Package com.ibm.fhir.model.resource

Class CoverageEligibilityRequest

  • All Implemented Interfaces:
    Visitable
    @Generated("com.ibm.fhir.tools.CodeGenerator")
public class CoverageEligibilityRequest
extends DomainResource
    The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in- force and optionally to provide the insurance details of the policy.

    Maturity level: FMM2 (Trial Use)

    • Method Detail

      • getIdentifier

        public java.util.List<Identifier> getIdentifier()
        A unique identifier assigned to this coverage eligiblity request.
        Returns:
        An unmodifiable list containing immutable objects of type Identifier that may be empty.

      • getPriority

        public CodeableConcept getPriority()
        When the requestor expects the processor to complete processing.
        Returns:
        An immutable object of type CodeableConcept that may be null.

      • getPurpose

        public java.util.List<EligibilityRequestPurpose> getPurpose()
        Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified.
        Returns:
        An unmodifiable list containing immutable objects of type EligibilityRequestPurpose that is non-empty.

      • getPatient

        public Reference getPatient()
        The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.
        Returns:
        An immutable object of type Reference that is non-null.

      • getServiced

        public Element getServiced()
        The date or dates when the enclosed suite of services were performed or completed.
        Returns:
        An immutable object of type Date or Period that may be null.

      • getCreated

        public DateTime getCreated()
        The date when this resource was created.
        Returns:
        An immutable object of type DateTime that is non-null.

      • getEnterer

        public Reference getEnterer()
        Person who created the request.
        Returns:
        An immutable object of type Reference that may be null.

      • getProvider

        public Reference getProvider()
        The provider which is responsible for the request.
        Returns:
        An immutable object of type Reference that may be null.

      • getInsurer

        public Reference getInsurer()
        The Insurer who issued the coverage in question and is the recipient of the request.
        Returns:
        An immutable object of type Reference that is non-null.

      • getFacility

        public Reference getFacility()
        Facility where the services are intended to be provided.
        Returns:
        An immutable object of type Reference that may be null.

      • getItem

        public java.util.List<CoverageEligibilityRequest.Item> getItem()
        Service categories or billable services for which benefit details and/or an authorization prior to service delivery may be required by the payor.
        Returns:
        An unmodifiable list containing immutable objects of type CoverageEligibilityRequest.Item that may be empty.

      • 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