Package com.ibm.fhir.model.resource

Class ExplanationOfBenefit.Item.Adjudication

  • All Implemented Interfaces:
    Visitable
    Enclosing class:
    ExplanationOfBenefit.Item
    public static class ExplanationOfBenefit.Item.Adjudication
extends BackboneElement
    If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.

    • Method Detail

      • getCategory

        public CodeableConcept getCategory()
        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.
        Returns:
        An immutable object of type CodeableConcept that is non-null.

      • getReason

        public CodeableConcept getReason()
        A code supporting the understanding of the adjudication result and explaining variance from expected amount.
        Returns:
        An immutable object of type CodeableConcept that may be null.

      • getAmount

        public Money getAmount()
        Monetary amount associated with the category.
        Returns:
        An immutable object of type Money that may be null.

      • getValue

        public Decimal getValue()
        A non-monetary value associated with the category. Mutually exclusive to the amount element above.
        Returns:
        An immutable object of type Decimal that may be null.

      • accept

        public void accept​(java.lang.String elementName,
                   int elementIndex,
                   Visitor visitor)
        Description copied from interface: Visitable
        Accept a Visitor and invoke the appropriate visit methods. A typical implementation would look like this: 
         if (visitor.preVisit(this)) {
     visitor.visitStart(elementName, elementIndex, this);
     if (visitor.visit(elementName, elementIndex, this)) {
         // visit children
     }
     visitor.visitEnd(elementName, elementIndex, this);
     visitor.postVisit(this);
 }
        Specified by:
        accept in interface Visitable
        Specified by:
        accept in class AbstractVisitable
        Parameters:
        elementName - the name of the element in the context of this visit
        elementIndex - the index of the element in a list or -1 if it is not contained within a List
        visitor - the visitor to use

      • equals

        public boolean equals​(java.lang.Object obj)
        Overrides:
        equals in class java.lang.Object

      • hashCode

        public int hashCode()
        Overrides:
        hashCode in class java.lang.Object