Class Claim

All Implemented Interfaces:
ca.uhn.fhir.model.api.IElement, Serializable, org.hl7.fhir.instance.model.api.IAnyResource, org.hl7.fhir.instance.model.api.IBase, org.hl7.fhir.instance.model.api.IBaseHasExtensions, org.hl7.fhir.instance.model.api.IBaseHasModifierExtensions, org.hl7.fhir.instance.model.api.IBaseResource, org.hl7.fhir.instance.model.api.IDomainResource

public class Claim extends DomainResource
A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.
See Also:
  • Field Details

    • identifier

      A unique identifier assigned to this claim.
    • status

      The status of the resource instance.
    • type

      protected CodeableConcept type
      The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
    • subType

      A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
    • use

      A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
    • patient

      protected Reference patient
      The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.
    • billablePeriod

      The period for which charges are being submitted.
    • created

      protected DateTimeType created
      The date this resource was created.
    • enterer

      protected Reference enterer
      Individual who created the claim, predetermination or preauthorization.
    • insurer

      protected Reference insurer
      The Insurer who is target of the request.
    • provider

      protected Reference provider
      The provider which is responsible for the claim, predetermination or preauthorization.
    • priority

      The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
    • fundsReserve

      A code to indicate whether and for whom funds are to be reserved for future claims.
    • prescription

      Prescription to support the dispensing of pharmacy, device or vision products.
    • originalPrescription

      Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
    • payee

      The party to be reimbursed for cost of the products and services according to the terms of the policy.
    • referral

      protected Reference referral
      A reference to a referral resource.
    • facility

      protected Reference facility
      Facility where the services were provided.
    • careTeam

      The members of the team who provided the products and services.
    • supportingInfo

      Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
    • diagnosis

      Information about diagnoses relevant to the claim items.
    • procedure

      Procedures performed on the patient relevant to the billing items with the claim.
    • insurance

      Financial instruments for reimbursement for the health care products and services specified on the claim.
    • accident

      Details of an accident which resulted in injuries which required the products and services listed in the claim.
    • item

      A claim line. Either a simple product or service or a 'group' of details which can each be a simple items or groups of sub-details.
    • total

      protected Money total
      The total value of the all the items in the claim.
    • SP_CARE_TEAM

      public static final String SP_CARE_TEAM
      Search parameter: care-team

      Description: Member of the CareTeam
      Type: reference
      Path: Claim.careTeam.provider

      See Also:
    • CARE_TEAM

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam CARE_TEAM
      Fluent Client search parameter constant for care-team

      Description: Member of the CareTeam
      Type: reference
      Path: Claim.careTeam.provider

    • INCLUDE_CARE_TEAM

      public static final ca.uhn.fhir.model.api.Include INCLUDE_CARE_TEAM
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:care-team".
    • SP_CREATED

      public static final String SP_CREATED
      Search parameter: created

      Description: The creation date for the Claim
      Type: date
      Path: Claim.created

      See Also:
    • CREATED

      public static final ca.uhn.fhir.rest.gclient.DateClientParam CREATED
      Fluent Client search parameter constant for created

      Description: The creation date for the Claim
      Type: date
      Path: Claim.created

    • SP_DETAIL_UDI

      public static final String SP_DETAIL_UDI
      Search parameter: detail-udi

      Description: UDI associated with a line item, detail product or service
      Type: reference
      Path: Claim.item.detail.udi

      See Also:
    • DETAIL_UDI

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam DETAIL_UDI
      Fluent Client search parameter constant for detail-udi

      Description: UDI associated with a line item, detail product or service
      Type: reference
      Path: Claim.item.detail.udi

    • INCLUDE_DETAIL_UDI

      public static final ca.uhn.fhir.model.api.Include INCLUDE_DETAIL_UDI
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:detail-udi".
    • SP_ENCOUNTER

      public static final String SP_ENCOUNTER
      Search parameter: encounter

      Description: Encounters associated with a billed line item
      Type: reference
      Path: Claim.item.encounter

      See Also:
    • ENCOUNTER

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ENCOUNTER
      Fluent Client search parameter constant for encounter

      Description: Encounters associated with a billed line item
      Type: reference
      Path: Claim.item.encounter

    • INCLUDE_ENCOUNTER

      public static final ca.uhn.fhir.model.api.Include INCLUDE_ENCOUNTER
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:encounter".
    • SP_ENTERER

      public static final String SP_ENTERER
      Search parameter: enterer

      Description: The party responsible for the entry of the Claim
      Type: reference
      Path: Claim.enterer

      See Also:
    • ENTERER

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ENTERER
      Fluent Client search parameter constant for enterer

      Description: The party responsible for the entry of the Claim
      Type: reference
      Path: Claim.enterer

    • INCLUDE_ENTERER

      public static final ca.uhn.fhir.model.api.Include INCLUDE_ENTERER
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:enterer".
    • SP_FACILITY

      public static final String SP_FACILITY
      Search parameter: facility

      Description: Facility where the products or services have been or will be provided
      Type: reference
      Path: Claim.facility

      See Also:
    • FACILITY

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam FACILITY
      Fluent Client search parameter constant for facility

      Description: Facility where the products or services have been or will be provided
      Type: reference
      Path: Claim.facility

    • INCLUDE_FACILITY

      public static final ca.uhn.fhir.model.api.Include INCLUDE_FACILITY
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:facility".
    • SP_IDENTIFIER

      public static final String SP_IDENTIFIER
      Search parameter: identifier

      Description: The primary identifier of the financial resource
      Type: token
      Path: Claim.identifier

