|
1 |
| Claim |
|
| Claim.meta |
|
| Claim.implicitRules |
|
| Claim.language |
|
| Claim.text |
|
| Claim.contained |
|
| Claim.extension |
|
| Claim.modifierExtension |
|
| Claim.identifier |
|
| Claim.traceNumber |
|
| Claim.status |
|
| Claim.type |
|
| Claim.subType |
|
| Claim.use |
|
| Claim.patient |
|
| Claim.billablePeriod |
|
| Claim.created |
|
| Claim.enterer |
|
| Claim.insurer |
|
| Claim.provider |
|
| Claim.priority |
|
| Claim.fundsReserve |
|
| Claim.related |
|
| Claim.related.extension |
|
| Claim.related.modifierExtension |
|
| Claim.related.claim |
|
| Claim.related.relationship |
|
| Claim.related.reference |
|
| Claim.prescription |
|
| Claim.originalPrescription |
|
| Claim.payee |
|
| Claim.payee.extension |
|
| Claim.payee.modifierExtension |
|
| Claim.payee.type |
|
| Claim.payee.party |
|
| Claim.referral |
|
| Claim.encounter |
|
| Claim.facility |
|
| Claim.diagnosisRelatedGroup |
|
| Claim.event |
|
| Claim.event.extension |
|
| Claim.event.modifierExtension |
|
| Claim.event.type |
|
| Claim.event.when[x] |
|
| Claim.careTeam |
|
| Claim.careTeam.extension |
|
| Claim.careTeam.modifierExtension |
|
| Claim.careTeam.sequence |
|
| Claim.careTeam.provider |
|
| Claim.careTeam.responsible |
|
| Claim.careTeam.role |
|
| Claim.careTeam.specialty |
|
| Claim.supportingInfo |
|
| Claim.supportingInfo.extension |
|
| Claim.supportingInfo.modifierExtension |
|
| Claim.supportingInfo.sequence |
|
| Claim.supportingInfo.category |
|
| Claim.supportingInfo.code |
|
| Claim.supportingInfo.timing[x] |
|
| Claim.supportingInfo.value[x] |
|
| Claim.supportingInfo.reason |
|
| Claim.diagnosis |
|
| Claim.diagnosis.extension |
|
| Claim.diagnosis.modifierExtension |
|
| Claim.diagnosis.sequence |
|
| Claim.diagnosis.diagnosis[x] |
|
| Claim.diagnosis.type |
|
| Claim.diagnosis.onAdmission |
|
| Claim.procedure |
|
| Claim.procedure.extension |
|
| Claim.procedure.modifierExtension |
|
| Claim.procedure.sequence |
|
| Claim.procedure.type |
|
| Claim.procedure.date |
|
| Claim.procedure.procedure[x] |
S |
| Claim.procedure.udi |
|
| Claim.insurance |
|
| Claim.insurance.extension |
|
| Claim.insurance.modifierExtension |
|
| Claim.insurance.sequence |
|
| Claim.insurance.focal |
|
| Claim.insurance.identifier |
|
| Claim.insurance.coverage |
|
| Claim.insurance.businessArrangement |
|
| Claim.insurance.preAuthRef |
|
| Claim.insurance.claimResponse |
|
| Claim.accident |
|
| Claim.accident.extension |
|
| Claim.accident.modifierExtension |
|
| Claim.accident.date |
|
| Claim.accident.type |
|
| Claim.accident.location[x] |
|
| Claim.patientPaid |
|
| Claim.item |
|
| Claim.item.extension |
|
| Claim.item.modifierExtension |
|
| Claim.item.sequence |
|
| Claim.item.traceNumber |
|
| Claim.item.careTeamSequence |
|
| Claim.item.diagnosisSequence |
|
| Claim.item.procedureSequence |
|
| Claim.item.informationSequence |
|
| Claim.item.revenue |
|
| Claim.item.category |
|
| Claim.item.productOrService |
|
| Claim.item.productOrServiceEnd |
|
| Claim.item.request |
|
| Claim.item.modifier |
|
| Claim.item.programCode |
|
| Claim.item.serviced[x] |
|
| Claim.item.location[x] |
|
| Claim.item.patientPaid |
|
| Claim.item.quantity |
|
| Claim.item.unitPrice |
|
| Claim.item.factor |
|
| Claim.item.tax |
|
| Claim.item.net |
|
| Claim.item.udi |
|
| Claim.item.bodySite |
|
| Claim.item.bodySite.extension |
|
| Claim.item.bodySite.modifierExtension |
|
| Claim.item.bodySite.site |
|
| Claim.item.bodySite.subSite |
|
| Claim.item.encounter |
|
| Claim.item.detail |
|
| Claim.item.detail.extension |
|
| Claim.item.detail.modifierExtension |
|
| Claim.item.detail.sequence |
|
| Claim.item.detail.traceNumber |
|
| Claim.item.detail.revenue |
|
| Claim.item.detail.category |
|
| Claim.item.detail.productOrService |
|
| Claim.item.detail.productOrServiceEnd |
|
| Claim.item.detail.modifier |
|
| Claim.item.detail.programCode |
|
| Claim.item.detail.patientPaid |
|
| Claim.item.detail.quantity |
|
| Claim.item.detail.unitPrice |
|
| Claim.item.detail.factor |
|
| Claim.item.detail.tax |
|
| Claim.item.detail.net |
|
| Claim.item.detail.udi |
|
| Claim.item.detail.subDetail |
|
| Claim.item.detail.subDetail.extension |
|
| Claim.item.detail.subDetail.modifierExtension |
|
| Claim.item.detail.subDetail.sequence |
|
| Claim.item.detail.subDetail.traceNumber |
|
| Claim.item.detail.subDetail.revenue |
|
| Claim.item.detail.subDetail.category |
|
| Claim.item.detail.subDetail.productOrService |
|
| Claim.item.detail.subDetail.productOrServiceEnd |
|
| Claim.item.detail.subDetail.modifier |
|
| Claim.item.detail.subDetail.programCode |
|
| Claim.item.detail.subDetail.patientPaid |
|
| Claim.item.detail.subDetail.quantity |
|
| Claim.item.detail.subDetail.unitPrice |
|
| Claim.item.detail.subDetail.factor |
|
| Claim.item.detail.subDetail.tax |
|
| Claim.item.detail.subDetail.net |
|
| Claim.item.detail.subDetail.udi |
|
| Claim.total |
|