org.hl7.fhir.r5.model.ExplanationOfBenefit

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 ExplanationOfBenefit extends DomainResource

This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.

See Also:

Serialized Form

Nested Class Summary

Nested Classes

Modifier and Type

Class

Description

static class

ExplanationOfBenefit.AccidentComponent

static class

ExplanationOfBenefit.AddedItemBodySiteComponent

static class

ExplanationOfBenefit.AddedItemComponent

static class

ExplanationOfBenefit.AddedItemDetailComponent

static class

ExplanationOfBenefit.AddedItemDetailSubDetailComponent

static class

ExplanationOfBenefit.AdjudicationComponent

static class

ExplanationOfBenefit.BenefitBalanceComponent

static class

ExplanationOfBenefit.BenefitComponent

static class

ExplanationOfBenefit.CareTeamComponent

static class

ExplanationOfBenefit.DetailComponent

static class

ExplanationOfBenefit.DiagnosisComponent

static enum

ExplanationOfBenefit.ExplanationOfBenefitStatus

static class

ExplanationOfBenefit.ExplanationOfBenefitStatusEnumFactory

static class

ExplanationOfBenefit.InsuranceComponent

static class

ExplanationOfBenefit.ItemBodySiteComponent

static class

ExplanationOfBenefit.ItemComponent

static class

ExplanationOfBenefit.NoteComponent

static class

ExplanationOfBenefit.PayeeComponent

static class

ExplanationOfBenefit.PaymentComponent

static class

ExplanationOfBenefit.ProcedureComponent

static class

ExplanationOfBenefit.RelatedClaimComponent

static class

ExplanationOfBenefit.SubDetailComponent

static class

ExplanationOfBenefit.SupportingInformationComponent

static class

ExplanationOfBenefit.TotalComponent

Nested classes/interfaces inherited from class org.hl7.fhir.r5.model.Base
Base.ProfileSource, Base.ValidationInfo, Base.ValidationMode, Base.ValidationReason
Field Summary

Fields

Modifier and Type

Field

Description

protected ExplanationOfBenefit.AccidentComponent

accident

Details of a accident which resulted in injuries which required the products and services listed in the claim.

protected List<ExplanationOfBenefit.AddedItemComponent>

addItem

The first-tier service adjudications for payor added product or service lines.

protected List<ExplanationOfBenefit.AdjudicationComponent>

adjudication

The adjudication results which are presented at the header level rather than at the line-item or add-item levels.

protected List<ExplanationOfBenefit.BenefitBalanceComponent>

benefitBalance

Balance by Benefit Category.

protected Period

benefitPeriod

The term of the benefits documented in this response.

protected Period

billablePeriod

The period for which charges are being submitted.

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

CARE_TEAM

Fluent Client search parameter constant for care-team

protected List<ExplanationOfBenefit.CareTeamComponent>

careTeam

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

protected Reference

claim

The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

CLAIM

Fluent Client search parameter constant for claim

protected Reference

claimResponse

The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

COVERAGE

Fluent Client search parameter constant for coverage

protected DateTimeType

created

The date this resource was created.

static final ca.uhn.fhir.rest.gclient.DateClientParam

CREATED

Fluent Client search parameter constant for created

protected CodeableConcept

decision

The result of the claim, predetermination, or preauthorization adjudication.

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

DETAIL_UDI

Fluent Client search parameter constant for detail-udi

protected List<ExplanationOfBenefit.DiagnosisComponent>

diagnosis

Information about diagnoses relevant to the claim items.

protected CodeableConcept

diagnosisRelatedGroup

A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.

protected StringType

disposition

A human readable description of the status of the adjudication.

static final ca.uhn.fhir.rest.gclient.StringClientParam

DISPOSITION

Fluent Client search parameter constant for disposition

protected List<Reference>

encounter

A billed item may include goods or services provided in multiple encounters.

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

ENCOUNTER

Fluent Client search parameter constant for encounter

protected Reference

enterer

Individual who created the claim, predetermination or preauthorization.

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

ENTERER

Fluent Client search parameter constant for enterer

protected Reference

facility

Facility where the services were provided.

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

FACILITY

Fluent Client search parameter constant for facility

protected Attachment

form

The actual form, by reference or inclusion, for printing the content or an EOB.

protected CodeableConcept

formCode

A code for the form to be used for printing the content.

protected CodeableConcept

fundsReserve

A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.

protected CodeableConcept

fundsReserveRequested

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

protected List<Identifier>

identifier

A unique identifier assigned to this explanation of benefit.

static final ca.uhn.fhir.rest.gclient.TokenClientParam

IDENTIFIER

Fluent Client search parameter constant for identifier

static final ca.uhn.fhir.model.api.Include

INCLUDE_CARE_TEAM

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_CLAIM

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_COVERAGE

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_DETAIL_UDI

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_ENCOUNTER

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_ENTERER

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_FACILITY

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_ITEM_UDI

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_PATIENT

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_PAYEE

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_PROCEDURE_UDI

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_PROVIDER

Constant for fluent queries to be used to add include statements.

static final ca.uhn.fhir.model.api.Include

INCLUDE_SUBDETAIL_UDI

Constant for fluent queries to be used to add include statements.

protected List<ExplanationOfBenefit.InsuranceComponent>

insurance

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

protected Reference

insurer

The party responsible for authorization, adjudication and reimbursement.

protected List<ExplanationOfBenefit.ItemComponent>

item

A claim line.

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

ITEM_UDI

Fluent Client search parameter constant for item-udi

protected Reference

originalPrescription

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

protected Enumeration<Enumerations.ClaimProcessingCodes>

outcome

The outcome of the claim, predetermination, or preauthorization processing.

protected Reference

patient

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

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

PATIENT

Fluent Client search parameter constant for patient

protected Money

patientPaid

The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services.

protected ExplanationOfBenefit.PayeeComponent

payee

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

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

PAYEE

Fluent Client search parameter constant for payee

protected ExplanationOfBenefit.PaymentComponent

payment

Payment details for the adjudication of the claim.

protected List<StringType>

preAuthRef

Reference from the Insurer which is used in later communications which refers to this adjudication.

protected List<Period>

preAuthRefPeriod

The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.

protected PositiveIntType

precedence

This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.

protected Reference

prescription

Prescription is the document/authorization given to the claim author for them to provide products and services for which consideration (reimbursement) is sought.

protected CodeableConcept

priority

The provider-required urgency of processing the request.

protected List<ExplanationOfBenefit.ProcedureComponent>

procedure

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

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

PROCEDURE_UDI

Fluent Client search parameter constant for procedure-udi

protected List<ExplanationOfBenefit.NoteComponent>

processNote

A note that describes or explains adjudication results in a human readable form.

protected Reference

provider

The provider which is responsible for the claim, predetermination or preauthorization.

