JDBC Driver for FHIR

Build 22.0.8462

ExplanationOfBenefit

ExplanationOfBenefit view.

Columns

Name Type Description
id String The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
lastUpdated Datetime The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
implicitRules String A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
language String The base language in which the resource is written.
text_div String The div of the text. A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
text_status String The status of the text. A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
contained String These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
extension String May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
modifierExtension String May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
identifier_value String The value of the identifier. A unique identifier assigned to this explanation of benefit.
identifier_use String The identifier-use of the identifier-use. A unique identifier assigned to this explanation of benefit.
identifier_type_coding String The coding of the identifier-type. A unique identifier assigned to this explanation of benefit.
identifier_type_text String The text of the identifier-type. A unique identifier assigned to this explanation of benefit.
identifier_system String The identifier-system of the identifier-system. A unique identifier assigned to this explanation of benefit.
identifier_period_start String The start of the identifier-period. A unique identifier assigned to this explanation of benefit.
identifier_period_end String The end of the identifier-period. A unique identifier assigned to this explanation of benefit.
status String The status of the resource instance.
type_coding String The coding of the type. The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
type_text String The text of the type. The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
subType_coding String The coding of the subType. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
subType_text String The text of the subType. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
use String A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
patient_display String The display of the patient. The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.
patient_reference String The reference of the patient. The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.
patient_identifier_value String The value of the patient-identifier. The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.
patient_type String The patient-type of the patient-type. The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.
billablePeriod_start Datetime The start of the billablePeriod. The period for which charges are being submitted.
billablePeriod_end Datetime The end of the billablePeriod. The period for which charges are being submitted.
created Datetime The date this resource was created.
enterer_display String The display of the enterer. Individual who created the claim, predetermination or preauthorization.
enterer_reference String The reference of the enterer. Individual who created the claim, predetermination or preauthorization.
enterer_identifier_value String The value of the enterer-identifier. Individual who created the claim, predetermination or preauthorization.
enterer_type String The enterer-type of the enterer-type. Individual who created the claim, predetermination or preauthorization.
insurer_display String The display of the insurer. The party responsible for authorization, adjudication and reimbursement.
insurer_reference String The reference of the insurer. The party responsible for authorization, adjudication and reimbursement.
insurer_identifier_value String The value of the insurer-identifier. The party responsible for authorization, adjudication and reimbursement.
insurer_type String The insurer-type of the insurer-type. The party responsible for authorization, adjudication and reimbursement.
provider_display String The display of the provider. The provider which is responsible for the claim, predetermination or preauthorization.
provider_reference String The reference of the provider. The provider which is responsible for the claim, predetermination or preauthorization.
provider_identifier_value String The value of the provider-identifier. The provider which is responsible for the claim, predetermination or preauthorization.
provider_type String The provider-type of the provider-type. The provider which is responsible for the claim, predetermination or preauthorization.
priority_coding String The coding of the priority. The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
priority_text String The text of the priority. The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
fundsReserveRequested_coding String The coding of the fundsReserveRequested. A code to indicate whether and for whom funds are to be reserved for future claims.
fundsReserveRequested_text String The text of the fundsReserveRequested. A code to indicate whether and for whom funds are to be reserved for future claims.
fundsReserve_coding String The coding of the fundsReserve. A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
fundsReserve_text String The text of the fundsReserve. A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
related_id String The related-id of the related-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
related_extension String The related-extension of the related-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
related_modifierExtension String The related-modifierExtension of the related-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
related_claim_display String The display of the related-claim. Reference to a related claim.
related_claim_reference String The reference of the related-claim. Reference to a related claim.
related_claim_identifier_value String The value of the related-claim-identifier. Reference to a related claim.
related_claim_type String The related-claim-type of the related-claim-type. Reference to a related claim.
related_relationship_coding String The coding of the related-relationship. A code to convey how the claims are related.
related_relationship_text String The text of the related-relationship. A code to convey how the claims are related.
related_reference_value String The value of the related-reference. An alternate organizational reference to the case or file to which this particular claim pertains.
