spark_auto_mapper_fhir.backbone_elements.coverage_eligibility_response_item

Module Contents

Classes

CoverageEligibilityResponseItem

CoverageEligibilityResponse.Item
class spark_auto_mapper_fhir.backbone_elements.coverage_eligibility_response_item.CoverageEligibilityResponseItem(*, id_=None, extension=None, modifierExtension=None, category=None, productOrService=None, modifier=None, provider=None, excluded=None, name=None, description=None, network=None, unit=None, term=None, benefit=None, authorizationRequired=None, authorizationSupporting=None, authorizationUrl=None)

Bases: spark_auto_mapper_fhir.base_types.fhir_backbone_element_base.FhirBackboneElementBase

CoverageEligibilityResponse.Item

This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.

This resource provides eligibility and plan details from the processing of an

CoverageEligibilityRequest 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

Code to identify the general type of benefits under which products and

services are provided.
param productOrService

This contains the product, service, drug or other billing code for the item.

param modifier

Item typification or modifiers codes to convey additional context for the

product or service.
param provider

The practitioner who is eligible for the provision of the product or service.

param excluded

True if the indicated class of service is excluded from the plan, missing or

False indicates the product or service is included in the coverage.
param name

A short name or tag for the benefit.

param description

A richer description of the benefit or services covered.

param network

Is a flag to indicate whether the benefits refer to in-network providers or

out-of-network providers.
param unit

Indicates if the benefits apply to an individual or to the family.

param term

The term or period of the values such as ‘maximum lifetime benefit’ or

‘maximum annual visits’.
param benefit

Benefits used to date.

param authorizationRequired

A boolean flag indicating whether a preauthorization is required prior to

actual service delivery.
param authorizationSupporting

Codes or comments regarding information or actions associated with the

preauthorization.
param authorizationUrl

A web location for obtaining requirements or descriptive information regarding

the preauthorization.

Parameters