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