Claim

open class Claim: DomainResource

Claim, Pre-determination or Pre-authorization.

A provider issued list of services and products provided, or to be provided, to a patient which is provided to an insurer for payment recovery.

  • Claim, Pre-determination or Pre-authorization.

    A provider issued list of services and products provided, or to be provided, to a patient which is provided to an insurer for payment recovery.

    Declaration

    Swift

    override open class var resourceType: String

  • Details about an accident.

    Declaration

    Swift

    public var accident: ClaimAccident?

  • Period for charge submission.

    Declaration

    Swift

    public var billablePeriod: Period?

  • Members of the care team.

    Declaration

    Swift

    public var careTeam: [ClaimCareTeam]?

  • Creation date.

    Declaration

    Swift

    public var created: DateTime?

  • List of Diagnosis.

    Declaration

    Swift

    public var diagnosis: [ClaimDiagnosis]?

  • Period unable to work.

    Declaration

    Swift

    public var employmentImpacted: Period?

  • Author.

    Declaration

    Swift

    public var enterer: Reference?

  • Servicing Facility.

    Declaration

    Swift

    public var facility: Reference?

  • Funds requested to be reserved.

    Declaration

    Swift

    public var fundsReserve: CodeableConcept?

  • Period in hospital.

    Declaration

    Swift

    public var hospitalization: Period?

  • Claim number.

    Declaration

    Swift

    public var identifier: [Identifier]?

  • Exceptions, special considerations, the condition, situation, prior or concurrent issues.

    Declaration

    Swift

    public var information: [ClaimInformation]?

  • Insurance or medical plan.

    Declaration

    Swift

    public var insurance: [ClaimInsurance]?

  • Target.

    Declaration

    Swift

    public var insurer: Reference?

  • Goods and Services.

    Declaration

    Swift

    public var item: [ClaimItem]?

  • Responsible organization.

    Declaration

    Swift

    public var organization: Reference?

  • Original prescription if superceded by fulfiller.

    Declaration

    Swift

    public var originalPrescription: Reference?

  • The subject of the Products and Services.

    Declaration

    Swift

    public var patient: Reference?

  • Party to be paid any benefits payable.

    Declaration

    Swift

    public var payee: ClaimPayee?

  • Prescription authorizing services or products.

    Declaration

    Swift

    public var prescription: Reference?

  • Desired processing priority.

    Declaration

    Swift

    public var priority: CodeableConcept?

  • Procedures performed.

    Declaration

    Swift

    public var procedure: [ClaimProcedure]?

  • Responsible provider.

    Declaration

    Swift

    public var provider: Reference?

  • Treatment Referral.

    Declaration

    Swift

    public var referral: Reference?

  • Related Claims which may be revelant to processing this claimn.

    Declaration

    Swift

    public var related: [ClaimRelated]?

  • active | cancelled | draft | entered-in-error.

    Declaration

    Swift

    public var status: FHIRString?

  • Finer grained claim type information.

    Declaration

    Swift

    public var subType: [CodeableConcept]?

  • Total claim cost.

    Declaration

    Swift

    public var total: Money?

  • Type or discipline.

    Declaration

    Swift

    public var type: CodeableConcept?
  • use

    Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).

    Declaration

    Swift

    public var use: Use?

  • Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).

    Declaration

    Swift

    override open func populate(from json: FHIRJSON, context instCtx: inout FHIRInstantiationContext)

  • Undocumented

    Declaration

    Swift

    open class Claim: DomainResource