ExplanationOfBenefitSupportingInfo

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 ExplanationOfBenefitSupportingInfo implements Element {
  sequence: Int
  category: CodeableConcept
  code: CodeableConcept
  timingDate: Date
  timingPeriod: Period
  valueBoolean: Boolean
  valueString: String
  valueQuantity: Quantity
  valueAttachment: Attachment
  valueReference: Reference
  reason: Coding
  modifierExtension: [Extension]
  extension: [Extension]
  id: String
}

Fields

ExplanationOfBenefitSupportingInfo.sequence ● Int scalar

A number to uniquely identify supporting information entries.

ExplanationOfBenefitSupportingInfo.category ● CodeableConcept object

The general class of the information supplied: information; exception; accident, employment; onset, etc.

ExplanationOfBenefitSupportingInfo.code ● CodeableConcept object

System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.

ExplanationOfBenefitSupportingInfo.timingDate ● Date scalar

The date when or period to which this information refers. (choose any one of timing*, but only one)

ExplanationOfBenefitSupportingInfo.timingPeriod ● Period object

The date when or period to which this information refers. (choose any one of timing*, but only one)

ExplanationOfBenefitSupportingInfo.valueBoolean ● Boolean scalar

Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. (choose any one of value*, but only one)

ExplanationOfBenefitSupportingInfo.valueString ● String scalar

Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. (choose any one of value*, but only one)

ExplanationOfBenefitSupportingInfo.valueQuantity ● Quantity object

Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. (choose any one of value*, but only one)

ExplanationOfBenefitSupportingInfo.valueAttachment ● Attachment object

Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. (choose any one of value*, but only one)

ExplanationOfBenefitSupportingInfo.valueReference ● Reference object

Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. (choose any one of value*, but only one)

ExplanationOfBenefitSupportingInfo.reason ● Coding object

Provides the reason in the situation where a reason code is required in addition to the content.

ExplanationOfBenefitSupportingInfo.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).

ExplanationOfBenefitSupportingInfo.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.

ExplanationOfBenefitSupportingInfo.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