DischargeDateNormalize(), DischargeDateOdbcToLogical(), DischargeDateSet(), DischargeDateXSDToLogical()
property DrugCode as HS.SDA3.CodeTableDetail.DrugProduct;
A standard NDC Code as defined by the FDA in 5-4-2 format without hyphenation.
837apP: loop2300().loop2400().loop2410.LIN:ProductServiceID
Property methods: DrugCodeGet(), DrugCodeGetObject(), DrugCodeGetObjectId(), DrugCodeGetSwizzled(), DrugCodeIsEmpty(), DrugCodeIsValid(), DrugCodeNewObject(), DrugCodeSet(), DrugCodeSetObject(), DrugCodeSetObjectId(), DrugCodeUnSwizzle()
The ICD9 External Injury code for Patients with trauma or accidents.
Property methods: ECodeGet(), ECodeGetObject(), ECodeGetObjectId(), ECodeGetSwizzled(), ECodeIsEmpty(), ECodeIsValid(), ECodeNewObject(), ECodeSet(), ECodeSetObject(), ECodeSetObjectId(), ECodeUnSwizzle()
property EPSDTIndicator as %String (DISPLAYLIST = ",Unknown,EPSDT Screen,EPSDT Treatment,EPSDT Referral", VALUELIST = ",0,1,2,3");
Numeric indicator that reports the claim line service's relation to EPSDT services.
837apP: loop2300().loop2400().SV1:YesNoConditionorResponseCode2
Property methods: EPSDTIndicatorDisplayToLogical(), EPSDTIndicatorGet(), EPSDTIndicatorIsValid(), EPSDTIndicatorLogicalToDisplay(), EPSDTIndicatorLogicalToOdbc(), EPSDTIndicatorNormalize(), EPSDTIndicatorSet()
deprecated property ExcludeExpense as HS.SDA3.Numeric;
Deprecated
The amount that a carrier or its designee has determined to be over the plan limitations for Patient utilization.
837apP: loop2300().loop2400().loop2430(1).CAS(1):MonetaryAmount
This property is deprecated and has been replaced by the AdjudicationDetails property where "excluded" or another value may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: ExcludeExpenseDisplayToLogical(), ExcludeExpenseGet(), ExcludeExpenseIsValid(), ExcludeExpenseLogicalToDisplay(), ExcludeExpenseNormalize(), ExcludeExpenseSet(), ExcludeExpenseXSDToLogical()
Property methods: ExtensionGet(), ExtensionGetObject(), ExtensionGetObjectId(), ExtensionGetSwizzled(), ExtensionIsEmpty(), ExtensionIsValid(), ExtensionNewObject(), ExtensionSet(), ExtensionSetObject(), ExtensionSetObjectId(), ExtensionUnSwizzle()
property FacilityTypeProfessional as %String (MAXLEN = 50);
Property methods: FacilityTypeProfessionalDisplayToLogical(), FacilityTypeProfessionalGet(), FacilityTypeProfessionalIsValid(), FacilityTypeProfessionalLogicalToDisplay(), FacilityTypeProfessionalLogicalToOdbc(), FacilityTypeProfessionalNormalize(), FacilityTypeProfessionalSet()
property FamilyPlanningIndicator as HS.SDA3.CodeTableDetail.FamilyPlanning;
Numeric indicator that reports the claim line service's relation to family planning.
