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ExplanationOfBenefitPayment

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 ExplanationOfBenefitPayment implements Element {
  type: CodeableConcept
  adjustment: Money
  adjustmentReason: CodeableConcept
  date: Date
  amount: Money
  identifier: Identifier
  modifierExtension: [Extension]
  extension: [Extension]
  id: String
}

Fields​

ExplanationOfBenefitPayment.type ● CodeableConcept object​

Whether this represents partial or complete payment of the benefits payable.

ExplanationOfBenefitPayment.adjustment ● Money object​

Total amount of all adjustments to this payment included in this transaction which are not related to this claim s adjudication.

ExplanationOfBenefitPayment.adjustmentReason ● CodeableConcept object​

Reason for the payment adjustment.

ExplanationOfBenefitPayment.date ● Date scalar​

Estimated date the payment will be issued or the actual issue date of payment.

ExplanationOfBenefitPayment.amount ● Money object​

Benefits payable less any payment adjustment.

ExplanationOfBenefitPayment.identifier ● Identifier object​

Issuer s unique identifier for the payment instrument.

ExplanationOfBenefitPayment.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).

ExplanationOfBenefitPayment.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.

ExplanationOfBenefitPayment.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​

ExplanationOfBenefit object