related_reference_use String The related-reference-use of the related-reference-use. An alternate organizational reference to the case or file to which this particular claim pertains.
related_reference_type_coding String The coding of the related-reference-type. An alternate organizational reference to the case or file to which this particular claim pertains.
related_reference_type_text String The text of the related-reference-type. An alternate organizational reference to the case or file to which this particular claim pertains.
related_reference_system String The related-reference-system of the related-reference-system. An alternate organizational reference to the case or file to which this particular claim pertains.
related_reference_period_start Datetime The start of the related-reference-period. An alternate organizational reference to the case or file to which this particular claim pertains.
related_reference_period_end Datetime The end of the related-reference-period. An alternate organizational reference to the case or file to which this particular claim pertains.
prescription_display String The display of the prescription. Prescription to support the dispensing of pharmacy, device or vision products.
prescription_reference String The reference of the prescription. Prescription to support the dispensing of pharmacy, device or vision products.
prescription_identifier_value String The value of the prescription-identifier. Prescription to support the dispensing of pharmacy, device or vision products.
prescription_type String The prescription-type of the prescription-type. Prescription to support the dispensing of pharmacy, device or vision products.
originalPrescription_display String The display of the originalPrescription. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
originalPrescription_reference String The reference of the originalPrescription. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
originalPrescription_identifier_value String The value of the originalPrescription-identifier. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
originalPrescription_type String The originalPrescription-type of the originalPrescription-type. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
payee_id String The payee-id of the payee-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
payee_extension String The payee-extension of the payee-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
payee_modifierExtension String The payee-modifierExtension of the payee-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
payee_type_coding String The coding of the payee-type. Type of Party to be reimbursed: Subscriber, provider, other.
payee_type_text String The text of the payee-type. Type of Party to be reimbursed: Subscriber, provider, other.
payee_party_display String The display of the payee-party. Reference to the individual or organization to whom any payment will be made.
payee_party_reference String The reference of the payee-party. Reference to the individual or organization to whom any payment will be made.
payee_party_identifier_value String The value of the payee-party-identifier. Reference to the individual or organization to whom any payment will be made.
payee_party_type String The payee-party-type of the payee-party-type. Reference to the individual or organization to whom any payment will be made.
referral_display String The display of the referral. A reference to a referral resource.
referral_reference String The reference of the referral. A reference to a referral resource.
referral_identifier_value String The value of the referral-identifier. A reference to a referral resource.
referral_type String The referral-type of the referral-type. A reference to a referral resource.
facility_display String The display of the facility. Facility where the services were provided.
facility_reference String The reference of the facility. Facility where the services were provided.
facility_identifier_value String The value of the facility-identifier. Facility where the services were provided.
facility_type String The facility-type of the facility-type. Facility where the services were provided.
claim_display String The display of the claim. The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
claim_reference String The reference of the claim. The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
claim_identifier_value String The value of the claim-identifier. The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
claim_type String The claim-type of the claim-type. The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
claimResponse_display String The display of the claimResponse. The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.
claimResponse_reference String The reference of the claimResponse. The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.
claimResponse_identifier_value String The value of the claimResponse-identifier. The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.
claimResponse_type String The claimResponse-type of the claimResponse-type. The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.
outcome String The outcome of the claim, predetermination, or preauthorization processing.
disposition String A human readable description of the status of the adjudication.
preAuthRef String Reference from the Insurer which is used in later communications which refers to this adjudication.
preAuthRefPeriod_start String The start of the preAuthRefPeriod. The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.
preAuthRefPeriod_end String The end of the preAuthRefPeriod. The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.
careTeam_id String The careTeam-id of the careTeam-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
careTeam_extension String The careTeam-extension of the careTeam-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
careTeam_modifierExtension String The careTeam-modifierExtension of the careTeam-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
careTeam_sequence Int The careTeam-sequence of the careTeam-sequence. A number to uniquely identify care team entries.
careTeam_provider_display String The display of the careTeam-provider. Member of the team who provided the product or service.
