ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.accident(ExplanationOfBenefit.Accident accident) |
Details of a accident which resulted in injuries which required the products and services listed in the claim.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.addItem(ExplanationOfBenefit.AddItem... addItem) |
The first-tier service adjudications for payor added product or service lines.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.addItem(Collection<ExplanationOfBenefit.AddItem> addItem) |
The first-tier service adjudications for payor added product or service lines.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.adjudication(ExplanationOfBenefit.Item.Adjudication... adjudication) |
The adjudication results which are presented at the header level rather than at the line-item or add-item levels.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.adjudication(Collection<ExplanationOfBenefit.Item.Adjudication> adjudication) |
The adjudication results which are presented at the header level rather than at the line-item or add-item levels.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.benefitBalance(ExplanationOfBenefit.BenefitBalance... benefitBalance) |
Balance by Benefit Category.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.benefitBalance(Collection<ExplanationOfBenefit.BenefitBalance> benefitBalance) |
Balance by Benefit Category.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.benefitPeriod(Period benefitPeriod) |
The term of the benefits documented in this response.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.billablePeriod(Period billablePeriod) |
The period for which charges are being submitted.
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static ExplanationOfBenefit.Builder |
ExplanationOfBenefit.builder() |
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.careTeam(ExplanationOfBenefit.CareTeam... careTeam) |
The members of the team who provided the products and services.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.careTeam(Collection<ExplanationOfBenefit.CareTeam> careTeam) |
The members of the team who provided the products and services.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.claim(Reference claim) |
The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.claimResponse(Reference claimResponse) |
The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization
response.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.contained(Resource... contained) |
These resources do not have an independent existence apart from the resource that contains them - they cannot be
identified independently, and nor can they have their own independent transaction scope.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.contained(Collection<Resource> contained) |
These resources do not have an independent existence apart from the resource that contains them - they cannot be
identified independently, and nor can they have their own independent transaction scope.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.created(DateTime created) |
The date this resource was created.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.diagnosis(ExplanationOfBenefit.Diagnosis... diagnosis) |
Information about diagnoses relevant to the claim items.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.diagnosis(Collection<ExplanationOfBenefit.Diagnosis> diagnosis) |
Information about diagnoses relevant to the claim items.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.disposition(String disposition) |
A human readable description of the status of the adjudication.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.enterer(Reference enterer) |
Individual who created the claim, predetermination or preauthorization.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.extension(Extension... extension) |
May be used to represent additional information that is not part of the basic definition of the resource.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.extension(Collection<Extension> extension) |
May be used to represent additional information that is not part of the basic definition of the resource.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.facility(Reference facility) |
Facility where the services were provided.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.form(Attachment form) |
The actual form, by reference or inclusion, for printing the content or an EOB.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.formCode(CodeableConcept formCode) |
A code for the form to be used for printing the content.