Property methods: FamilyPlanningIndicatorGet(), FamilyPlanningIndicatorGetObject(), FamilyPlanningIndicatorGetObjectId(), FamilyPlanningIndicatorGetSwizzled(), FamilyPlanningIndicatorIsEmpty(), FamilyPlanningIndicatorIsValid(), FamilyPlanningIndicatorNewObject(), FamilyPlanningIndicatorSet(), FamilyPlanningIndicatorSetObject(), FamilyPlanningIndicatorSetObjectId(), FamilyPlanningIndicatorUnSwizzle()
property FinancialClaimNumber as %String (MAXLEN = 50);
Property methods: FinancialClaimNumberDisplayToLogical(), FinancialClaimNumberGet(), FinancialClaimNumberIsValid(), FinancialClaimNumberLogicalToDisplay(), FinancialClaimNumberLogicalToOdbc(), FinancialClaimNumberNormalize(), FinancialClaimNumberSet()
property HealthFunds as list of HS.SDA3.HealthFund;
List of health funds associated with the claim line

Property methods: HealthFundsBuildValueArray(), HealthFundsCollectionToDisplay(), HealthFundsCollectionToOdbc(), HealthFundsDisplayToCollection(), HealthFundsGet(), HealthFundsGetObject(), HealthFundsGetObjectId(), HealthFundsGetSwizzled(), HealthFundsIsValid(), HealthFundsOdbcToCollection(), HealthFundsSet(), HealthFundsSetObject(), HealthFundsSetObjectId()
property InNetworkIndicator as %String (DISPLAYLIST = ",Yes,No,Unknown,Other,NotApplicable", VALUELIST = ",1,2,3,4,5");
Numeric indicator that reports if a claim line was processed / paid at In-Network rates.
837apP: loop2300().loop2400().HCP:PolicyComplianceCode
Property methods: InNetworkIndicatorDisplayToLogical(), InNetworkIndicatorGet(), InNetworkIndicatorIsValid(), InNetworkIndicatorLogicalToDisplay(), InNetworkIndicatorLogicalToOdbc(), InNetworkIndicatorNormalize(), InNetworkIndicatorSet()
property LOINCCode as HS.SDA3.CodeTableDetail.Order;
The Logical Observation Identifiers, Names and Code for laboratory test / results for the claim line.
Property methods: LOINCCodeGet(), LOINCCodeGetObject(), LOINCCodeGetObjectId(), LOINCCodeGetSwizzled(), LOINCCodeIsEmpty(), LOINCCodeIsValid(), LOINCCodeNewObject(), LOINCCodeSet(), LOINCCodeSetObject(), LOINCCodeSetObjectId(), LOINCCodeUnSwizzle()
deprecated property MedicarePaidAmount as HS.SDA3.Numeric;
Deprecated
The amount that Medicare paid towards this claim line prior to carrier adjudication.
This property is deprecated and has been replaced by the AdjudicationDetails property where "medicarepaid" or another value may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: MedicarePaidAmountDisplayToLogical(), MedicarePaidAmountGet(), MedicarePaidAmountIsValid(), MedicarePaidAmountLogicalToDisplay(), MedicarePaidAmountNormalize(), MedicarePaidAmountSet(), MedicarePaidAmountXSDToLogical()
property NonCoveredDays as HS.SDA3.Numeric;
Amount of inpatient days that were not paid for by the plan for the inpatient event.
Enter 0 when not applicable.
Property methods: NonCoveredDaysDisplayToLogical(), NonCoveredDaysGet(), NonCoveredDaysIsValid(), NonCoveredDaysLogicalToDisplay(), NonCoveredDaysNormalize(), NonCoveredDaysSet(), NonCoveredDaysXSDToLogical()
deprecated property OtherInsurancePaid as HS.SDA3.Numeric;
Deprecated
The amount that another insurance paid towards this claim line prior to carrier adjudication.
This property is deprecated and has been replaced by the AdjudicationDetails property where "otherinsurancepaid" or another value may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: OtherInsurancePaidDisplayToLogical(), OtherInsurancePaidGet(), OtherInsurancePaidIsValid(), OtherInsurancePaidLogicalToDisplay(), OtherInsurancePaidNormalize(), OtherInsurancePaidSet(), OtherInsurancePaidXSDToLogical()
property OtherProcedures as list of HS.SDA3.CodeTableDetail.Procedure;
Other ICD-9 procedure codes.
The Integer point is not coded.
The ICD-9 procedure must be repeated for all lines of the claim if necessary.
Required for inpatient institutional claims.
