r5/resource_types/financial/financial
library
Classes
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Account
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Account A financial tool for tracking value accrued for a particular
purpose. In the healthcare field, used to track charges for a patient,
cost centers, etc.
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AccountBalance
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AccountBalance A financial tool for tracking value accrued for a
particular purpose. In the healthcare field, used to track charges for a
patient, cost centers, etc.
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AccountCoverage
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AccountCoverage A financial tool for tracking value accrued for a
particular purpose. In the healthcare field, used to track charges for a
patient, cost centers, etc.
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AccountDiagnosis
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AccountDiagnosis A financial tool for tracking value accrued for a
particular purpose. In the healthcare field, used to track charges for a
patient, cost centers, etc.
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AccountGuarantor
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AccountGuarantor A financial tool for tracking value accrued for a
particular purpose. In the healthcare field, used to track charges for a
patient, cost centers, etc.
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AccountProcedure
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AccountProcedure A financial tool for tracking value accrued for a
particular purpose. In the healthcare field, used to track charges for a
patient, cost centers, etc.
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AccountRelatedAccount
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AccountRelatedAccount A financial tool for tracking value accrued for a
particular purpose. In the healthcare field, used to track charges for a
patient, cost centers, etc.
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ChargeItem
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ChargeItem The resource ChargeItem describes the provision of healthcare
provider products for a certain patient, therefore referring not only to
the product, but containing in addition details of the provision, like
date, time, amounts and participating organizations and persons. Main
Usage of the ChargeItem is to enable the billing process and internal cost
allocation.
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ChargeItemDefinition
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ChargeItemDefinition The ChargeItemDefinition resource provides the
properties that apply to the (billing) codes necessary to calculate costs
and prices. The properties may differ largely depending on type and realm,
therefore this resource gives only a rough structure and requires
profiling for each type of billing code system.
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ChargeItemDefinitionApplicability
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ChargeItemDefinitionApplicability The ChargeItemDefinition resource
provides the properties that apply to the (billing) codes necessary to
calculate costs and prices. The properties may differ largely depending on
type and realm, therefore this resource gives only a rough structure and
requires profiling for each type of billing code system.
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ChargeItemDefinitionPropertyGroup
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ChargeItemDefinitionPropertyGroup The ChargeItemDefinition resource
provides the properties that apply to the (billing) codes necessary to
calculate costs and prices. The properties may differ largely depending on
type and realm, therefore this resource gives only a rough structure and
requires profiling for each type of billing code system.
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ChargeItemPerformer
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ChargeItemPerformer The resource ChargeItem describes the provision of
healthcare provider products for a certain patient, therefore referring
not only to the product, but containing in addition details of the
provision, like date, time, amounts and participating organizations and
persons. Main Usage of the ChargeItem is to enable the billing process and
internal cost allocation.
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Claim
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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.
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ClaimAccident
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ClaimAccident 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.
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ClaimBodySite
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ClaimBodySite 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.
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ClaimCareTeam
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ClaimCareTeam 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.
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ClaimDetail
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ClaimDetail 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.
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ClaimDiagnosis
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ClaimDiagnosis 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.
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ClaimEvent
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ClaimEvent 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.
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ClaimInsurance
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ClaimInsurance 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.
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ClaimItem
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ClaimItem 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.
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ClaimPayee
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ClaimPayee 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.
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ClaimProcedure
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ClaimProcedure 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.
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ClaimRelated
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ClaimRelated 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.
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ClaimResponse
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ClaimResponse This resource provides the adjudication details from the
processing of a Claim resource.
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ClaimResponseAddItem
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ClaimResponseAddItem This resource provides the adjudication details from
the processing of a Claim resource.
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ClaimResponseAdjudication
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ClaimResponseAdjudication This resource provides the adjudication details
from the processing of a Claim resource.
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ClaimResponseBodySite
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ClaimResponseBodySite This resource provides the adjudication details
from the processing of a Claim resource.
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ClaimResponseDetail
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ClaimResponseDetail This resource provides the adjudication details from
the processing of a Claim resource.
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ClaimResponseDetail1
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ClaimResponseDetail1 This resource provides the adjudication details from
the processing of a Claim resource.
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ClaimResponseError
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ClaimResponseError This resource provides the adjudication details from
the processing of a Claim resource.
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ClaimResponseEvent
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ClaimResponseEvent This resource provides the adjudication details from
the processing of a Claim resource.
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ClaimResponseInsurance
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ClaimResponseInsurance This resource provides the adjudication details
from the processing of a Claim resource.
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ClaimResponseItem
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ClaimResponseItem This resource provides the adjudication details from
the processing of a Claim resource.
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ClaimResponsePayment
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ClaimResponsePayment This resource provides the adjudication details from
the processing of a Claim resource.
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ClaimResponseProcessNote
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ClaimResponseProcessNote This resource provides the adjudication details
from the processing of a Claim resource.
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ClaimResponseReviewOutcome
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ClaimResponseReviewOutcome This resource provides the adjudication
details from the processing of a Claim resource.