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

PROVIDER

Fluent Client search parameter constant for provider

protected Reference

referral

The referral information received by the claim author, it is not to be used when the author generates a referral for a patient.

protected List<ExplanationOfBenefit.RelatedClaimComponent>

related

Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.

static final String

SP_CARE_TEAM

Search parameter: care-team

static final String

SP_CLAIM

Search parameter: claim

static final String

SP_COVERAGE

Search parameter: coverage

static final String

SP_CREATED

Search parameter: created

static final String

SP_DETAIL_UDI

Search parameter: detail-udi

static final String

SP_DISPOSITION

Search parameter: disposition

static final String

SP_ENCOUNTER

Search parameter: encounter

static final String

SP_ENTERER

Search parameter: enterer

static final String

SP_FACILITY

Search parameter: facility

static final String

SP_IDENTIFIER

Search parameter: identifier

static final String

SP_ITEM_UDI

Search parameter: item-udi

static final String

SP_PATIENT

Search parameter: patient

static final String

SP_PAYEE

Search parameter: payee

static final String

SP_PROCEDURE_UDI

Search parameter: procedure-udi

static final String

SP_PROVIDER

Search parameter: provider

static final String

SP_STATUS

Search parameter: status

static final String

SP_SUBDETAIL_UDI

Search parameter: subdetail-udi

protected Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus>

status

The status of the resource instance.

static final ca.uhn.fhir.rest.gclient.TokenClientParam

STATUS

Fluent Client search parameter constant for status

static final ca.uhn.fhir.rest.gclient.ReferenceClientParam

SUBDETAIL_UDI

Fluent Client search parameter constant for subdetail-udi

protected CodeableConcept

subType

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

protected List<ExplanationOfBenefit.SupportingInformationComponent>

supportingInfo

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

protected List<ExplanationOfBenefit.TotalComponent>

total

Categorized monetary totals for the adjudication.

protected CodeableConcept

type

The category of claim, e.g.

protected Enumeration<Enumerations.Use>

use

A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.

Fields inherited from class org.hl7.fhir.r5.model.DomainResource
contained, extension, modifierExtension, SP_TEXT, text, TEXT

Fields inherited from class org.hl7.fhir.r5.model.Resource
id, implicitRules, language, meta

Fields inherited from interface org.hl7.fhir.instance.model.api.IAnyResource
RES_ID, SP_RES_ID

Fields inherited from interface org.hl7.fhir.instance.model.api.IBaseResource
INCLUDE_ALL, WILDCARD_ALL_SET
Constructor Summary

Constructors

Constructor

Description

ExplanationOfBenefit()

Constructor

ExplanationOfBenefit(ExplanationOfBenefit.ExplanationOfBenefitStatus status, CodeableConcept type, Enumerations.Use use, Reference patient, Date created, Enumerations.ClaimProcessingCodes outcome)

Constructor
Method Summary

Modifier and Type

Method

Description

ExplanationOfBenefit.AddedItemComponent

addAddItem()

ExplanationOfBenefit

addAddItem(ExplanationOfBenefit.AddedItemComponent t)

ExplanationOfBenefit.AdjudicationComponent

addAdjudication()

ExplanationOfBenefit

addAdjudication(ExplanationOfBenefit.AdjudicationComponent t)

ExplanationOfBenefit.BenefitBalanceComponent

addBenefitBalance()

ExplanationOfBenefit

addBenefitBalance(ExplanationOfBenefit.BenefitBalanceComponent t)

ExplanationOfBenefit.CareTeamComponent

addCareTeam()

ExplanationOfBenefit

addCareTeam(ExplanationOfBenefit.CareTeamComponent t)

Base

addChild(String name)

ExplanationOfBenefit.DiagnosisComponent

addDiagnosis()

ExplanationOfBenefit

addDiagnosis(ExplanationOfBenefit.DiagnosisComponent t)

Reference

addEncounter()

ExplanationOfBenefit

addEncounter(Reference t)

Identifier

addIdentifier()

ExplanationOfBenefit

addIdentifier(Identifier t)

ExplanationOfBenefit.InsuranceComponent

addInsurance()

ExplanationOfBenefit

addInsurance(ExplanationOfBenefit.InsuranceComponent t)

ExplanationOfBenefit.ItemComponent

addItem()

ExplanationOfBenefit

addItem(ExplanationOfBenefit.ItemComponent t)

ExplanationOfBenefit

addPreAuthRef(String value)

StringType

addPreAuthRefElement()

Period

addPreAuthRefPeriod()

ExplanationOfBenefit

addPreAuthRefPeriod(Period t)

ExplanationOfBenefit.ProcedureComponent

addProcedure()

ExplanationOfBenefit

addProcedure(ExplanationOfBenefit.ProcedureComponent t)

ExplanationOfBenefit.NoteComponent

addProcessNote()

ExplanationOfBenefit

addProcessNote(ExplanationOfBenefit.NoteComponent t)

ExplanationOfBenefit.RelatedClaimComponent

addRelated()

ExplanationOfBenefit

addRelated(ExplanationOfBenefit.RelatedClaimComponent t)

ExplanationOfBenefit.SupportingInformationComponent

addSupportingInfo()

ExplanationOfBenefit

addSupportingInfo(ExplanationOfBenefit.SupportingInformationComponent t)

ExplanationOfBenefit.TotalComponent

addTotal()

ExplanationOfBenefit

addTotal(ExplanationOfBenefit.TotalComponent t)

ExplanationOfBenefit

copy()

void

copyValues(ExplanationOfBenefit dst)

boolean

equalsDeep(Base other_)

boolean

equalsShallow(Base other_)

String

fhirType()

ExplanationOfBenefit.AccidentComponent

getAccident()

List<ExplanationOfBenefit.AddedItemComponent>

getAddItem()

ExplanationOfBenefit.AddedItemComponent

getAddItemFirstRep()

List<ExplanationOfBenefit.AdjudicationComponent>

getAdjudication()

ExplanationOfBenefit.AdjudicationComponent

getAdjudicationFirstRep()

List<ExplanationOfBenefit.BenefitBalanceComponent>

getBenefitBalance()

ExplanationOfBenefit.BenefitBalanceComponent

getBenefitBalanceFirstRep()

Period

getBenefitPeriod()

Period

getBillablePeriod()

List<ExplanationOfBenefit.CareTeamComponent>

getCareTeam()

ExplanationOfBenefit.CareTeamComponent

getCareTeamFirstRep()

Reference

getClaim()

Reference

getClaimResponse()

Date

getCreated()

DateTimeType

getCreatedElement()

CodeableConcept

getDecision()

List<ExplanationOfBenefit.DiagnosisComponent>

getDiagnosis()

ExplanationOfBenefit.DiagnosisComponent

getDiagnosisFirstRep()

CodeableConcept

getDiagnosisRelatedGroup()

String

getDisposition()

StringType

getDispositionElement()

List<Reference>

getEncounter()

Reference

getEncounterFirstRep()

Reference

getEnterer()

Reference

getFacility()

Attachment

getForm()

CodeableConcept

getFormCode()

CodeableConcept

getFundsReserve()

CodeableConcept

getFundsReserveRequested()

List<Identifier>

getIdentifier()

Identifier

getIdentifierFirstRep()

List<ExplanationOfBenefit.InsuranceComponent>

getInsurance()

