spark_auto_mapper_fhir.backbone_elements.claim_response_adjudication

Module Contents

Classes

ClaimResponseAdjudication

ClaimResponse.Adjudication
class spark_auto_mapper_fhir.backbone_elements.claim_response_adjudication.ClaimResponseAdjudication(*, id_=None, extension=None, modifierExtension=None, category, reason=None, amount=None, value=None)

Bases: spark_auto_mapper_fhir.base_types.fhir_backbone_element_base.FhirBackboneElementBase

ClaimResponse.Adjudication

This resource provides the adjudication details from the processing of a Claim resource.

This resource provides the adjudication details from the processing of a Claim

resource.

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 category

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.

param reason

A code supporting the understanding of the adjudication result and explaining

variance from expected amount.
param amount

Monetary amount associated with the category.

param value

A non-monetary value associated with the category. Mutually exclusive to the

amount element above.

Parameters