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ClaimResponseSubDetail
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ClaimResponseSubDetail This resource provides the adjudication details
from the processing of a Claim resource.
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ClaimResponseSubDetail1
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ClaimResponseSubDetail1 This resource provides the adjudication details
from the processing of a Claim resource.
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ClaimResponseTotal
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ClaimResponseTotal This resource provides the adjudication details from
the processing of a Claim resource.
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ClaimSubDetail
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ClaimSubDetail 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.
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ClaimSupportingInfo
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ClaimSupportingInfo 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.
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Contract
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Contract Legally enforceable, formally recorded unilateral or bilateral
directive i.e., a policy or agreement.
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ContractAction
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ContractAction Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractAnswer
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ContractAnswer Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractAsset
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ContractAsset Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractContentDefinition
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ContractContentDefinition Legally enforceable, formally recorded
unilateral or bilateral directive i.e., a policy or agreement.
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ContractContext
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ContractContext Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractFriendly
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ContractFriendly Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractLegal
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ContractLegal Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractOffer
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ContractOffer Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractParty
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ContractParty Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractRule
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ContractRule Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractSecurityLabel
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ContractSecurityLabel Legally enforceable, formally recorded unilateral
or bilateral directive i.e., a policy or agreement.
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ContractSigner
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ContractSigner Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractSubject
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ContractSubject Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractTerm
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ContractTerm Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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ContractValuedItem
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ContractValuedItem Legally enforceable, formally recorded unilateral or
bilateral directive i.e., a policy or agreement.
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Coverage
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Coverage Financial instrument which may be used to reimburse or pay for
health care products and services. Includes both insurance and
self-payment.
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CoverageClass
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CoverageClass Financial instrument which may be used to reimburse or pay
for health care products and services. Includes both insurance and
self-payment.
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CoverageCostToBeneficiary
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CoverageCostToBeneficiary Financial instrument which may be used to
reimburse or pay for health care products and services. Includes both
insurance and self-payment.
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CoverageEligibilityRequest
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CoverageEligibilityRequest The CoverageEligibilityRequest provides
patient and insurance coverage information to an insurer for them to
respond, in the form of an CoverageEligibilityResponse, with information
regarding whether the stated coverage is valid and in-force and optionally
to provide the insurance details of the policy.
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CoverageEligibilityRequestDiagnosis
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CoverageEligibilityRequestDiagnosis The CoverageEligibilityRequest
provides patient and insurance coverage information to an insurer for them
to respond, in the form of an CoverageEligibilityResponse, with
information regarding whether the stated coverage is valid and in-force
and optionally to provide the insurance details of the policy.
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CoverageEligibilityRequestEvent
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CoverageEligibilityRequestEvent The CoverageEligibilityRequest provides
patient and insurance coverage information to an insurer for them to
respond, in the form of an CoverageEligibilityResponse, with information
regarding whether the stated coverage is valid and in-force and optionally
to provide the insurance details of the policy.
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CoverageEligibilityRequestInsurance
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CoverageEligibilityRequestInsurance The CoverageEligibilityRequest
provides patient and insurance coverage information to an insurer for them
to respond, in the form of an CoverageEligibilityResponse, with
information regarding whether the stated coverage is valid and in-force
and optionally to provide the insurance details of the policy.
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CoverageEligibilityRequestItem
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CoverageEligibilityRequestItem The CoverageEligibilityRequest provides
patient and insurance coverage information to an insurer for them to
respond, in the form of an CoverageEligibilityResponse, with information
regarding whether the stated coverage is valid and in-force and optionally
to provide the insurance details of the policy.
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CoverageEligibilityRequestSupportingInfo
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CoverageEligibilityRequestSupportingInfo The CoverageEligibilityRequest
provides patient and insurance coverage information to an insurer for them
to respond, in the form of an CoverageEligibilityResponse, with
information regarding whether the stated coverage is valid and in-force
and optionally to provide the insurance details of the policy.
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CoverageEligibilityResponse
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CoverageEligibilityResponse This resource provides eligibility and plan
details from the processing of an CoverageEligibilityRequest resource.
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CoverageEligibilityResponseBenefit
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CoverageEligibilityResponseBenefit This resource provides eligibility and
plan details from the processing of an CoverageEligibilityRequest resource.
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CoverageEligibilityResponseError
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CoverageEligibilityResponseError This resource provides eligibility and
plan details from the processing of an CoverageEligibilityRequest resource.
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CoverageEligibilityResponseEvent
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CoverageEligibilityResponseEvent This resource provides eligibility and
plan details from the processing of an CoverageEligibilityRequest resource.
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CoverageEligibilityResponseInsurance
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CoverageEligibilityResponseInsurance This resource provides eligibility
and plan details from the processing of an CoverageEligibilityRequest
resource.
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CoverageEligibilityResponseItem
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CoverageEligibilityResponseItem This resource provides eligibility and
plan details from the processing of an CoverageEligibilityRequest resource.