ExplanationOfBenefit.InsuranceComponent

getInsuranceFirstRep()

Reference

getInsurer()

List<ExplanationOfBenefit.ItemComponent>

getItem()

ExplanationOfBenefit.ItemComponent

getItemFirstRep()

Property

getNamedProperty(int _hash, String _name, boolean _checkValid)

Reference

getOriginalPrescription()

Enumerations.ClaimProcessingCodes

getOutcome()

Enumeration<Enumerations.ClaimProcessingCodes>

getOutcomeElement()

Reference

getPatient()

Money

getPatientPaid()

ExplanationOfBenefit.PayeeComponent

getPayee()

ExplanationOfBenefit.PaymentComponent

getPayment()

List<StringType>

getPreAuthRef()

List<Period>

getPreAuthRefPeriod()

Period

getPreAuthRefPeriodFirstRep()

int

getPrecedence()

PositiveIntType

getPrecedenceElement()

Reference

getPrescription()

CodeableConcept

getPriority()

List<ExplanationOfBenefit.ProcedureComponent>

getProcedure()

ExplanationOfBenefit.ProcedureComponent

getProcedureFirstRep()

List<ExplanationOfBenefit.NoteComponent>

getProcessNote()

ExplanationOfBenefit.NoteComponent

getProcessNoteFirstRep()

Base[]

getProperty(int hash, String name, boolean checkValid)

Reference

getProvider()

Reference

getReferral()

List<ExplanationOfBenefit.RelatedClaimComponent>

getRelated()

ExplanationOfBenefit.RelatedClaimComponent

getRelatedFirstRep()

ResourceType

getResourceType()

ExplanationOfBenefit.ExplanationOfBenefitStatus

getStatus()

Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus>

getStatusElement()

CodeableConcept

getSubType()

List<ExplanationOfBenefit.SupportingInformationComponent>

getSupportingInfo()

ExplanationOfBenefit.SupportingInformationComponent

getSupportingInfoFirstRep()

List<ExplanationOfBenefit.TotalComponent>

getTotal()

ExplanationOfBenefit.TotalComponent

getTotalFirstRep()

CodeableConcept

getType()

String[]

getTypesForProperty(int hash, String name)

Enumerations.Use

getUse()

Enumeration<Enumerations.Use>

getUseElement()

boolean

hasAccident()

boolean

hasAddItem()

boolean

hasAdjudication()

boolean

hasBenefitBalance()

boolean

hasBenefitPeriod()

boolean

hasBillablePeriod()

boolean

hasCareTeam()

boolean

hasClaim()

boolean

hasClaimResponse()

boolean

hasCreated()

boolean

hasCreatedElement()

boolean

hasDecision()

boolean

hasDiagnosis()

boolean

hasDiagnosisRelatedGroup()

boolean

hasDisposition()

boolean

hasDispositionElement()

boolean

hasEncounter()

boolean

hasEnterer()

boolean

hasFacility()

boolean

hasForm()

boolean

hasFormCode()

boolean

hasFundsReserve()

boolean

hasFundsReserveRequested()

boolean

hasIdentifier()

boolean

hasInsurance()

boolean

hasInsurer()

boolean

hasItem()

boolean

hasOriginalPrescription()

boolean

hasOutcome()

boolean

hasOutcomeElement()

boolean

hasPatient()

boolean

hasPatientPaid()

boolean

hasPayee()

boolean

hasPayment()

boolean

hasPreAuthRef()

boolean

hasPreAuthRef(String value)

boolean

hasPreAuthRefPeriod()

boolean

hasPrecedence()

boolean

hasPrecedenceElement()

boolean

hasPrescription()

boolean

hasPriority()

boolean

hasProcedure()

boolean

hasProcessNote()

boolean

hasProvider()

boolean

hasReferral()

boolean

hasRelated()

boolean

hasStatus()

boolean

hasStatusElement()

boolean

hasSubType()

boolean

hasSupportingInfo()

boolean

hasTotal()

boolean

hasType()

boolean

hasUse()

boolean

hasUseElement()

boolean

isEmpty()

protected void

listChildren(List<Property> children)

Base

makeProperty(int hash, String name)

ExplanationOfBenefit

setAccident(ExplanationOfBenefit.AccidentComponent value)

ExplanationOfBenefit

setAddItem(List<ExplanationOfBenefit.AddedItemComponent> theAddItem)

ExplanationOfBenefit

setAdjudication(List<ExplanationOfBenefit.AdjudicationComponent> theAdjudication)

ExplanationOfBenefit

setBenefitBalance(List<ExplanationOfBenefit.BenefitBalanceComponent> theBenefitBalance)

ExplanationOfBenefit

setBenefitPeriod(Period value)

ExplanationOfBenefit

setBillablePeriod(Period value)

ExplanationOfBenefit

setCareTeam(List<ExplanationOfBenefit.CareTeamComponent> theCareTeam)

ExplanationOfBenefit

setClaim(Reference value)

ExplanationOfBenefit

setClaimResponse(Reference value)

ExplanationOfBenefit

setCreated(Date value)

ExplanationOfBenefit

setCreatedElement(DateTimeType value)

ExplanationOfBenefit

setDecision(CodeableConcept value)

ExplanationOfBenefit

setDiagnosis(List<ExplanationOfBenefit.DiagnosisComponent> theDiagnosis)

ExplanationOfBenefit

setDiagnosisRelatedGroup(CodeableConcept value)

ExplanationOfBenefit

setDisposition(String value)

ExplanationOfBenefit

setDispositionElement(StringType value)

ExplanationOfBenefit

setEncounter(List<Reference> theEncounter)

ExplanationOfBenefit

setEnterer(Reference value)

ExplanationOfBenefit

setFacility(Reference value)

ExplanationOfBenefit

setForm(Attachment value)

ExplanationOfBenefit

setFormCode(CodeableConcept value)

ExplanationOfBenefit

setFundsReserve(CodeableConcept value)

ExplanationOfBenefit

setFundsReserveRequested(CodeableConcept value)

ExplanationOfBenefit

setIdentifier(List<Identifier> theIdentifier)

ExplanationOfBenefit

setInsurance(List<ExplanationOfBenefit.InsuranceComponent> theInsurance)

ExplanationOfBenefit

setInsurer(Reference value)

ExplanationOfBenefit

setItem(List<ExplanationOfBenefit.ItemComponent> theItem)

ExplanationOfBenefit

setOriginalPrescription(Reference value)

ExplanationOfBenefit

setOutcome(Enumerations.ClaimProcessingCodes value)

ExplanationOfBenefit

setOutcomeElement(Enumeration<Enumerations.ClaimProcessingCodes> value)

ExplanationOfBenefit

setPatient(Reference value)

ExplanationOfBenefit

setPatientPaid(Money value)

ExplanationOfBenefit

setPayee(ExplanationOfBenefit.PayeeComponent value)

ExplanationOfBenefit

setPayment(ExplanationOfBenefit.PaymentComponent value)

ExplanationOfBenefit

setPreAuthRef(List<StringType> thePreAuthRef)

