Class Claim.Insurance

  • All Implemented Interfaces:
    Visitable
    Enclosing class:
    Claim

    public static class Claim.Insurance
    extends BackboneElement
    Financial instruments for reimbursement for the health care products and services specified on the claim.
    • Method Detail

      • getSequence

        public PositiveInt getSequence()
        A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.
        Returns:
        An immutable object of type PositiveInt that is non-null.
      • getFocal

        public Boolean getFocal()
        A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
        Returns:
        An immutable object of type Boolean that is non-null.
      • getIdentifier

        public Identifier getIdentifier()
        The business identifier to be used when the claim is sent for adjudication against this insurance policy.
        Returns:
        An immutable object of type Identifier that may be null.
      • getCoverage

        public Reference getCoverage()
        Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
        Returns:
        An immutable object of type Reference that is non-null.
      • getBusinessArrangement

        public String getBusinessArrangement()
        A business agreement number established between the provider and the insurer for special business processing purposes.
        Returns:
        An immutable object of type String that may be null.
      • getPreAuthRef

        public java.util.List<String> getPreAuthRef()
        Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
        Returns:
        An unmodifiable list containing immutable objects of type String that may be empty.
      • getClaimResponse

        public Reference getClaimResponse()
        The result of the adjudication of the line items for the Coverage specified in this insurance.
        Returns:
        An immutable object of type Reference 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