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ClaimResponseItem

This resource provides the adjudication details from the processing of a Claim resource.

type ClaimResponseItem implements Element {
  itemSequence: Int
  noteNumber: [Int]
  adjudication: [ClaimResponseAdjudication]
  detail: [ClaimResponseDetail]
  modifierExtension: [Extension]
  extension: [Extension]
  id: String
}

Fields​

ClaimResponseItem.itemSequence ● Int scalar​

A number to uniquely reference the claim item entries.

ClaimResponseItem.noteNumber ● [Int] list scalar​

The numbers associated with notes below which apply to the adjudication of this item.

ClaimResponseItem.adjudication ● [ClaimResponseAdjudication] list object​

If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.

ClaimResponseItem.detail ● [ClaimResponseDetail] list object​

A claim detail. Either a simple (a product or service) or a group of sub-details which are simple items.

ClaimResponseItem.modifierExtension ● [Extension] list object​

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).

ClaimResponseItem.extension ● [Extension] list object​

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.

ClaimResponseItem.id ● String scalar​

Interfaces​

Element interface​

Base definition for all elements in a resource. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions

Member Of​

ClaimResponse object