careTeam_provider_reference String The reference of the careTeam-provider. Member of the team who provided the product or service.
careTeam_provider_identifier_value String The value of the careTeam-provider-identifier. Member of the team who provided the product or service.
careTeam_provider_type String The careTeam-provider-type of the careTeam-provider-type. Member of the team who provided the product or service.
careTeam_responsible Bool The careTeam-responsible of the careTeam-responsible. The party who is billing and/or responsible for the claimed products or services.
careTeam_role_coding String The coding of the careTeam-role. The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
careTeam_role_text String The text of the careTeam-role. The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
careTeam_qualification_coding String The coding of the careTeam-qualification. The qualification of the practitioner which is applicable for this service.
careTeam_qualification_text String The text of the careTeam-qualification. The qualification of the practitioner which is applicable for this service.
supportingInfo_id String The supportingInfo-id of the supportingInfo-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
supportingInfo_extension String The supportingInfo-extension of the supportingInfo-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
supportingInfo_modifierExtension String The supportingInfo-modifierExtension of the supportingInfo-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
supportingInfo_sequence Int The supportingInfo-sequence of the supportingInfo-sequence. A number to uniquely identify supporting information entries.
supportingInfo_category_coding String The coding of the supportingInfo-category. The general class of the information supplied: information; exception; accident, employment; onset, etc.
supportingInfo_category_text String The text of the supportingInfo-category. The general class of the information supplied: information; exception; accident, employment; onset, etc.
supportingInfo_code_coding String The coding of the supportingInfo-code. System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
supportingInfo_code_text String The text of the supportingInfo-code. System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
supportingInfo_timing_x_ Date The supportingInfo-timing[x] of the supportingInfo-timing[x]. The date when or period to which this information refers.
supportingInfo_value_x_ Bool The supportingInfo-value[x] of the supportingInfo-value[x]. Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
supportingInfo_reason_version String The version of the supportingInfo-reason. Provides the reason in the situation where a reason code is required in addition to the content.
supportingInfo_reason_code String The code of the supportingInfo-reason. Provides the reason in the situation where a reason code is required in addition to the content.
supportingInfo_reason_display String The display of the supportingInfo-reason. Provides the reason in the situation where a reason code is required in addition to the content.
supportingInfo_reason_userSelected Bool The userSelected of the supportingInfo-reason. Provides the reason in the situation where a reason code is required in addition to the content.
supportingInfo_reason_system String The supportingInfo-reason-system of the supportingInfo-reason-system. Provides the reason in the situation where a reason code is required in addition to the content.
diagnosis_id String The diagnosis-id of the diagnosis-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
diagnosis_extension String The diagnosis-extension of the diagnosis-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
diagnosis_modifierExtension String The diagnosis-modifierExtension of the diagnosis-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
diagnosis_sequence Int The diagnosis-sequence of the diagnosis-sequence. A number to uniquely identify diagnosis entries.
diagnosis_diagnosis_x_coding String The coding of the diagnosis-diagnosis[x]. The nature of illness or problem in a coded form or as a reference to an external defined Condition.
diagnosis_diagnosis_x_text String The text of the diagnosis-diagnosis[x]. The nature of illness or problem in a coded form or as a reference to an external defined Condition.
diagnosis_type_coding String The coding of the diagnosis-type. When the condition was observed or the relative ranking.
diagnosis_type_text String The text of the diagnosis-type. When the condition was observed or the relative ranking.
diagnosis_onAdmission_coding String The coding of the diagnosis-onAdmission. Indication of whether the diagnosis was present on admission to a facility.
diagnosis_onAdmission_text String The text of the diagnosis-onAdmission. Indication of whether the diagnosis was present on admission to a facility.
diagnosis_packageCode_coding String The coding of the diagnosis-packageCode. A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
diagnosis_packageCode_text String The text of the diagnosis-packageCode. A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
procedure_id String The procedure-id of the procedure-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
procedure_extension String The procedure-extension of the procedure-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
procedure_modifierExtension String The procedure-modifierExtension of the procedure-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
procedure_sequence Int The procedure-sequence of the procedure-sequence. A number to uniquely identify procedure entries.