ExplanationOfBenefit

setPreAuthRefPeriod(List<Period> thePreAuthRefPeriod)

ExplanationOfBenefit

setPrecedence(int value)

ExplanationOfBenefit

setPrecedenceElement(PositiveIntType value)

ExplanationOfBenefit

setPrescription(Reference value)

ExplanationOfBenefit

setPriority(CodeableConcept value)

ExplanationOfBenefit

setProcedure(List<ExplanationOfBenefit.ProcedureComponent> theProcedure)

ExplanationOfBenefit

setProcessNote(List<ExplanationOfBenefit.NoteComponent> theProcessNote)

Base

setProperty(int hash, String name, Base value)

Base

setProperty(String name, Base value)

ExplanationOfBenefit

setProvider(Reference value)

ExplanationOfBenefit

setReferral(Reference value)

ExplanationOfBenefit

setRelated(List<ExplanationOfBenefit.RelatedClaimComponent> theRelated)

ExplanationOfBenefit

setStatus(ExplanationOfBenefit.ExplanationOfBenefitStatus value)

ExplanationOfBenefit

setStatusElement(Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus> value)

ExplanationOfBenefit

setSubType(CodeableConcept value)

ExplanationOfBenefit

setSupportingInfo(List<ExplanationOfBenefit.SupportingInformationComponent> theSupportingInfo)

ExplanationOfBenefit

setTotal(List<ExplanationOfBenefit.TotalComponent> theTotal)

ExplanationOfBenefit

setType(CodeableConcept value)

ExplanationOfBenefit

setUse(Enumerations.Use value)

ExplanationOfBenefit

setUseElement(Enumeration<Enumerations.Use> value)

protected ExplanationOfBenefit

typedCopy()

Methods inherited from class org.hl7.fhir.r5.model.DomainResource
addContained, addExtension, addExtension, addExtension, addModifierExtension, addModifierExtension, checkNoModifiers, copyValues, getContained, getContained, getExtension, getExtensionByUrl, getExtensionsByUrl, getModifierExtension, getModifierExtensionsByUrl, getText, hasContained, hasExtension, hasExtension, hasModifierExtension, hasText, setContained, setExtension, setModifierExtension, setText

Methods inherited from class org.hl7.fhir.r5.model.Resource
copyValues, getId, getIdBase, getIdElement, getIdPart, getImplicitRules, getImplicitRulesElement, getLanguage, getLanguage, getLanguageElement, getMeta, getSourcePackage, hasId, hasIdElement, hasImplicitRules, hasImplicitRulesElement, hasLanguage, hasLanguageElement, hasMeta, hasSourcePackage, setId, setIdBase, setIdElement, setImplicitRules, setImplicitRulesElement, setLanguage, setLanguageElement, setMeta, setSourcePackage

Methods inherited from class org.hl7.fhir.r5.model.BaseResource
getStructureFhirVersionEnum, isResource, setId

Methods inherited from class org.hl7.fhir.r5.model.Base
addDefinition, children, clearUserData, compareDeep, compareDeep, compareDeep, compareDeep, compareValues, compareValues, copyUserData, copyValues, dateTimeValue, equals, getChildByName, getFormatCommentsPost, getFormatCommentsPre, getNamedProperty, getUserData, getUserInt, getUserString, getValidationInfo, getXhtml, hasFormatComment, hasPrimitiveValue, hasType, hasUserData, hasValidationInfo, isBooleanPrimitive, isDateTime, isMetadataBased, isPrimitive, listChildrenByName, listChildrenByName, primitiveValue, removeChild, setUserData, setUserDataINN

Methods inherited from class java.lang.Object
clone, equals, finalize, getClass, hashCode, notify, notifyAll, toString, wait, wait, wait

Methods inherited from interface org.hl7.fhir.instance.model.api.IAnyResource
getId, getIdElement, getLanguageElement, getUserData, setId, setUserData

Methods inherited from interface org.hl7.fhir.instance.model.api.IBase
getFormatCommentsPost, getFormatCommentsPre, hasFormatComment

Methods inherited from interface org.hl7.fhir.instance.model.api.IBaseResource
getMeta, getStructureFhirVersionEnum, setId

Field Details
- identifier
  
  protected List<Identifier> identifier
  
  A unique identifier assigned to this explanation of benefit.
- status
  
  protected Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus> status
  
  The status of the resource instance.
- type
  
  protected CodeableConcept type
  
  The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
- subType
  
  protected CodeableConcept 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
  
  protected Enumeration<Enumerations.Use> use
  
  A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.
- 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 for forecast reimbursement is sought.
- billablePeriod
  
  protected Period 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 party responsible for authorization, adjudication and reimbursement.
- provider
  
  protected Reference provider
  
  The provider which is responsible for the claim, predetermination or preauthorization.
- priority
  
  protected CodeableConcept priority
  
  The provider-required urgency of processing the request. Typical values include: stat, normal deferred.
- fundsReserveRequested
  
  protected CodeableConcept fundsReserveRequested
  
  A code to indicate whether and for whom funds are to be reserved for future claims.
- fundsReserve
  
  protected CodeableConcept fundsReserve
  
  A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
- related
  
  protected List<ExplanationOfBenefit.RelatedClaimComponent> related
  
  Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.
- prescription
  
  protected Reference prescription
  
  Prescription is the document/authorization given to the claim author for them to provide products and services for which consideration (reimbursement) is sought. Could be a RX for medications, an 'order' for oxygen or wheelchair or physiotherapy treatments.
- originalPrescription
  
  protected Reference originalPrescription
  
  Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
- payee
  
  protected ExplanationOfBenefit.PayeeComponent payee
  
  The party to be reimbursed for cost of the products and services according to the terms of the policy.
- referral
  
  protected Reference referral
  
  The referral information received by the claim author, it is not to be used when the author generates a referral for a patient. A copy of that referral may be provided as supporting information. Some insurers require proof of referral to pay for services or to pay specialist rates for services.
- encounter
  
  protected List<Reference> encounter
  
  A billed item may include goods or services provided in multiple encounters.
- facility
  
  protected Reference facility
  
  Facility where the services were provided.
- claim
  
  protected Reference claim
  
  The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
- claimResponse
  
  protected Reference claimResponse
  
  The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.
- outcome
  
  protected Enumeration<Enumerations.ClaimProcessingCodes> outcome
  
  The outcome of the claim, predetermination, or preauthorization processing.
- decision
  
  protected CodeableConcept decision
  
  The result of the claim, predetermination, or preauthorization adjudication.
- disposition
  
  protected StringType disposition
  
  A human readable description of the status of the adjudication.
- preAuthRef
  
  protected List<StringType> preAuthRef
  
  Reference from the Insurer which is used in later communications which refers to this adjudication.
- preAuthRefPeriod
  
  protected List<Period> preAuthRefPeriod
  
  The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.
- diagnosisRelatedGroup
  
  protected CodeableConcept diagnosisRelatedGroup
  
  A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
- careTeam
  
  protected List<ExplanationOfBenefit.CareTeamComponent> careTeam
  
  The members of the team who provided the products and services.
- supportingInfo
  
  protected List<ExplanationOfBenefit.SupportingInformationComponent> supportingInfo
  
  Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
- diagnosis
  
  protected List<ExplanationOfBenefit.DiagnosisComponent> diagnosis
  
  Information about diagnoses relevant to the claim items.
- procedure
  
  protected List<ExplanationOfBenefit.ProcedureComponent> procedure
  
  Procedures performed on the patient relevant to the billing items with the claim.
- precedence
  
  protected PositiveIntType precedence
  
  This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.
- insurance
  
  protected List<ExplanationOfBenefit.InsuranceComponent> insurance
  
  Financial instruments for reimbursement for the health care products and services specified on the claim.
- accident
  
  protected ExplanationOfBenefit.AccidentComponent accident
  
  Details of a accident which resulted in injuries which required the products and services listed in the claim.
- patientPaid
  
  protected Money patientPaid
  
  The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services.
- item
  
  protected List<ExplanationOfBenefit.ItemComponent> item
  
  A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.
- addItem
  
  protected List<ExplanationOfBenefit.AddedItemComponent> addItem
  
  The first-tier service adjudications for payor added product or service lines.
- adjudication
  
  protected List<ExplanationOfBenefit.AdjudicationComponent> adjudication
  
  The adjudication results which are presented at the header level rather than at the line-item or add-item levels.
- total
  
  protected List<ExplanationOfBenefit.TotalComponent> total
  
  Categorized monetary totals for the adjudication.
- payment
  
  protected ExplanationOfBenefit.PaymentComponent payment
  
  Payment details for the adjudication of the claim.
- formCode
  
  protected CodeableConcept formCode
  
  A code for the form to be used for printing the content.
- form
  
  protected Attachment form
  
  The actual form, by reference or inclusion, for printing the content or an EOB.
- processNote
  
  protected List<ExplanationOfBenefit.NoteComponent> processNote
  
  A note that describes or explains adjudication results in a human readable form.
- benefitPeriod
  
  protected Period benefitPeriod
  
  The term of the benefits documented in this response.
- benefitBalance
  
  protected List<ExplanationOfBenefit.BenefitBalanceComponent> benefitBalance
  
  Balance by Benefit Category.
- SP_CARE_TEAM
  
  public static final String SP_CARE_TEAM
  
  Search parameter: care-team
  Description: Member of the CareTeam
  Type: reference
  Path: ExplanationOfBenefit.careTeam.provider
  See Also:
  
  Constant Field Values
- 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: ExplanationOfBenefit.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 "ExplanationOfBenefit:care-team".
- SP_CLAIM
  
  public static final String SP_CLAIM
  
  Search parameter: claim
  Description: The reference to the claim
  Type: reference
  Path: ExplanationOfBenefit.claim
  See Also:
  
  Constant Field Values
- CLAIM
  
  public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam CLAIM
  
  Fluent Client search parameter constant for claim
  Description: The reference to the claim
  Type: reference
  Path: ExplanationOfBenefit.claim
- INCLUDE_CLAIM
  
  public static final ca.uhn.fhir.model.api.Include INCLUDE_CLAIM
  
  Constant for fluent queries to be used to add include statements. Specifies the path value of "ExplanationOfBenefit:claim".
- SP_COVERAGE
  
  public static final String SP_COVERAGE
  
  Search parameter: coverage
  Description: The plan under which the claim was adjudicated
  Type: reference
  Path: ExplanationOfBenefit.insurance.coverage
  See Also:
  
  Constant Field Values
- COVERAGE
  
  public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam COVERAGE
  
  Fluent Client search parameter constant for coverage
  Description: The plan under which the claim was adjudicated
  Type: reference
  Path: ExplanationOfBenefit.insurance.coverage
- INCLUDE_COVERAGE
  
  public static final ca.uhn.fhir.model.api.Include INCLUDE_COVERAGE
  
  Constant for fluent queries to be used to add include statements. Specifies the path value of "ExplanationOfBenefit:coverage".
- SP_CREATED
  
  public static final String SP_CREATED
  
  Search parameter: created
  Description: The creation date for the EOB
  Type: date
  Path: ExplanationOfBenefit.created
  See Also:
  
  Constant Field Values
- CREATED
  
  public static final ca.uhn.fhir.rest.gclient.DateClientParam CREATED
  
  Fluent Client search parameter constant for created
  Description: The creation date for the EOB
  Type: date
  Path: ExplanationOfBenefit.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: ExplanationOfBenefit.item.detail.udi
  See Also:
  
  Constant Field Values
- 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: ExplanationOfBenefit.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 "ExplanationOfBenefit:detail-udi".
- SP_DISPOSITION
  
  public static final String SP_DISPOSITION
  
  Search parameter: disposition
  Description: The contents of the disposition message
  Type: string
  Path: ExplanationOfBenefit.disposition
  See Also:
  
  Constant Field Values
- DISPOSITION
  
  public static final ca.uhn.fhir.rest.gclient.StringClientParam DISPOSITION
  
  Fluent Client search parameter constant for disposition
  Description: The contents of the disposition message
  Type: string
  Path: ExplanationOfBenefit.disposition
- SP_ENCOUNTER
  
  public static final String SP_ENCOUNTER
  
  Search parameter: encounter
  Description: Encounters associated with a billed line item
  Type: reference
  Path: ExplanationOfBenefit.item.encounter
  See Also:
  
  Constant Field Values
- 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: ExplanationOfBenefit.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 "ExplanationOfBenefit: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: ExplanationOfBenefit.enterer
  See Also:
  
  Constant Field Values
- 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: ExplanationOfBenefit.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 "ExplanationOfBenefit:enterer".
- SP_FACILITY
  
  public static final String SP_FACILITY
  
  Search parameter: facility
  Description: Facility responsible for the goods and services
  Type: reference
  Path: ExplanationOfBenefit.facility
  See Also:
  
  Constant Field Values
- FACILITY
  
  public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam FACILITY
  
  Fluent Client search parameter constant for facility
  Description: Facility responsible for the goods and services
  Type: reference
  Path: ExplanationOfBenefit.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 "ExplanationOfBenefit:facility".
- SP_IDENTIFIER
  
  public static final String SP_IDENTIFIER
  
  Search parameter: identifier
  Description: The business identifier of the Explanation of Benefit
  Type: token
  Path: ExplanationOfBenefit.identifier
  See Also:
  
  Constant Field Values
- IDENTIFIER
  
  public static final ca.uhn.fhir.rest.gclient.TokenClientParam IDENTIFIER
  
  Fluent Client search parameter constant for identifier
  Description: The business identifier of the Explanation of Benefit
  Type: token
  Path: ExplanationOfBenefit.identifier
- 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: ExplanationOfBenefit.item.udi
  See Also:
  
  Constant Field Values
- 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: ExplanationOfBenefit.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 "ExplanationOfBenefit:item-udi".
- SP_PATIENT
  
  public static final String SP_PATIENT
  
  Search parameter: patient
  Description: The reference to the patient
  Type: reference
  Path: ExplanationOfBenefit.patient
  See Also:
  
