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ExplanationOfBenefitFinancial

This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.

type ExplanationOfBenefitFinancial implements Element {
  type: CodeableConcept
  allowedUnsignedInt: Int
  allowedString: String
  allowedMoney: Money
  usedUnsignedInt: Int
  usedMoney: Money
  modifierExtension: [Extension]
  extension: [Extension]
  id: String
}

Fields​

ExplanationOfBenefitFinancial.type ● CodeableConcept object​

Classification of benefit being provided.

ExplanationOfBenefitFinancial.allowedUnsignedInt ● Int scalar​

The quantity of the benefit which is permitted under the coverage. (choose any one of allowed*, but only one)

ExplanationOfBenefitFinancial.allowedString ● String scalar​

The quantity of the benefit which is permitted under the coverage. (choose any one of allowed*, but only one)

ExplanationOfBenefitFinancial.allowedMoney ● Money object​

The quantity of the benefit which is permitted under the coverage. (choose any one of allowed*, but only one)

ExplanationOfBenefitFinancial.usedUnsignedInt ● Int scalar​

The quantity of the benefit which have been consumed to date. (choose any one of used*, but only one)

ExplanationOfBenefitFinancial.usedMoney ● Money object​

The quantity of the benefit which have been consumed to date. (choose any one of used*, but only one)

ExplanationOfBenefitFinancial.modifierExtension ● [Extension] list object​

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).

ExplanationOfBenefitFinancial.extension ● [Extension] list object​

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.

ExplanationOfBenefitFinancial.id ● String scalar​

Interfaces​

Element interface​

Base definition for all elements in a resource. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions

Member Of​

ExplanationOfBenefitBenefitBalance object