procedure_type_coding String The coding of the procedure-type. When the condition was observed or the relative ranking.
procedure_type_text String The text of the procedure-type. When the condition was observed or the relative ranking.
procedure_date Datetime The procedure-date of the procedure-date. Date and optionally time the procedure was performed.
procedure_procedure_x_coding String The coding of the procedure-procedure[x]. The code or reference to a Procedure resource which identifies the clinical intervention performed.
procedure_procedure_x_text String The text of the procedure-procedure[x]. The code or reference to a Procedure resource which identifies the clinical intervention performed.
procedure_udi_display String The display of the procedure-udi. Unique Device Identifiers associated with this line item.
procedure_udi_reference String The reference of the procedure-udi. Unique Device Identifiers associated with this line item.
procedure_udi_identifier_value String The value of the procedure-udi-identifier. Unique Device Identifiers associated with this line item.
procedure_udi_type String The procedure-udi-type of the procedure-udi-type. Unique Device Identifiers associated with this line item.
precedence Int This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.
insurance_id String The insurance-id of the insurance-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
insurance_extension String The insurance-extension of the insurance-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
insurance_modifierExtension String The insurance-modifierExtension of the insurance-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
insurance_focal Bool The insurance-focal of the insurance-focal. A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
insurance_coverage_display String The display of the insurance-coverage. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
insurance_coverage_reference String The reference of the insurance-coverage. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
insurance_coverage_identifier_value String The value of the insurance-coverage-identifier. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
insurance_coverage_type String The insurance-coverage-type of the insurance-coverage-type. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
insurance_preAuthRef String The insurance-preAuthRef of the insurance-preAuthRef. Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
accident_id String The accident-id of the accident-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
accident_extension String The accident-extension of the accident-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
accident_modifierExtension String The accident-modifierExtension of the accident-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
accident_date Date The accident-date of the accident-date. Date of an accident event related to the products and services contained in the claim.
accident_type_coding String The coding of the accident-type. The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.
accident_type_text String The text of the accident-type. The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.
accident_location_x_text String The text of the accident-location[x]. The physical location of the accident event.
accident_location_x_line String The line of the accident-location[x]. The physical location of the accident event.
accident_location_x_city String The city of the accident-location[x]. The physical location of the accident event.
accident_location_x_district String The district of the accident-location[x]. The physical location of the accident event.
accident_location_x_state String The state of the accident-location[x]. The physical location of the accident event.
accident_location_x_postalCode String The postalCode of the accident-location[x]. The physical location of the accident event.
accident_location_x_country String The country of the accident-location[x]. The physical location of the accident event.
accident_location_x_type String The accident-location[x]-type of the accident-location[x]-type. The physical location of the accident event.
accident_location_x_period_start Datetime The start of the accident-location[x]-period. The physical location of the accident event.
accident_location_x_period_end Datetime The end of the accident-location[x]-period. The physical location of the accident event.
accident_location_x_use String The accident-location[x]-use of the accident-location[x]-use. The physical location of the accident event.
item_id String The item-id of the item-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
item_extension String The item-extension of the item-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
item_modifierExtension String The item-modifierExtension of the item-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
item_sequence Int The item-sequence of the item-sequence. A number to uniquely identify item entries.
item_careTeamSequence String The item-careTeamSequence of the item-careTeamSequence. Care team members related to this service or product.
item_diagnosisSequence String The item-diagnosisSequence of the item-diagnosisSequence. Diagnoses applicable for this service or product.
item_procedureSequence String The item-procedureSequence of the item-procedureSequence. Procedures applicable for this service or product.
item_informationSequence String The item-informationSequence of the item-informationSequence. Exceptions, special conditions and supporting information applicable for this service or product.
item_revenue_coding String The coding of the item-revenue. The type of revenue or cost center providing the product and/or service.
item_revenue_text String The text of the item-revenue. The type of revenue or cost center providing the product and/or service.
item_category_coding String The coding of the item-category. Code to identify the general type of benefits under which products and services are provided.
