Class ClaimResponse

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

Inheritance
System.Object
Resource
DomainResource
ClaimResponse
Implements
Inherited Members
Namespace: fhirCsR2.Models
Assembly: fhirCsR2.dll
Syntax
public class ClaimResponse : DomainResource, IFhirJsonSerializable

Properties

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_Created

Extension container element for Created

Declaration
public Element _Created { get; set; }
Property Value
Type Description
Element
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_Disposition

Extension container element for Disposition

Declaration
public Element _Disposition { get; set; }
Property Value
Type Description
Element
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_Outcome

Extension container element for Outcome

Declaration
public Element _Outcome { get; set; }
Property Value
Type Description
Element
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_PaymentDate

Extension container element for PaymentDate

Declaration
public Element _PaymentDate { get; set; }
Property Value
Type Description
Element
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AddItem

The first tier service adjudications for payor added services.

Declaration
public List<ClaimResponseAddItem> AddItem { get; set; }
Property Value
Type Description
fhirCsR2.Models.List<ClaimResponseAddItem>
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Coverage

Health care programs and insurers are significant payors of health service costs.

Declaration
public List<ClaimResponseCoverage> Coverage { get; set; }
Property Value
Type Description
fhirCsR2.Models.List<ClaimResponseCoverage>
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Created

The date when the enclosed suite of services were performed or completed.

Declaration
public string Created { get; set; }
Property Value
Type Description
System.String
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Disposition

A description of the status of the adjudication.

Declaration
public string Disposition { get; set; }
Property Value
Type Description
System.String
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Error

Mutually exclusive with Services Provided (Item).

Declaration
public List<ClaimResponseError> Error { get; set; }
Property Value
Type Description
fhirCsR2.Models.List<ClaimResponseError>
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Form

The form to be used for printing the content.

Declaration
public Coding Form { get; set; }
Property Value
Type Description
Coding
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Identifier

The Response business identifier.

Declaration
public List<Identifier> Identifier { get; set; }
Property Value
Type Description
fhirCsR2.Models.List<Identifier>
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Item

The first tier service adjudications for submitted services.

Declaration
public List<ClaimResponseItem> Item { get; set; }
Property Value
Type Description
fhirCsR2.Models.List<ClaimResponseItem>
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Note

Note text.

Declaration
public List<ClaimResponseNote> Note { get; set; }
Property Value
Type Description
fhirCsR2.Models.List<ClaimResponseNote>
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Organization

The Insurer who produced this adjudicated response.

Declaration
public Reference Organization { get; set; }
Property Value
Type Description
Reference
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OriginalRuleset

Knowledge of the original version can inform the processing of this instance so that information which is processable by the originating system may be generated.

Declaration
public Coding OriginalRuleset { get; set; }
Property Value
Type Description
Coding
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Outcome

Transaction status: error, complete.

Declaration
public string Outcome { get; set; }
Property Value
Type Description
System.String
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PayeeType

Party to be reimbursed: Subscriber, provider, other.

Declaration
public Coding PayeeType { get; set; }
Property Value
Type Description
Coding
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PaymentAdjustment

Adjustment to the payment of this transaction which is not related to adjudication of this transaction.

Declaration
public Quantity PaymentAdjustment { get; set; }
Property Value
Type Description
Quantity
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PaymentAdjustmentReason

Reason for the payment adjustment.

Declaration
public Coding PaymentAdjustmentReason { get; set; }
Property Value
Type Description
Coding
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PaymentAmount

Payable less any payment adjustment.

Declaration
public Quantity PaymentAmount { get; set; }
Property Value
Type Description
Quantity
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PaymentDate

Estimated payment data.

Declaration
public string PaymentDate { get; set; }
Property Value
Type Description
System.String
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PaymentRef

Payment identifier.

Declaration
public Identifier PaymentRef { get; set; }
Property Value
Type Description
Identifier
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Request

Original request resource referrence.

Declaration
public Reference Request { get; set; }
Property Value
Type Description
Reference
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RequestOrganization

The organization which is responsible for the services rendered to the patient.

Declaration
public Reference RequestOrganization { get; set; }
Property Value
Type Description
Reference
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RequestProvider

The practitioner who is responsible for the services rendered to the patient.

Declaration
public Reference RequestProvider { get; set; }
Property Value
Type Description
Reference
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Reserved

Status of funds reservation (For provider, for Patient, None).

Declaration
public Coding Reserved { get; set; }
Property Value
Type Description
Coding
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ResourceType

Resource Type Name

Declaration
public override string ResourceType { get; }
Property Value
Type Description
System.String
Overrides
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Ruleset

The version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources.

Declaration
public Coding Ruleset { get; set; }
Property Value
Type Description
Coding
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TotalBenefit

Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductible).

Declaration
public Quantity TotalBenefit { get; set; }
Property Value
Type Description
Quantity
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TotalCost

This is a check value that the receiver calculates and returns.

Declaration
public Quantity TotalCost { get; set; }
Property Value
Type Description
Quantity
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UnallocDeductable

The amount of deductible applied which was not allocated to any particular service line.

Declaration
public Quantity UnallocDeductable { get; set; }
Property Value
Type Description
Quantity

Methods

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DeserializeJson(ref Utf8JsonReader, JsonSerializerOptions)

Deserialize a JSON object

Declaration
public void DeserializeJson(ref Utf8JsonReader reader, JsonSerializerOptions options)
Parameters
Type Name Description
Utf8JsonReader reader
JsonSerializerOptions options
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DeserializeJsonProperty(ref Utf8JsonReader, JsonSerializerOptions, String)

Deserialize a JSON property

Declaration
public void DeserializeJsonProperty(ref Utf8JsonReader reader, JsonSerializerOptions options, string propertyName)
Parameters
Type Name Description
Utf8JsonReader reader
JsonSerializerOptions options
System.String propertyName
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SerializeJson(Utf8JsonWriter, JsonSerializerOptions, Boolean)

Serialize to a JSON object

Declaration
public void SerializeJson(Utf8JsonWriter writer, JsonSerializerOptions options, bool includeStartObject = true)
Parameters
Type Name Description
Utf8JsonWriter writer
JsonSerializerOptions options
System.Boolean includeStartObject

Implements