Claim class

Claim 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.

Mixed in types
Annotations
  • @freezed

Constructors

Claim({@Default(R5ResourceType.Claim) @JsonKey(unknownEnumValue: R5ResourceType.Claim) R5ResourceType resourceType, @JsonKey(includeFromJson: true, includeToJson: false) int? dbId, @JsonKey(name: 'id') FhirId? fhirId, FhirMeta? meta, FhirUri? implicitRules, @JsonKey(name: '_implicitRules') Element? implicitRulesElement, FhirCode? language, @JsonKey(name: '_language') Element? languageElement, Narrative? text, List<Resource>? contained, @JsonKey(name: 'extension') List<FhirExtension>? extension_, List<FhirExtension>? modifierExtension, List<Identifier>? identifier, List<Identifier>? traceNumber, FhirCode? status, @JsonKey(name: '_status') Element? statusElement, required CodeableConcept type, CodeableConcept? subType, FhirCode? use, @JsonKey(name: '_use') Element? useElement, required Reference patient, Period? billablePeriod, FhirDateTime? created, @JsonKey(name: '_created') Element? createdElement, Reference? enterer, Reference? insurer, Reference? provider, CodeableConcept? priority, CodeableConcept? fundsReserve, List<ClaimRelated>? related, Reference? prescription, Reference? originalPrescription, ClaimPayee? payee, Reference? referral, List<Reference>? encounter, Reference? facility, CodeableConcept? diagnosisRelatedGroup, List<ClaimEvent>? event, List<ClaimCareTeam>? careTeam, List<ClaimSupportingInfo>? supportingInfo, List<ClaimDiagnosis>? diagnosis, List<ClaimProcedure>? procedure, List<ClaimInsurance>? insurance, ClaimAccident? accident, Money? patientPaid, List<ClaimItem>? item, Money? total})
Claim 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.
const
factory
Claim.fromJson(Map<String, dynamic> json)
Factory constructor, accepts Map<String, dynamic> as an argument
factory
Claim.fromJsonString(String source)
Acts like a constructor, returns a Claim, accepts a String as an argument, mostly because I got tired of typing it out
factory
Claim.fromYaml(dynamic yaml)
Factory constructor that accepts a String in YAML format as an argument
factory