  Constant Field Values
- PATIENT
  
  public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PATIENT
  
  Fluent Client search parameter constant for patient
  Description: The reference to the patient
  Type: reference
  Path: ExplanationOfBenefit.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 "ExplanationOfBenefit:patient".
- SP_PAYEE
  
  public static final String SP_PAYEE
  
  Search parameter: payee
  Description: The party receiving any payment for the Claim
  Type: reference
  Path: ExplanationOfBenefit.payee.party
  See Also:
  
  Constant Field Values
- 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: ExplanationOfBenefit.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 "ExplanationOfBenefit:payee".
- SP_PROCEDURE_UDI
  
  public static final String SP_PROCEDURE_UDI
  
  Search parameter: procedure-udi
  Description: UDI associated with a procedure
  Type: reference
  Path: ExplanationOfBenefit.procedure.udi
  See Also:
  
  Constant Field Values
- 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: ExplanationOfBenefit.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 "ExplanationOfBenefit:procedure-udi".
- SP_PROVIDER
  
  public static final String SP_PROVIDER
  
  Search parameter: provider
  Description: The reference to the provider
  Type: reference
  Path: ExplanationOfBenefit.provider
  See Also:
  
  Constant Field Values
- PROVIDER
  
  public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PROVIDER
  
  Fluent Client search parameter constant for provider
  Description: The reference to the provider
  Type: reference
  Path: ExplanationOfBenefit.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 "ExplanationOfBenefit:provider".
- SP_STATUS
  
  public static final String SP_STATUS
  
  Search parameter: status
  Description: Status of the instance
  Type: token
  Path: ExplanationOfBenefit.status
  See Also:
  
  Constant Field Values
- STATUS
  
  public static final ca.uhn.fhir.rest.gclient.TokenClientParam STATUS
  
  Fluent Client search parameter constant for status
  Description: Status of the instance
  Type: token
  Path: ExplanationOfBenefit.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: ExplanationOfBenefit.item.detail.subDetail.udi
  See Also:
  
  Constant Field Values
- 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: ExplanationOfBenefit.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 "ExplanationOfBenefit:subdetail-udi".
Constructor Details
- ExplanationOfBenefit
  
  public ExplanationOfBenefit()
  
  Constructor
- ExplanationOfBenefit
  
  public ExplanationOfBenefit(ExplanationOfBenefit.ExplanationOfBenefitStatus status, CodeableConcept type, Enumerations.Use use, Reference patient, Date created, Enumerations.ClaimProcessingCodes outcome)
  
  Constructor
Method Details
- getIdentifier
  
  public List<Identifier> getIdentifier()
  
  Returns:
  
  identifier (A unique identifier assigned to this explanation of benefit.)
- setIdentifier
  
  public ExplanationOfBenefit setIdentifier(List<Identifier> theIdentifier)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasIdentifier
  
  public boolean hasIdentifier()
- addIdentifier
  
  public Identifier addIdentifier()
- addIdentifier
  
  public ExplanationOfBenefit addIdentifier(Identifier t)
- getIdentifierFirstRep
  
  public Identifier getIdentifierFirstRep()
  
  Returns:
  
  The first repetition of repeating field identifier, creating it if it does not already exist {3}
- getStatusElement
  
  public Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus> getStatusElement()
  
  Returns:
  
  status (The status of the resource instance.). This is the underlying object with id, value and extensions. The accessor "getStatus" gives direct access to the value
- hasStatusElement
  
  public boolean hasStatusElement()
- hasStatus
  
  public boolean hasStatus()
- setStatusElement
  
  public ExplanationOfBenefit setStatusElement(Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus> value)
  
  Parameters:
  
  value - status (The status of the resource instance.). This is the underlying object with id, value and extensions. The accessor "getStatus" gives direct access to the value
- getStatus
  
  public ExplanationOfBenefit.ExplanationOfBenefitStatus getStatus()
  
  Returns:
  
  The status of the resource instance.
- setStatus
  
  public ExplanationOfBenefit setStatus(ExplanationOfBenefit.ExplanationOfBenefitStatus value)
  
  Parameters:
  
  value - The status of the resource instance.
- getType
  
  public CodeableConcept getType()
  
  Returns:
  
  type (The category of claim, e.g. oral, pharmacy, vision, institutional, professional.)
- hasType
  
  public boolean hasType()
- setType
  
  public ExplanationOfBenefit setType(CodeableConcept value)
  
  Parameters:
  
  value - type (The category of claim, e.g. oral, pharmacy, vision, institutional, professional.)
- getSubType
  
  public CodeableConcept getSubType()
  
  Returns:
  
  subType (A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.)
- hasSubType
  
  public boolean hasSubType()
- setSubType
  
  public ExplanationOfBenefit setSubType(CodeableConcept value)
  
  Parameters:
  
  value - subType (A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.)
- getUseElement
  
  public Enumeration<Enumerations.Use> getUseElement()
  
  Returns:
  
  use (A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.). This is the underlying object with id, value and extensions. The accessor "getUse" gives direct access to the value
- hasUseElement
  
  public boolean hasUseElement()
- hasUse
  
  public boolean hasUse()
- setUseElement
  
  public ExplanationOfBenefit setUseElement(Enumeration<Enumerations.Use> value)
  
  Parameters:
  
  value - use (A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.). This is the underlying object with id, value and extensions. The accessor "getUse" gives direct access to the value
- getUse
  
  public Enumerations.Use getUse()
  
  Returns:
  
  A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.
- setUse
  
  public ExplanationOfBenefit setUse(Enumerations.Use value)
  
  Parameters:
  
  value - A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.
- getPatient
  
  public Reference getPatient()
  
  Returns:
  
  patient (The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.)
- hasPatient
  
  public boolean hasPatient()
- setPatient
  
  public ExplanationOfBenefit setPatient(Reference value)
  
  Parameters:
  
  value - patient (The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.)
- getBillablePeriod
  
  public Period getBillablePeriod()
  
  Returns:
  
  billablePeriod (The period for which charges are being submitted.)
- hasBillablePeriod
  
  public boolean hasBillablePeriod()
- setBillablePeriod
  
  public ExplanationOfBenefit setBillablePeriod(Period value)
  
  Parameters:
  
  value - billablePeriod (The period for which charges are being submitted.)
- getCreatedElement
  
  public DateTimeType getCreatedElement()
  
  Returns:
  
  created (The date this resource was created.). This is the underlying object with id, value and extensions. The accessor "getCreated" gives direct access to the value
- hasCreatedElement
  
  public boolean hasCreatedElement()
- hasCreated
  
  public boolean hasCreated()
- setCreatedElement
  
  public ExplanationOfBenefit setCreatedElement(DateTimeType value)
  
  Parameters:
  
  value - created (The date this resource was created.). This is the underlying object with id, value and extensions. The accessor "getCreated" gives direct access to the value
- getCreated
  
  public Date getCreated()
  
  Returns:
  
  The date this resource was created.
- setCreated
  
  public ExplanationOfBenefit setCreated(Date value)
  