      See Also:
    • IDENTIFIER

      public static final ca.uhn.fhir.rest.gclient.TokenClientParam IDENTIFIER
      Fluent Client search parameter constant for identifier

      Description: The primary identifier of the financial resource
      Type: token
      Path: Claim.identifier

    • SP_INSURER

      public static final String SP_INSURER
      Search parameter: insurer

      Description: The target payor/insurer for the Claim
      Type: reference
      Path: Claim.insurer

      See Also:
    • INSURER

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam INSURER
      Fluent Client search parameter constant for insurer

      Description: The target payor/insurer for the Claim
      Type: reference
      Path: Claim.insurer

    • INCLUDE_INSURER

      public static final ca.uhn.fhir.model.api.Include INCLUDE_INSURER
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:insurer".
    • SP_ITEM_UDI

      public static final String SP_ITEM_UDI
      Search parameter: item-udi

      Description: UDI associated with a line item product or service
      Type: reference
      Path: Claim.item.udi

      See Also:
    • ITEM_UDI

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ITEM_UDI
      Fluent Client search parameter constant for item-udi

      Description: UDI associated with a line item product or service
      Type: reference
      Path: Claim.item.udi

    • INCLUDE_ITEM_UDI

      public static final ca.uhn.fhir.model.api.Include INCLUDE_ITEM_UDI
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:item-udi".
    • SP_PATIENT

      public static final String SP_PATIENT
      Search parameter: patient

      Description: Patient receiving the products or services
      Type: reference
      Path: Claim.patient

      See Also:
    • PATIENT

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PATIENT
      Fluent Client search parameter constant for patient

      Description: Patient receiving the products or services
      Type: reference
      Path: Claim.patient

    • INCLUDE_PATIENT

      public static final ca.uhn.fhir.model.api.Include INCLUDE_PATIENT
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:patient".
    • SP_PAYEE

      public static final String SP_PAYEE
      Search parameter: payee

      Description: The party receiving any payment for the Claim
      Type: reference
      Path: Claim.payee.party

      See Also:
    • PAYEE

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PAYEE
      Fluent Client search parameter constant for payee

      Description: The party receiving any payment for the Claim
      Type: reference
      Path: Claim.payee.party

    • INCLUDE_PAYEE

      public static final ca.uhn.fhir.model.api.Include INCLUDE_PAYEE
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:payee".
    • SP_PRIORITY

      public static final String SP_PRIORITY
      Search parameter: priority

      Description: Processing priority requested
      Type: token
      Path: Claim.priority

      See Also:
    • PRIORITY

      public static final ca.uhn.fhir.rest.gclient.TokenClientParam PRIORITY
      Fluent Client search parameter constant for priority

      Description: Processing priority requested
      Type: token
      Path: Claim.priority

    • SP_PROCEDURE_UDI

      public static final String SP_PROCEDURE_UDI
      Search parameter: procedure-udi

      Description: UDI associated with a procedure
      Type: reference
      Path: Claim.procedure.udi

      See Also:
    • PROCEDURE_UDI

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PROCEDURE_UDI
      Fluent Client search parameter constant for procedure-udi

      Description: UDI associated with a procedure
      Type: reference
      Path: Claim.procedure.udi

    • INCLUDE_PROCEDURE_UDI

      public static final ca.uhn.fhir.model.api.Include INCLUDE_PROCEDURE_UDI
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:procedure-udi".
    • SP_PROVIDER

      public static final String SP_PROVIDER
      Search parameter: provider

      Description: Provider responsible for the Claim
      Type: reference
      Path: Claim.provider

      See Also:
    • PROVIDER

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PROVIDER
      Fluent Client search parameter constant for provider

      Description: Provider responsible for the Claim
      Type: reference
      Path: Claim.provider

    • INCLUDE_PROVIDER

      public static final ca.uhn.fhir.model.api.Include INCLUDE_PROVIDER
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:provider".
    • SP_STATUS

      public static final String SP_STATUS
      Search parameter: status

      Description: The status of the Claim instance.
      Type: token
      Path: Claim.status

      See Also:
    • STATUS

      public static final ca.uhn.fhir.rest.gclient.TokenClientParam STATUS
      Fluent Client search parameter constant for status

      Description: The status of the Claim instance.
      Type: token
      Path: Claim.status

    • SP_SUBDETAIL_UDI

      public static final String SP_SUBDETAIL_UDI
      Search parameter: subdetail-udi

      Description: UDI associated with a line item, detail, subdetail product or service
      Type: reference
      Path: Claim.item.detail.subDetail.udi

      See Also:
    • SUBDETAIL_UDI

      public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam SUBDETAIL_UDI
      Fluent Client search parameter constant for subdetail-udi

      Description: UDI associated with a line item, detail, subdetail product or service
      Type: reference
      Path: Claim.item.detail.subDetail.udi

    • INCLUDE_SUBDETAIL_UDI

      public static final ca.uhn.fhir.model.api.Include INCLUDE_SUBDETAIL_UDI
      Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:subdetail-udi".
    • SP_USE

      public static final String SP_USE
      Search parameter: use

      Description: The kind of financial resource
      Type: token
      Path: Claim.use

      See Also:
    • USE

      public static final ca.uhn.fhir.rest.gclient.TokenClientParam USE
      Fluent Client search parameter constant for use

      Description: The kind of financial resource
      Type: token
      Path: Claim.use

  • Constructor Details

  • Method Details