Properties

accident → ClaimAccident?
accident Details of an accident which resulted in injuries which required the products and services listed in the claim.
no setterinherited
billablePeriod → Period?
billablePeriod The period for which charges are being submitted.
no setterinherited
careTeam → List<ClaimCareTeam>?
careTeam The members of the team who provided the products and services.
no setterinherited
contained → List<Resource>?
contained These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
no setterinherited
copyWith → $ClaimCopyWith<Claim>
no setterinherited
created → FhirDateTime?
created The date this resource was created.
no setterinherited
createdElement → Element?
createdElement ("_created") Extensions for created
no setterinherited
dbId → int?
no setterinherited
diagnosis → List<ClaimDiagnosis>?
diagnosis Information about diagnoses relevant to the claim items.
no setterinherited
diagnosisRelatedGroup → CodeableConcept?
diagnosisRelatedGroup A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
no setterinherited
encounter → List<Reference>?
encounter Healthcare encounters related to this claim.
no setterinherited
enterer → Reference?
enterer Individual who created the claim, predetermination or preauthorization.
no setterinherited
event → List<ClaimEvent>?
event Information code for an event with a corresponding date or period.
no setterinherited
extension_ → List<FhirExtension>?
extension_ ("extension") May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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.
no setterinherited
facility → Reference?
facility Facility where the services were provided.
no setterinherited
fhirId → FhirId?
id The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
no setterinherited
fundsReserve → CodeableConcept?
fundsReserve A code to indicate whether and for whom funds are to be reserved for future claims.
no setterinherited
hashCode → int
The hash code for this object.
no setterinherited
identifier → List<Identifier>?
identifier A unique identifier assigned to this claim.
no setterinherited
implicitRules → FhirUri?
implicitRules A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
no setterinherited
implicitRulesElement → Element?
implicitRulesElement ("_implicitRules") Extensions for implicitRules
no setterinherited
insurance → List<ClaimInsurance>?
insurance Financial instruments for reimbursement for the health care products and services specified on the claim.
no setterinherited
insurer → Reference?
insurer The Insurer who is target of the request.
no setterinherited
item → List<ClaimItem>?
item A claim line. Either a simple product or service or a 'group' of details which can each be a simple items or groups of sub-details.
no setterinherited
language → FhirCode?
language The base language in which the resource is written.
no setterinherited
languageElement → Element?
languageElement ("_language") Extensions for language
no setterinherited
meta → FhirMeta?
meta The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
no setterinherited
modifierExtension → List<FhirExtension>?
modifierExtension May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to 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).
no setterinherited
originalPrescription → Reference?
originalPrescription Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
no setterinherited
path → String
Local Reference for this Resource, form is "ResourceType/Id"
no setterinherited
patient → Reference
patient The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.
no setterinherited
patientPaid → Money?
patientPaid The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services.
no setterinherited
payee → ClaimPayee?
payee The party to be reimbursed for cost of the products and services according to the terms of the policy.
no setterinherited
prescription → Reference?
prescription Prescription is the document/authorization given to the claim author for them to provide products and services for which consideration (reimbursement) is sought. Could be a RX for medications, an 'order' for oxygen or wheelchair or physiotherapy treatments.
no setterinherited
priority → CodeableConcept?
priority The provider-required urgency of processing the request. Typical values include: stat, normal, deferred.
no setterinherited
procedure → List<ClaimProcedure>?
procedure Procedures performed on the patient relevant to the billing items with the claim.
no setterinherited
provider → Reference?
provider The provider which is responsible for the claim, predetermination or preauthorization.
no setterinherited
referral → Reference?
referral The referral information received by the claim author, it is not to be used when the author generates a referral for a patient. A copy of that referral may be provided as supporting information. Some insurers require proof of referral to pay for services or to pay specialist rates for services.
no setterinherited
related Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.
no setterinherited
resourceType → R5ResourceType
resourceType This is a Claim resource
no setterinherited
resourceTypeString → String?
produce a string of the resourceType
no setterinherited
runtimeType → Type
A representation of the runtime type of the object.
no setterinherited
status → FhirCode?
status The status of the resource instance.
no setterinherited
statusElement → Element?
statusElement ("_status") Extensions for status
no setterinherited
subType → CodeableConcept?
subType A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
no setterinherited
supportingInfo → List<ClaimSupportingInfo>?
supportingInfo Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
no setterinherited
text → Narrative?
text A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
no setterinherited
thisReference → Reference
Convenience method to return a Reference referring to that Resource
no setterinherited
total → Money?
total The total value of the all the items in the claim.
no setterinherited
traceNumber → List<Identifier>?
traceNumber Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners.
no setterinherited
type → CodeableConcept
type The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
no setterinherited
use → FhirCode?
use A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.
no setterinherited
useElement → Element?
useElement ("_use") Extensions for use
no setterinherited

Methods

newId() → Resource
returns the same resource with a new ID (even if there is already an ID present)
inherited
newIdIfNoId() → Resource
returns the same resource with a new ID if there is no current ID
inherited
noSuchMethod(Invocation invocation) → dynamic
Invoked when a nonexistent method or property is accessed.
inherited
toDbJson() → Map<String, dynamic>
The normal toJson ignores the dbId, and produces the fhirId as the id However, if you're going to use this as a database entry, you have to switch those two ids
inherited
toJson() → Map<String, dynamic>
inherited
toJsonString() → String
Another convenience method because more and more I'm transmitting FHIR data as a String and not a Map
override
toString() → String
A string representation of this object.
inherited
toYaml() → String
Produces a Yaml formatted String version of the object
override
updateVersion({FhirMeta? oldMeta}) → Resource
Updates the meta field of this Resource, updates the meta.lastUpdated field, adds 1 to the version number
inherited

Operators

operator ==(Object other) → bool
The equality operator.
inherited