item_category_text String The text of the item-category. Code to identify the general type of benefits under which products and services are provided.
item_productOrService_coding String The coding of the item-productOrService. When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
item_productOrService_text String The text of the item-productOrService. When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
item_modifier_coding String The coding of the item-modifier. Item typification or modifiers codes to convey additional context for the product or service.
item_modifier_text String The text of the item-modifier. Item typification or modifiers codes to convey additional context for the product or service.
item_programCode_coding String The coding of the item-programCode. Identifies the program under which this may be recovered.
item_programCode_text String The text of the item-programCode. Identifies the program under which this may be recovered.
item_serviced_x_ Date The item-serviced[x] of the item-serviced[x]. The date or dates when the service or product was supplied, performed or completed.
item_location_x_coding String The coding of the item-location[x]. Where the product or service was provided.
item_location_x_text String The text of the item-location[x]. Where the product or service was provided.
item_quantity_value Decimal The value of the item-quantity. The number of repetitions of a service or product.
item_quantity_unit String The unit of the item-quantity. The number of repetitions of a service or product.
item_quantity_system String The system of the item-quantity. The number of repetitions of a service or product.
item_quantity_comparator String The item-quantity-comparator of the item-quantity-comparator. The number of repetitions of a service or product.
item_quantity_code String The item-quantity-code of the item-quantity-code. The number of repetitions of a service or product.
item_unitPrice String The item-unitPrice of the item-unitPrice. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
item_factor Decimal The item-factor of the item-factor. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
item_net String The item-net of the item-net. The quantity times the unit price for an additional service or product or charge.
item_udi_display String The display of the item-udi. Unique Device Identifiers associated with this line item.
item_udi_reference String The reference of the item-udi. Unique Device Identifiers associated with this line item.
item_udi_identifier_value String The value of the item-udi-identifier. Unique Device Identifiers associated with this line item.
item_udi_type String The item-udi-type of the item-udi-type. Unique Device Identifiers associated with this line item.
item_bodySite_coding String The coding of the item-bodySite. Physical service site on the patient (limb, tooth, etc.).
item_bodySite_text String The text of the item-bodySite. Physical service site on the patient (limb, tooth, etc.).
item_subSite_coding String The coding of the item-subSite. A region or surface of the bodySite, e.g. limb region or tooth surface(s).
item_subSite_text String The text of the item-subSite. A region or surface of the bodySite, e.g. limb region or tooth surface(s).
item_encounter_display String The display of the item-encounter. A billed item may include goods or services provided in multiple encounters.
item_encounter_reference String The reference of the item-encounter. A billed item may include goods or services provided in multiple encounters.
item_encounter_identifier_value String The value of the item-encounter-identifier. A billed item may include goods or services provided in multiple encounters.
item_encounter_type String The item-encounter-type of the item-encounter-type. A billed item may include goods or services provided in multiple encounters.
item_noteNumber String The item-noteNumber of the item-noteNumber. The numbers associated with notes below which apply to the adjudication of this item.
item_adjudication_id String The item-adjudication-id of the item-adjudication-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
item_adjudication_extension String The item-adjudication-extension of the item-adjudication-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
item_adjudication_modifierExtension String The item-adjudication-modifierExtension of the item-adjudication-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
item_adjudication_category_coding String The coding of the item-adjudication-category. A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
item_adjudication_category_text String The text of the item-adjudication-category. A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
item_adjudication_reason_coding String The coding of the item-adjudication-reason. A code supporting the understanding of the adjudication result and explaining variance from expected amount.
item_adjudication_reason_text String The text of the item-adjudication-reason. A code supporting the understanding of the adjudication result and explaining variance from expected amount.
item_adjudication_amount String The item-adjudication-amount of the item-adjudication-amount. Monetary amount associated with the category.
item_adjudication_value Decimal The item-adjudication-value of the item-adjudication-value. A non-monetary value associated with the category. Mutually exclusive to the amount element above.