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protected ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.from(ExplanationOfBenefit explanationOfBenefit) |
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.fundsReserve(CodeableConcept fundsReserve) |
A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and
for whom.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.fundsReserveRequested(CodeableConcept fundsReserveRequested) |
A code to indicate whether and for whom funds are to be reserved for future claims.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.id(String id) |
The logical id of the resource, as used in the URL for the resource.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.identifier(Identifier... identifier) |
A unique identifier assigned to this explanation of benefit.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.identifier(Collection<Identifier> identifier) |
A unique identifier assigned to this explanation of benefit.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.implicitRules(Uri implicitRules) |
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when
processing the content.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.insurance(ExplanationOfBenefit.Insurance... insurance) |
Financial instruments for reimbursement for the health care products and services specified on the claim.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.insurance(Collection<ExplanationOfBenefit.Insurance> insurance) |
Financial instruments for reimbursement for the health care products and services specified on the claim.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.insurer(Reference insurer) |
The party responsible for authorization, adjudication and reimbursement.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.item(ExplanationOfBenefit.Item... item) |
A claim line.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.item(Collection<ExplanationOfBenefit.Item> item) |
A claim line.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.language(Code language) |
The base language in which the resource is written.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.meta(Meta meta) |
The metadata about the resource.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.modifierExtension(Extension... modifierExtension) |
May be used to represent additional information that is not part of the basic definition of the resource and that
modifies the understanding of the element that contains it and/or the understanding of the containing element's
descendants.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.modifierExtension(Collection<Extension> modifierExtension) |
May be used to represent additional information that is not part of the basic definition of the resource and that
modifies the understanding of the element that contains it and/or the understanding of the containing element's
descendants.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.originalPrescription(Reference originalPrescription) |
Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services,
medications or products.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.outcome(RemittanceOutcome outcome) |
The outcome of the claim, predetermination, or preauthorization processing.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.patient(Reference patient) |
The party to whom the professional services and/or products have been supplied or are being considered and for whom
actual for forecast reimbursement is sought.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.payee(ExplanationOfBenefit.Payee payee) |
The party to be reimbursed for cost of the products and services according to the terms of the policy.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.payment(ExplanationOfBenefit.Payment payment) |
Payment details for the adjudication of the claim.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.preAuthRef(String... preAuthRef) |
Reference from the Insurer which is used in later communications which refers to this adjudication.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.preAuthRef(Collection<String> preAuthRef) |
Reference from the Insurer which is used in later communications which refers to this adjudication.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.preAuthRefPeriod(Period... preAuthRefPeriod) |
The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication
as provided.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.preAuthRefPeriod(Collection<Period> preAuthRefPeriod) |
The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication
as provided.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.precedence(PositiveInt precedence) |
This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.prescription(Reference prescription) |
Prescription to support the dispensing of pharmacy, device or vision products.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.priority(CodeableConcept priority) |
The provider-required urgency of processing the request.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.procedure(ExplanationOfBenefit.Procedure... procedure) |
Procedures performed on the patient relevant to the billing items with the claim.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.procedure(Collection<ExplanationOfBenefit.Procedure> procedure) |
Procedures performed on the patient relevant to the billing items with the claim.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.processNote(ExplanationOfBenefit.ProcessNote... processNote) |
A note that describes or explains adjudication results in a human readable form.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.processNote(Collection<ExplanationOfBenefit.ProcessNote> processNote) |
A note that describes or explains adjudication results in a human readable form.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.provider(Reference provider) |
The provider which is responsible for the claim, predetermination or preauthorization.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.referral(Reference referral) |
A reference to a referral resource.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.related(ExplanationOfBenefit.Related... related) |
Other claims which are related to this claim such as prior submissions or claims for related services or for the same
event.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.related(Collection<ExplanationOfBenefit.Related> related) |
Other claims which are related to this claim such as prior submissions or claims for related services or for the same
event.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.status(ExplanationOfBenefitStatus status) |
The status of the resource instance.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.subType(CodeableConcept subType) |
A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient
and/or a specialty service.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.supportingInfo(ExplanationOfBenefit.SupportingInfo... supportingInfo) |
Additional information codes regarding exceptions, special considerations, the condition, situation, prior or
concurrent issues.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.supportingInfo(Collection<ExplanationOfBenefit.SupportingInfo> supportingInfo) |
Additional information codes regarding exceptions, special considerations, the condition, situation, prior or
concurrent issues.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.text(Narrative text) |
A human-readable narrative that contains a summary of the resource and can be used to represent the content of the
resource to a human.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.toBuilder() |
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.total(ExplanationOfBenefit.Total... total) |
Categorized monetary totals for the adjudication.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.total(Collection<ExplanationOfBenefit.Total> total) |
Categorized monetary totals for the adjudication.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.type(CodeableConcept type) |
The category of claim, e.g.
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ExplanationOfBenefit.Builder |
ExplanationOfBenefit.Builder.use(Use use) |
A code to indicate whether the nature of the request is: to request adjudication of products and services previously
rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding
adjudication of the listed products and services which could be provided in the future.
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