Property methods: OtherProceduresBuildValueArray(), OtherProceduresCollectionToDisplay(), OtherProceduresCollectionToOdbc(), OtherProceduresDisplayToCollection(), OtherProceduresGet(), OtherProceduresGetObject(), OtherProceduresGetObjectId(), OtherProceduresGetSwizzled(), OtherProceduresIsValid(), OtherProceduresOdbcToCollection(), OtherProceduresSet(), OtherProceduresSetObject(), OtherProceduresSetObjectId()
property PCPIndicator as %String (DISPLAYLIST = ",Yes,No,Unknown,Other,NotApplicable", VALUELIST = ",1,2,3,4,5");
Numeric indicator that reports if a claim line was performed by the Patient's assigned Primary Care Provider.
Property methods: PCPIndicatorDisplayToLogical(), PCPIndicatorGet(), PCPIndicatorIsValid(), PCPIndicatorLogicalToDisplay(), PCPIndicatorLogicalToOdbc(), PCPIndicatorNormalize(), PCPIndicatorSet()
deprecated property PaidAmount as HS.SDA3.Numeric;
Deprecated
The amount paid to the provider for this claim line.
837apP: loop2300().loop2400().loop2430(1).SVD:MonetaryAmount
This property is deprecated and has been replaced by the AdjudicationDetails property where "paid" or another value may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: PaidAmountDisplayToLogical(), PaidAmountGet(), PaidAmountIsValid(), PaidAmountLogicalToDisplay(), PaidAmountNormalize(), PaidAmountSet(), PaidAmountXSDToLogical()
deprecated property PatientOutOfPocketAmount as HS.SDA3.Numeric;
Deprecated
The amount paid out of pocket by the patient.
This property is deprecated and has been replaced by the AdjudicationDetails property where "patientoutofpocket" or another value may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: PatientOutOfPocketAmountDisplayToLogical(), PatientOutOfPocketAmountGet(), PatientOutOfPocketAmountIsValid(), PatientOutOfPocketAmountLogicalToDisplay(), PatientOutOfPocketAmountNormalize(), PatientOutOfPocketAmountSet(), PatientOutOfPocketAmountXSDToLogical()
property PaymentReason as HS.SDA3.CodeTableDetail.PaymentReason;
Property methods: PaymentReasonGet(), PaymentReasonGetObject(), PaymentReasonGetObjectId(), PaymentReasonGetSwizzled(), PaymentReasonIsEmpty(), PaymentReasonIsValid(), PaymentReasonNewObject(), PaymentReasonSet(), PaymentReasonSetObject(), PaymentReasonSetObjectId(), PaymentReasonUnSwizzle()
deprecated property PrepaidAmount as HS.SDA3.Numeric;
Deprecated
The amount the carrier or its designee has pre-paid towards a claim line.
This property is deprecated and has been replaced by the AdjudicationDetails property where "prepaid" or another value may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: PrepaidAmountDisplayToLogical(), PrepaidAmountGet(), PrepaidAmountIsValid(), PrepaidAmountLogicalToDisplay(), PrepaidAmountNormalize(), PrepaidAmountSet(), PrepaidAmountXSDToLogical()
property PrimaryProcedureCode as HS.SDA3.CodeTableDetail.Procedure;
Primary ICD-9 procedure code. The Integer point is not coded. The ICD-9 procedure must be repeated for all lines of the claim if necessary. Required for inpatient institutional claims.
Property methods: PrimaryProcedureCodeGet(), PrimaryProcedureCodeGetObject(), PrimaryProcedureCodeGetObjectId(), PrimaryProcedureCodeGetSwizzled(), PrimaryProcedureCodeIsEmpty(), PrimaryProcedureCodeIsValid(), PrimaryProcedureCodeNewObject(), PrimaryProcedureCodeSet(), PrimaryProcedureCodeSetObject(), PrimaryProcedureCodeSetObjectId(), PrimaryProcedureCodeUnSwizzle()
property ProcedureCode as HS.SDA3.CodeTableDetail.Procedure;
The procedure code reported for this claim line.