item_detail_id String The item-detail-id of the item-detail-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
item_detail_extension String The item-detail-extension of the item-detail-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
item_detail_modifierExtension String The item-detail-modifierExtension of the item-detail-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
item_detail_sequence Int The item-detail-sequence of the item-detail-sequence. A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
item_detail_revenue_coding String The coding of the item-detail-revenue. The type of revenue or cost center providing the product and/or service.
item_detail_revenue_text String The text of the item-detail-revenue. The type of revenue or cost center providing the product and/or service.
item_detail_category_coding String The coding of the item-detail-category. Code to identify the general type of benefits under which products and services are provided.
item_detail_category_text String The text of the item-detail-category. Code to identify the general type of benefits under which products and services are provided.
item_detail_productOrService_coding String The coding of the item-detail-productOrService. When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
item_detail_productOrService_text String The text of the item-detail-productOrService. When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
item_detail_modifier_coding String The coding of the item-detail-modifier. Item typification or modifiers codes to convey additional context for the product or service.
item_detail_modifier_text String The text of the item-detail-modifier. Item typification or modifiers codes to convey additional context for the product or service.
item_detail_programCode_coding String The coding of the item-detail-programCode. Identifies the program under which this may be recovered.
item_detail_programCode_text String The text of the item-detail-programCode. Identifies the program under which this may be recovered.
item_detail_quantity_value Decimal The value of the item-detail-quantity. The number of repetitions of a service or product.
item_detail_quantity_unit String The unit of the item-detail-quantity. The number of repetitions of a service or product.
item_detail_quantity_system String The system of the item-detail-quantity. The number of repetitions of a service or product.
item_detail_quantity_comparator String The item-detail-quantity-comparator of the item-detail-quantity-comparator. The number of repetitions of a service or product.
item_detail_quantity_code String The item-detail-quantity-code of the item-detail-quantity-code. The number of repetitions of a service or product.
item_detail_unitPrice String The item-detail-unitPrice of the item-detail-unitPrice. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
item_detail_factor Decimal The item-detail-factor of the item-detail-factor. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
item_detail_net String The item-detail-net of the item-detail-net. The quantity times the unit price for an additional service or product or charge.
item_detail_udi_display String The display of the item-detail-udi. Unique Device Identifiers associated with this line item.
item_detail_udi_reference String The reference of the item-detail-udi. Unique Device Identifiers associated with this line item.
item_detail_udi_identifier_value String The value of the item-detail-udi-identifier. Unique Device Identifiers associated with this line item.
item_detail_udi_type String The item-detail-udi-type of the item-detail-udi-type. Unique Device Identifiers associated with this line item.
item_detail_noteNumber String The item-detail-noteNumber of the item-detail-noteNumber. The numbers associated with notes below which apply to the adjudication of this item.
SP_source String The SP_source search parameter.
SP_facility String The SP_facility search parameter.
SP_text String The SP_text search parameter.
SP_coverage String The SP_coverage search parameter.
SP_content String The SP_content search parameter.
SP_securitySP_start String The SP_securitySP_start search parameter.
SP_procedure_udi String The SP_procedure_udi search parameter.
SP_tagSP_start String The SP_tagSP_start search parameter.
SP_claim String The SP_claim search parameter.
SP_identifier_start String The SP_identifier_start search parameter.
SP_detail_udi String The SP_detail_udi search parameter.
SP_encounter String The SP_encounter search parameter.
SP_list String The SP_list search parameter.
SP_identifier_end String The SP_identifier_end search parameter.
SP_enterer String The SP_enterer search parameter.
SP_profile String The SP_profile search parameter.
SP_tagSP_end String The SP_tagSP_end search parameter.
SP_patient String The SP_patient search parameter.
SP_care_team String The SP_care_team search parameter.
SP_securitySP_end String The SP_securitySP_end search parameter.
SP_payee String The SP_payee search parameter.
SP_subdetail_udi String The SP_subdetail_udi search parameter.
SP_item_udi String The SP_item_udi search parameter.
SP_filter String The SP_filter search parameter.
SP_provider String The SP_provider search parameter.

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