  Parameters:
  
  value - The date this resource was created.
- getEnterer
  
  public Reference getEnterer()
  
  Returns:
  
  enterer (Individual who created the claim, predetermination or preauthorization.)
- hasEnterer
  
  public boolean hasEnterer()
- setEnterer
  
  public ExplanationOfBenefit setEnterer(Reference value)
  
  Parameters:
  
  value - enterer (Individual who created the claim, predetermination or preauthorization.)
- getInsurer
  
  public Reference getInsurer()
  
  Returns:
  
  insurer (The party responsible for authorization, adjudication and reimbursement.)
- hasInsurer
  
  public boolean hasInsurer()
- setInsurer
  
  public ExplanationOfBenefit setInsurer(Reference value)
  
  Parameters:
  
  value - insurer (The party responsible for authorization, adjudication and reimbursement.)
- getProvider
  
  public Reference getProvider()
  
  Returns:
  
  provider (The provider which is responsible for the claim, predetermination or preauthorization.)
- hasProvider
  
  public boolean hasProvider()
- setProvider
  
  public ExplanationOfBenefit setProvider(Reference value)
  
  Parameters:
  
  value - provider (The provider which is responsible for the claim, predetermination or preauthorization.)
- getPriority
  
  public CodeableConcept getPriority()
  
  Returns:
  
  priority (The provider-required urgency of processing the request. Typical values include: stat, normal deferred.)
- hasPriority
  
  public boolean hasPriority()
- setPriority
  
  public ExplanationOfBenefit setPriority(CodeableConcept value)
  
  Parameters:
  
  value - priority (The provider-required urgency of processing the request. Typical values include: stat, normal deferred.)
- getFundsReserveRequested
  
  public CodeableConcept getFundsReserveRequested()
  
  Returns:
  
  fundsReserveRequested (A code to indicate whether and for whom funds are to be reserved for future claims.)
- hasFundsReserveRequested
  
  public boolean hasFundsReserveRequested()
- setFundsReserveRequested
  
  public ExplanationOfBenefit setFundsReserveRequested(CodeableConcept value)
  
  Parameters:
  
  value - fundsReserveRequested (A code to indicate whether and for whom funds are to be reserved for future claims.)
- getFundsReserve
  
  public CodeableConcept getFundsReserve()
  
  Returns:
  
  fundsReserve (A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.)
- hasFundsReserve
  
  public boolean hasFundsReserve()
- setFundsReserve
  
  public ExplanationOfBenefit setFundsReserve(CodeableConcept value)
  
  Parameters:
  
  value - fundsReserve (A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.)
- getRelated
  
  public List<ExplanationOfBenefit.RelatedClaimComponent> getRelated()
  
  Returns:
  
  related (Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.)
- setRelated
  
  public ExplanationOfBenefit setRelated(List<ExplanationOfBenefit.RelatedClaimComponent> theRelated)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasRelated
  
  public boolean hasRelated()
- addRelated
  
  public ExplanationOfBenefit.RelatedClaimComponent addRelated()
- addRelated
  
  public ExplanationOfBenefit addRelated(ExplanationOfBenefit.RelatedClaimComponent t)
- getRelatedFirstRep
  
  public ExplanationOfBenefit.RelatedClaimComponent getRelatedFirstRep()
  
  Returns:
  
  The first repetition of repeating field related, creating it if it does not already exist {3}
- getPrescription
  
  public Reference getPrescription()
  
  Returns:
  
  prescription (Prescription is the document/authorization given to the claim author for them to provide products and services for which consideration (reimbursement) is sought. Could be a RX for medications, an 'order' for oxygen or wheelchair or physiotherapy treatments.)
- hasPrescription
  
  public boolean hasPrescription()
- setPrescription
  
  public ExplanationOfBenefit setPrescription(Reference value)
  
  Parameters:
  
  value - prescription (Prescription is the document/authorization given to the claim author for them to provide products and services for which consideration (reimbursement) is sought. Could be a RX for medications, an 'order' for oxygen or wheelchair or physiotherapy treatments.)
- getOriginalPrescription
  
  public Reference getOriginalPrescription()
  
  Returns:
  
  originalPrescription (Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.)
- hasOriginalPrescription
  
  public boolean hasOriginalPrescription()
- setOriginalPrescription
  
  public ExplanationOfBenefit setOriginalPrescription(Reference value)
  
  Parameters:
  
  value - originalPrescription (Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.)
- getPayee
  
  public ExplanationOfBenefit.PayeeComponent getPayee()
  
  Returns:
  
  payee (The party to be reimbursed for cost of the products and services according to the terms of the policy.)
- hasPayee
  
  public boolean hasPayee()
- setPayee
  
  public ExplanationOfBenefit setPayee(ExplanationOfBenefit.PayeeComponent value)
  
  Parameters:
  
  value - payee (The party to be reimbursed for cost of the products and services according to the terms of the policy.)
- getReferral
  
  public Reference getReferral()
  
  Returns:
  
  referral (The referral information received by the claim author, it is not to be used when the author generates a referral for a patient. A copy of that referral may be provided as supporting information. Some insurers require proof of referral to pay for services or to pay specialist rates for services.)
- hasReferral
  
  public boolean hasReferral()
- setReferral
  
  public ExplanationOfBenefit setReferral(Reference value)
  
  Parameters:
  
  value - referral (The referral information received by the claim author, it is not to be used when the author generates a referral for a patient. A copy of that referral may be provided as supporting information. Some insurers require proof of referral to pay for services or to pay specialist rates for services.)
- getEncounter
  
  public List<Reference> getEncounter()
  
  Returns:
  
  encounter (A billed item may include goods or services provided in multiple encounters.)
- setEncounter
  
  public ExplanationOfBenefit setEncounter(List<Reference> theEncounter)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasEncounter
  
  public boolean hasEncounter()
- addEncounter
  
  public Reference addEncounter()
- addEncounter
  
  public ExplanationOfBenefit addEncounter(Reference t)
- getEncounterFirstRep
  
  public Reference getEncounterFirstRep()
  
  Returns:
  
  The first repetition of repeating field encounter, creating it if it does not already exist {3}
- getFacility
  
  public Reference getFacility()
  
  Returns:
  
  facility (Facility where the services were provided.)
- hasFacility
  
  public boolean hasFacility()
- setFacility
  
  public ExplanationOfBenefit setFacility(Reference value)
  
  Parameters:
  
  value - facility (Facility where the services were provided.)
- getClaim
  
  public Reference getClaim()
  
  Returns:
  
  claim (The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.)
- hasClaim
  
  public boolean hasClaim()
- setClaim
  
  public ExplanationOfBenefit setClaim(Reference value)
  
  Parameters:
  
  value - claim (The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.)
- getClaimResponse
  
  public Reference getClaimResponse()
  
  Returns:
  
  claimResponse (The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.)
- hasClaimResponse
  
  public boolean hasClaimResponse()
- setClaimResponse
  
  public ExplanationOfBenefit setClaimResponse(Reference value)
  
  Parameters:
  
  value - claimResponse (The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.)
- getOutcomeElement
  
  public Enumeration<Enumerations.ClaimProcessingCodes> getOutcomeElement()
  
