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ClaimResponseCreateInput

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input ClaimResponseCreateInput {
  identifier: [IdentifierCreateInput!]
  status: String!
  type: CodeableConceptCreateInput!
  subType: CodeableConceptCreateInput
  use: String!
  patient: ReferenceCreateInput!
  created: Date!
  insurer: ReferenceCreateInput!
  requestor: ReferenceCreateInput
  request: ReferenceCreateInput
  outcome: String!
  disposition: String
  preAuthRef: String
  preAuthPeriod: PeriodCreateInput
  payeeType: CodeableConceptCreateInput
  item: [ClaimResponseItemCreateInput!]
  addItem: [ClaimResponseAddItemCreateInput!]
  adjudication: [ClaimResponseAdjudicationCreateInput!]
  total: [ClaimResponseTotalCreateInput!]
  payment: ClaimResponsePaymentCreateInput
  fundsReserve: CodeableConceptCreateInput
  formCode: CodeableConceptCreateInput
  form: AttachmentCreateInput
  processNote: [ClaimResponseProcessNoteCreateInput!]
  communicationRequest: [ReferenceCreateInput!]
  insurance: [ClaimResponseInsuranceCreateInput!]
  error: [ClaimResponseErrorCreateInput!]
  text: NarrativeCreateInput
  contained: [ResourceCreateInput!]
  extension: [FhirExtensionCreateInput!]
  modifierExtension: [FhirExtensionCreateInput!]
  id: String
  meta: FhirMetaCreateInput
  implicitRules: Uri
  language: String
}

Fields​

ClaimResponseCreateInput.identifier ● [IdentifierCreateInput!] list input​

A unique identifier assigned to this claim response.

ClaimResponseCreateInput.status ● String! non-null scalar​

The status of the resource instance.

ClaimResponseCreateInput.type ● CodeableConceptCreateInput! non-null input​

A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.

ClaimResponseCreateInput.subType ● CodeableConceptCreateInput input​

A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.

ClaimResponseCreateInput.use ● String! non-null scalar​

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.

ClaimResponseCreateInput.patient ● ReferenceCreateInput! non-null input​

The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.

ClaimResponseCreateInput.created ● Date! non-null scalar​

The date this resource was created.

ClaimResponseCreateInput.insurer ● ReferenceCreateInput! non-null input​

The party responsible for authorization, adjudication and reimbursement.

ClaimResponseCreateInput.requestor ● ReferenceCreateInput input​

The provider which is responsible for the claim, predetermination or preauthorization.

ClaimResponseCreateInput.request ● ReferenceCreateInput input​

Original request resource reference.

ClaimResponseCreateInput.outcome ● String! non-null scalar​

The outcome of the claim, predetermination, or preauthorization processing.

ClaimResponseCreateInput.disposition ● String scalar​

A human readable description of the status of the adjudication.

ClaimResponseCreateInput.preAuthRef ● String scalar​

Reference from the Insurer which is used in later communications which refers to this adjudication.

ClaimResponseCreateInput.preAuthPeriod ● PeriodCreateInput input​

The time frame during which this authorization is effective.

ClaimResponseCreateInput.payeeType ● CodeableConceptCreateInput input​

Type of Party to be reimbursed: subscriber, provider, other.

ClaimResponseCreateInput.item ● [ClaimResponseItemCreateInput!] list input​

A claim line. Either a simple (a product or service) or a group of details which can also be a simple items or groups of sub-details.

ClaimResponseCreateInput.addItem ● [ClaimResponseAddItemCreateInput!] list input​

The first-tier service adjudications for payor added product or service lines.

ClaimResponseCreateInput.adjudication ● [ClaimResponseAdjudicationCreateInput!] list input​

The adjudication results which are presented at the header level rather than at the line-item or add-item levels.

ClaimResponseCreateInput.total ● [ClaimResponseTotalCreateInput!] list input​

Categorized monetary totals for the adjudication.

ClaimResponseCreateInput.payment ● ClaimResponsePaymentCreateInput input​

Payment details for the adjudication of the claim.

ClaimResponseCreateInput.fundsReserve ● CodeableConceptCreateInput input​

A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.

ClaimResponseCreateInput.formCode ● CodeableConceptCreateInput input​

A code for the form to be used for printing the content.

ClaimResponseCreateInput.form ● AttachmentCreateInput input​

The actual form, by reference or inclusion, for printing the content or an EOB.

ClaimResponseCreateInput.processNote ● [ClaimResponseProcessNoteCreateInput!] list input​

A note that describes or explains adjudication results in a human readable form.

ClaimResponseCreateInput.communicationRequest ● [ReferenceCreateInput!] list input​

Request for additional supporting or authorizing information.

ClaimResponseCreateInput.insurance ● [ClaimResponseInsuranceCreateInput!] list input​

Financial instruments for reimbursement for the health care products and services specified on the claim.

ClaimResponseCreateInput.error ● [ClaimResponseErrorCreateInput!] list input​

Errors encountered during the processing of the adjudication.

ClaimResponseCreateInput.text ● NarrativeCreateInput input​

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.

ClaimResponseCreateInput.contained ● [ResourceCreateInput!] list input​

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.

ClaimResponseCreateInput.extension ● [FhirExtensionCreateInput!] list input​

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.

ClaimResponseCreateInput.modifierExtension ● [FhirExtensionCreateInput!] list input​

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).

ClaimResponseCreateInput.id ● String scalar​

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ClaimResponseCreateInput.meta ● FhirMetaCreateInput input​

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.

ClaimResponseCreateInput.implicitRules ● Uri scalar​

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.

ClaimResponseCreateInput.language ● String scalar​

The base language in which the resource is written.

Member Of​

ClaimResponseCreate mutation