837apP: loop2300().loop2400().HCP:ProductServiceID2
Property methods: ProcedureCodeGet(), ProcedureCodeGetObject(), ProcedureCodeGetObjectId(), ProcedureCodeGetSwizzled(), ProcedureCodeIsEmpty(), ProcedureCodeIsValid(), ProcedureCodeNewObject(), ProcedureCodeSet(), ProcedureCodeSetObject(), ProcedureCodeSetObjectId(), ProcedureCodeUnSwizzle()
property ProcedureCodeType as HS.SDA3.CodeTableDetail.ProcedureCodeType;
Numeric indicator that reports the type of procedure code expected on this claim line.
837apP: loop2300().loop2400().HCP:ProductServiceIDQualifier
Property methods: ProcedureCodeTypeGet(), ProcedureCodeTypeGetObject(), ProcedureCodeTypeGetObjectId(), ProcedureCodeTypeGetSwizzled(), ProcedureCodeTypeIsEmpty(), ProcedureCodeTypeIsValid(), ProcedureCodeTypeNewObject(), ProcedureCodeTypeSet(), ProcedureCodeTypeSetObject(), ProcedureCodeTypeSetObjectId(), ProcedureCodeTypeUnSwizzle()
property ProcedureModifierCodes as list of HS.SDA3.CodeTableDetail.ProcedureModifier;
Modifier(s) for the procedure represented on this line. Identifies special circumstances related to the performance of the service. This is a coded representation of the data and should be used in place of ProcedureModifiers which is retained for compatibility with previous versions of HealthShare.
Property methods: ProcedureModifierCodesBuildValueArray(), ProcedureModifierCodesCollectionToDisplay(), ProcedureModifierCodesCollectionToOdbc(), ProcedureModifierCodesDisplayToCollection(), ProcedureModifierCodesGet(), ProcedureModifierCodesGetObject(), ProcedureModifierCodesGetObjectId(), ProcedureModifierCodesGetSwizzled(), ProcedureModifierCodesIsValid(), ProcedureModifierCodesOdbcToCollection(), ProcedureModifierCodesSet(), ProcedureModifierCodesSetObject(), ProcedureModifierCodesSetObjectId()
deprecated property ProcedureModifiers as list of %String (MAXLEN = 50);
Deprecated
The modifiers for the procedure code reported on this claim line.
837apP: loop2300().loop2400().loop2430(1).SVD:CompositeMedicalProcedureIde.ProcedureModifier
This property is deprecated and has been replaced by the ProcedureModifierCodes property that is a coded representation of the data.
Property methods: ProcedureModifiersBuildValueArray(), ProcedureModifiersCollectionToDisplay(), ProcedureModifiersCollectionToOdbc(), ProcedureModifiersDisplayToCollection(), ProcedureModifiersDisplayToLogical(), ProcedureModifiersGet(), ProcedureModifiersGetObject(), ProcedureModifiersGetObjectId(), ProcedureModifiersGetSwizzled(), ProcedureModifiersIsValid(), ProcedureModifiersLogicalToDisplay(), ProcedureModifiersLogicalToOdbc(), ProcedureModifiersNormalize(), ProcedureModifiersOdbcToCollection(), ProcedureModifiersSet(), ProcedureModifiersSetObject(), ProcedureModifiersSetObjectId()
deprecated property Quantity as HS.SDA3.Numeric;
Deprecated
Count of services/units performed.
837apP: loop2300().loop2400().HCP:Quantity.
This property is deprecated and has been replaced by the QuantityStructured property that better conforms to the FHIR Quantity data type structure.
Property methods: QuantityDisplayToLogical(), QuantityGet(), QuantityIsValid(), QuantityLogicalToDisplay(), QuantityNormalize(), QuantitySet(), QuantityXSDToLogical()
property QuantityStructured as HS.SDA3.Quantity;
The number of repetitions of a service or product. This is a representation of the data that conforms to the FHIR Quantity data type structure and should be used in place of Quantity which is retained for compatibility with previous versions of HealthShare.
