r5/resource_types/financial/financial library

Classes

Account
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.
AccountBalance
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.
AccountCoverage
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.
AccountDiagnosis
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.
AccountGuarantor
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.
AccountProcedure
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.
AccountRelatedAccount
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.
ChargeItem
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.
ChargeItemDefinition
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.
ChargeItemDefinitionApplicability
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.
ChargeItemDefinitionPropertyGroup
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.
ChargeItemPerformer
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.
Claim
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.
ClaimAccident
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.
ClaimBodySite
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.
ClaimCareTeam
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.
ClaimDetail
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.
ClaimDiagnosis
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.
ClaimEvent
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.
ClaimInsurance
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.
ClaimItem
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.
ClaimPayee
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.
ClaimProcedure
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.
ClaimRelated
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.
ClaimResponse
ClaimResponse This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseAddItem
ClaimResponseAddItem This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseAdjudication
ClaimResponseAdjudication This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseBodySite
ClaimResponseBodySite This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseDetail
ClaimResponseDetail This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseDetail1
ClaimResponseDetail1 This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseError
ClaimResponseError This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseEvent
ClaimResponseEvent This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseInsurance
ClaimResponseInsurance This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseItem
ClaimResponseItem This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponsePayment
ClaimResponsePayment This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseProcessNote
ClaimResponseProcessNote This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseReviewOutcome
ClaimResponseReviewOutcome This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseSubDetail
ClaimResponseSubDetail This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseSubDetail1
ClaimResponseSubDetail1 This resource provides the adjudication details from the processing of a Claim resource.
ClaimResponseTotal
ClaimResponseTotal This resource provides the adjudication details from the processing of a Claim resource.
ClaimSubDetail
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.
ClaimSupportingInfo
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.
Contract
Contract Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractAction
ContractAction Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractAnswer
ContractAnswer Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractAsset
ContractAsset Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractContentDefinition
ContractContentDefinition Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractContext
ContractContext Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractFriendly
ContractFriendly Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractLegal
ContractLegal Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractOffer
ContractOffer Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractParty
ContractParty Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractRule
ContractRule Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractSecurityLabel
ContractSecurityLabel Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractSigner
ContractSigner Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractSubject
ContractSubject Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractTerm
ContractTerm Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
ContractValuedItem
ContractValuedItem Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
Coverage
Coverage Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
CoverageClass
CoverageClass Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
CoverageCostToBeneficiary
CoverageCostToBeneficiary Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
CoverageEligibilityRequest
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.
CoverageEligibilityRequestDiagnosis
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.
CoverageEligibilityRequestEvent
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.
CoverageEligibilityRequestInsurance
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.
CoverageEligibilityRequestItem
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.
CoverageEligibilityRequestSupportingInfo
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.
CoverageEligibilityResponse
CoverageEligibilityResponse This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.
CoverageEligibilityResponseBenefit
CoverageEligibilityResponseBenefit This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.
CoverageEligibilityResponseError
CoverageEligibilityResponseError This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.
CoverageEligibilityResponseEvent
CoverageEligibilityResponseEvent This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.
CoverageEligibilityResponseInsurance
CoverageEligibilityResponseInsurance This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.
CoverageEligibilityResponseItem
CoverageEligibilityResponseItem This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.
CoverageException
CoverageException Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
CoveragePaymentBy
CoveragePaymentBy Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
EnrollmentRequest
EnrollmentRequest This resource provides the insurance enrollment details to the insurer regarding a specified coverage.
EnrollmentResponse
EnrollmentResponse This resource provides enrollment and plan details from the processing of an EnrollmentRequest resource.
ExplanationOfBenefit
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.
ExplanationOfBenefitAccident
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.
ExplanationOfBenefitAddItem
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.
ExplanationOfBenefitAdjudication
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.
ExplanationOfBenefitBenefitBalance
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.
ExplanationOfBenefitBodySite
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.
ExplanationOfBenefitBodySite1
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.
ExplanationOfBenefitCareTeam
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.
ExplanationOfBenefitDetail
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.
ExplanationOfBenefitDetail1
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.
ExplanationOfBenefitDiagnosis
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.
ExplanationOfBenefitEvent
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.
ExplanationOfBenefitFinancial
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.
ExplanationOfBenefitInsurance
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.
ExplanationOfBenefitItem
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.
ExplanationOfBenefitPayee
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.
ExplanationOfBenefitPayment
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.
ExplanationOfBenefitProcedure
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.
ExplanationOfBenefitProcessNote
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.
ExplanationOfBenefitRelated
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.
ExplanationOfBenefitReviewOutcome
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.
ExplanationOfBenefitSubDetail
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.
ExplanationOfBenefitSubDetail1
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.
ExplanationOfBenefitSupportingInfo
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.
ExplanationOfBenefitTotal
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.
InsurancePlan
InsurancePlan Details of a Health Insurance product/plan provided by an organization.
InsurancePlanBenefit
InsurancePlanBenefit Details of a Health Insurance product/plan provided by an organization.
InsurancePlanBenefit1
InsurancePlanBenefit1 Details of a Health Insurance product/plan provided by an organization.
InsurancePlanCost
InsurancePlanCost Details of a Health Insurance product/plan provided by an organization.
InsurancePlanCoverage
InsurancePlanCoverage Details of a Health Insurance product/plan provided by an organization.
InsurancePlanGeneralCost
InsurancePlanGeneralCost Details of a Health Insurance product/plan provided by an organization.
InsurancePlanLimit
InsurancePlanLimit Details of a Health Insurance product/plan provided by an organization.
InsurancePlanPlan
InsurancePlanPlan Details of a Health Insurance product/plan provided by an organization.
InsurancePlanSpecificCost
InsurancePlanSpecificCost Details of a Health Insurance product/plan provided by an organization.
Invoice
Invoice Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose.
InvoiceLineItem
InvoiceLineItem Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose.
InvoiceParticipant
InvoiceParticipant Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose.
PaymentNotice
PaymentNotice This resource provides the status of the payment for goods and services rendered, and the request and response resource references.
PaymentReconciliation
PaymentReconciliation This resource provides the details including amount of a payment and allocates the payment items being paid.
PaymentReconciliationAllocation
PaymentReconciliationAllocation This resource provides the details including amount of a payment and allocates the payment items being paid.
PaymentReconciliationProcessNote
PaymentReconciliationProcessNote This resource provides the details including amount of a payment and allocates the payment items being paid.