spark_auto_mapper_fhir.backbone_elements.claim_insurance

Module Contents

Classes

ClaimInsurance

Claim.Insurance
class spark_auto_mapper_fhir.backbone_elements.claim_insurance.ClaimInsurance(*, id_=None, extension=None, modifierExtension=None, sequence, focal, identifier=None, coverage, businessArrangement=None, preAuthRef=None, claimResponse=None)

Bases: spark_auto_mapper_fhir.base_types.fhir_backbone_element_base.FhirBackboneElementBase

Claim.Insurance

A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.

A provider issued list of professional services and products which have been

provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.

param id_

None

param extension

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.

param modifierExtension

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).

param sequence

A number to uniquely identify insurance entries and provide a sequence of

coverages to convey coordination of benefit order.
param focal

A flag to indicate that this Coverage is to be used for adjudication of this

claim when set to true.
param identifier

The business identifier to be used when the claim is sent for adjudication

against this insurance policy.
param coverage

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.

param businessArrangement

A business agreement number established between the provider and the insurer

for special business processing purposes.
param preAuthRef

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.

param claimResponse

The result of the adjudication of the line items for the Coverage specified in

this insurance.

Parameters