Property methods: QuantityStructuredGet(), QuantityStructuredGetObject(), QuantityStructuredGetObjectId(), QuantityStructuredGetSwizzled(), QuantityStructuredIsEmpty(), QuantityStructuredIsValid(), QuantityStructuredNewObject(), QuantityStructuredSet(), QuantityStructuredSetObject(), QuantityStructuredSetObjectId(), QuantityStructuredUnSwizzle()
property ReferralIndicator as %String (DISPLAYLIST = ",Yes,No,Unknown,Other,NotApplicable", VALUELIST = ",1,2,3,4,5");
Numeric indicator that reports if a claim line requires a referral by the carrier or its designee.
837apP: loop2300().loop2400().REF(1).RefIdQualifier
Property methods: ReferralIndicatorDisplayToLogical(), ReferralIndicatorGet(), ReferralIndicatorIsValid(), ReferralIndicatorLogicalToDisplay(), ReferralIndicatorLogicalToOdbc(), ReferralIndicatorNormalize(), ReferralIndicatorSet()
property ReferringProvider as HS.SDA3.CodeTableDetail.CareProvider;
837apP: loop2300().loop2400().loop2420F(1).REF(1):RefIdQualifier
837apP: loop2300().loop2400().loop2420F(1).REF(1):RefId
Property methods: ReferringProviderGet(), ReferringProviderGetObject(), ReferringProviderGetObjectId(), ReferringProviderGetSwizzled(), ReferringProviderIsEmpty(), ReferringProviderIsValid(), ReferringProviderNewObject(), ReferringProviderSet(), ReferringProviderSetObject(), ReferringProviderSetObjectId(), ReferringProviderUnSwizzle()
property RevenueCode as HS.SDA3.CodeTableDetail.Revenue;
A standardized code that reports the revenue center of a facility where the claim line service occurred.
Property methods: RevenueCodeGet(), RevenueCodeGetObject(), RevenueCodeGetObjectId(), RevenueCodeGetSwizzled(), RevenueCodeIsEmpty(), RevenueCodeIsValid(), RevenueCodeNewObject(), RevenueCodeSet(), RevenueCodeSetObject(), RevenueCodeSetObjectId(), RevenueCodeUnSwizzle()
property ServiceProvider as HS.SDA3.CodeTableDetail.CareProvider;
Property methods: ServiceProviderGet(), ServiceProviderGetObject(), ServiceProviderGetObjectId(), ServiceProviderGetSwizzled(), ServiceProviderIsEmpty(), ServiceProviderIsValid(), ServiceProviderNewObject(), ServiceProviderSet(), ServiceProviderSetObject(), ServiceProviderSetObjectId(), ServiceProviderUnSwizzle()
property SurgicalPx as list of HS.SDA3.CodeTableDetail.Procedure;
Property methods: SurgicalPxBuildValueArray(), SurgicalPxCollectionToDisplay(), SurgicalPxCollectionToOdbc(), SurgicalPxDisplayToCollection(), SurgicalPxGet(), SurgicalPxGetObject(), SurgicalPxGetObjectId(), SurgicalPxGetSwizzled(), SurgicalPxIsValid(), SurgicalPxOdbcToCollection(), SurgicalPxSet(), SurgicalPxSetObject(), SurgicalPxSetObjectId()
deprecated property WithholdAmount as HS.SDA3.Numeric;
Deprecated
The amount paid to the provider for this service if the provider qualifies / meets performance guarantees.
This property is deprecated and has been replaced by the AdjudicationDetails property where "withheld" or another value may be specified as a value in the Category property in the HS.SDA3.AdjudicationDetail class.
Property methods: WithholdAmountDisplayToLogical(), WithholdAmountGet(), WithholdAmountIsValid(), WithholdAmountLogicalToDisplay(), WithholdAmountNormalize(), WithholdAmountSet(), WithholdAmountXSDToLogical()

Inherited Members

Inherited Properties

Inherited Methods

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