spark_auto_mapper_fhir.backbone_elements.explanation_of_benefit_insurance

Module Contents

Classes

ExplanationOfBenefitInsurance

ExplanationOfBenefit.Insurance
class spark_auto_mapper_fhir.backbone_elements.explanation_of_benefit_insurance.ExplanationOfBenefitInsurance(*, id_=None, extension=None, modifierExtension=None, focal, coverage, preAuthRef=None)

Bases: spark_auto_mapper_fhir.base_types.fhir_backbone_element_base.FhirBackboneElementBase

ExplanationOfBenefit.Insurance

This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.

This resource provides: the claim details; adjudication details from the

processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.

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 focal

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

claim when set to true.
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 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.

Parameters