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CoverageException
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CoverageException Financial instrument which may be used to reimburse or
pay for health care products and services. Includes both insurance and
self-payment.
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CoveragePaymentBy
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CoveragePaymentBy Financial instrument which may be used to reimburse or
pay for health care products and services. Includes both insurance and
self-payment.
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EnrollmentRequest
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EnrollmentRequest This resource provides the insurance enrollment details
to the insurer regarding a specified coverage.
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EnrollmentResponse
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EnrollmentResponse This resource provides enrollment and plan details
from the processing of an EnrollmentRequest resource.
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ExplanationOfBenefit
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ExplanationOfBenefit 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.
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ExplanationOfBenefitAccident
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ExplanationOfBenefitAccident 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.
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ExplanationOfBenefitAddItem
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ExplanationOfBenefitAddItem 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.
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ExplanationOfBenefitAdjudication
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ExplanationOfBenefitAdjudication 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.
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ExplanationOfBenefitBenefitBalance
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ExplanationOfBenefitBenefitBalance 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.
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ExplanationOfBenefitBodySite
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ExplanationOfBenefitBodySite 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.
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ExplanationOfBenefitBodySite1
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ExplanationOfBenefitBodySite1 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.
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ExplanationOfBenefitCareTeam
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ExplanationOfBenefitCareTeam 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.
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ExplanationOfBenefitDetail
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ExplanationOfBenefitDetail 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.
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ExplanationOfBenefitDetail1
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ExplanationOfBenefitDetail1 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.
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ExplanationOfBenefitDiagnosis
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ExplanationOfBenefitDiagnosis 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.
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ExplanationOfBenefitEvent
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ExplanationOfBenefitEvent 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.
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ExplanationOfBenefitFinancial
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ExplanationOfBenefitFinancial 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.
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ExplanationOfBenefitInsurance
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ExplanationOfBenefitInsurance 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.
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ExplanationOfBenefitItem
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ExplanationOfBenefitItem 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.
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ExplanationOfBenefitPayee
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ExplanationOfBenefitPayee 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.
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ExplanationOfBenefitPayment
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ExplanationOfBenefitPayment 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.
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ExplanationOfBenefitProcedure
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ExplanationOfBenefitProcedure 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.
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ExplanationOfBenefitProcessNote
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ExplanationOfBenefitProcessNote 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.
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ExplanationOfBenefitRelated
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ExplanationOfBenefitRelated 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.
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ExplanationOfBenefitReviewOutcome
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ExplanationOfBenefitReviewOutcome 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.
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ExplanationOfBenefitSubDetail
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ExplanationOfBenefitSubDetail 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.
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ExplanationOfBenefitSubDetail1
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ExplanationOfBenefitSubDetail1 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.
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ExplanationOfBenefitSupportingInfo
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ExplanationOfBenefitSupportingInfo 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.
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ExplanationOfBenefitTotal
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ExplanationOfBenefitTotal 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.
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InsurancePlan
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InsurancePlan Details of a Health Insurance product/plan provided by an
organization.
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InsurancePlanBenefit
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InsurancePlanBenefit Details of a Health Insurance product/plan provided
by an organization.
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InsurancePlanBenefit1
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InsurancePlanBenefit1 Details of a Health Insurance product/plan provided
by an organization.
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InsurancePlanCost
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InsurancePlanCost Details of a Health Insurance product/plan provided by
an organization.
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InsurancePlanCoverage
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InsurancePlanCoverage Details of a Health Insurance product/plan provided
by an organization.
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InsurancePlanGeneralCost
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InsurancePlanGeneralCost Details of a Health Insurance product/plan
provided by an organization.
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InsurancePlanLimit
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InsurancePlanLimit Details of a Health Insurance product/plan provided by
an organization.
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InsurancePlanPlan
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InsurancePlanPlan Details of a Health Insurance product/plan provided by
an organization.
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InsurancePlanSpecificCost
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InsurancePlanSpecificCost Details of a Health Insurance product/plan
provided by an organization.
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Invoice
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Invoice Invoice containing collected ChargeItems from an Account with
calculated individual and total price for Billing purpose.
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InvoiceLineItem
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InvoiceLineItem Invoice containing collected ChargeItems from an Account
with calculated individual and total price for Billing purpose.
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InvoiceParticipant
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InvoiceParticipant Invoice containing collected ChargeItems from an
Account with calculated individual and total price for Billing purpose.
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PaymentNotice
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PaymentNotice This resource provides the status of the payment for goods
and services rendered, and the request and response resource references.
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PaymentReconciliation
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PaymentReconciliation This resource provides the details including amount
of a payment and allocates the payment items being paid.
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PaymentReconciliationAllocation
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PaymentReconciliationAllocation This resource provides the details
including amount of a payment and allocates the payment items being paid.
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PaymentReconciliationProcessNote
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PaymentReconciliationProcessNote This resource provides the details
including amount of a payment and allocates the payment items being paid.