  Returns:
  
  outcome (The outcome of the claim, predetermination, or preauthorization processing.). This is the underlying object with id, value and extensions. The accessor "getOutcome" gives direct access to the value
- hasOutcomeElement
  
  public boolean hasOutcomeElement()
- hasOutcome
  
  public boolean hasOutcome()
- setOutcomeElement
  
  public ExplanationOfBenefit setOutcomeElement(Enumeration<Enumerations.ClaimProcessingCodes> value)
  
  Parameters:
  
  value - outcome (The outcome of the claim, predetermination, or preauthorization processing.). This is the underlying object with id, value and extensions. The accessor "getOutcome" gives direct access to the value
- getOutcome
  
  public Enumerations.ClaimProcessingCodes getOutcome()
  
  Returns:
  
  The outcome of the claim, predetermination, or preauthorization processing.
- setOutcome
  
  public ExplanationOfBenefit setOutcome(Enumerations.ClaimProcessingCodes value)
  
  Parameters:
  
  value - The outcome of the claim, predetermination, or preauthorization processing.
- getDecision
  
  public CodeableConcept getDecision()
  
  Returns:
  
  decision (The result of the claim, predetermination, or preauthorization adjudication.)
- hasDecision
  
  public boolean hasDecision()
- setDecision
  
  public ExplanationOfBenefit setDecision(CodeableConcept value)
  
  Parameters:
  
  value - decision (The result of the claim, predetermination, or preauthorization adjudication.)
- getDispositionElement
  
  public StringType getDispositionElement()
  
  Returns:
  
  disposition (A human readable description of the status of the adjudication.). This is the underlying object with id, value and extensions. The accessor "getDisposition" gives direct access to the value
- hasDispositionElement
  
  public boolean hasDispositionElement()
- hasDisposition
  
  public boolean hasDisposition()
- setDispositionElement
  
  public ExplanationOfBenefit setDispositionElement(StringType value)
  
  Parameters:
  
  value - disposition (A human readable description of the status of the adjudication.). This is the underlying object with id, value and extensions. The accessor "getDisposition" gives direct access to the value
- getDisposition
  
  public String getDisposition()
  
  Returns:
  
  A human readable description of the status of the adjudication.
- setDisposition
  
  public ExplanationOfBenefit setDisposition(String value)
  
  Parameters:
  
  value - A human readable description of the status of the adjudication.
- getPreAuthRef
  
  public List<StringType> getPreAuthRef()
  
  Returns:
  
  preAuthRef (Reference from the Insurer which is used in later communications which refers to this adjudication.)
- setPreAuthRef
  
  public ExplanationOfBenefit setPreAuthRef(List<StringType> thePreAuthRef)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasPreAuthRef
  
  public boolean hasPreAuthRef()
- addPreAuthRefElement
  
  public StringType addPreAuthRefElement()
  
  Returns:
  
  preAuthRef (Reference from the Insurer which is used in later communications which refers to this adjudication.)
- addPreAuthRef
  
  public ExplanationOfBenefit addPreAuthRef(String value)
  
  Parameters:
  
  value - preAuthRef (Reference from the Insurer which is used in later communications which refers to this adjudication.)
- hasPreAuthRef
  
  public boolean hasPreAuthRef(String value)
  
  Parameters:
  
  value - preAuthRef (Reference from the Insurer which is used in later communications which refers to this adjudication.)
- getPreAuthRefPeriod
  
  public List<Period> getPreAuthRefPeriod()
  
  Returns:
  
  preAuthRefPeriod (The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.)
- setPreAuthRefPeriod
  
  public ExplanationOfBenefit setPreAuthRefPeriod(List<Period> thePreAuthRefPeriod)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasPreAuthRefPeriod
  
  public boolean hasPreAuthRefPeriod()
- addPreAuthRefPeriod
  
  public Period addPreAuthRefPeriod()
- addPreAuthRefPeriod
  
  public ExplanationOfBenefit addPreAuthRefPeriod(Period t)
- getPreAuthRefPeriodFirstRep
  
  public Period getPreAuthRefPeriodFirstRep()
  
  Returns:
  
  The first repetition of repeating field preAuthRefPeriod, creating it if it does not already exist {3}
- getDiagnosisRelatedGroup
  
  public CodeableConcept getDiagnosisRelatedGroup()
  
  Returns:
  
  diagnosisRelatedGroup (A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.)
- hasDiagnosisRelatedGroup
  
  public boolean hasDiagnosisRelatedGroup()
- setDiagnosisRelatedGroup
  
  public ExplanationOfBenefit setDiagnosisRelatedGroup(CodeableConcept value)
  
  Parameters:
  
  value - diagnosisRelatedGroup (A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.)
- getCareTeam
  
  public List<ExplanationOfBenefit.CareTeamComponent> getCareTeam()
  
  Returns:
  
  careTeam (The members of the team who provided the products and services.)
- setCareTeam
  
  public ExplanationOfBenefit setCareTeam(List<ExplanationOfBenefit.CareTeamComponent> theCareTeam)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasCareTeam
  
  public boolean hasCareTeam()
- addCareTeam
  
  public ExplanationOfBenefit.CareTeamComponent addCareTeam()
- addCareTeam
  
  public ExplanationOfBenefit addCareTeam(ExplanationOfBenefit.CareTeamComponent t)
- getCareTeamFirstRep
  
  public ExplanationOfBenefit.CareTeamComponent getCareTeamFirstRep()
  
  Returns:
  
  The first repetition of repeating field careTeam, creating it if it does not already exist {3}
- getSupportingInfo
  
  public List<ExplanationOfBenefit.SupportingInformationComponent> getSupportingInfo()
  
  Returns:
  
  supportingInfo (Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.)
- setSupportingInfo
  
  public ExplanationOfBenefit setSupportingInfo(List<ExplanationOfBenefit.SupportingInformationComponent> theSupportingInfo)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasSupportingInfo
  
  public boolean hasSupportingInfo()
- addSupportingInfo
  
  public ExplanationOfBenefit.SupportingInformationComponent addSupportingInfo()
- addSupportingInfo
  
  public ExplanationOfBenefit addSupportingInfo(ExplanationOfBenefit.SupportingInformationComponent t)
- getSupportingInfoFirstRep
  
  public ExplanationOfBenefit.SupportingInformationComponent getSupportingInfoFirstRep()
  
  Returns:
  
  The first repetition of repeating field supportingInfo, creating it if it does not already exist {3}
- getDiagnosis
  
  public List<ExplanationOfBenefit.DiagnosisComponent> getDiagnosis()
  
  Returns:
  
  diagnosis (Information about diagnoses relevant to the claim items.)
- setDiagnosis
  
  public ExplanationOfBenefit setDiagnosis(List<ExplanationOfBenefit.DiagnosisComponent> theDiagnosis)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasDiagnosis
  
  public boolean hasDiagnosis()
- addDiagnosis
  
  public ExplanationOfBenefit.DiagnosisComponent addDiagnosis()
- addDiagnosis
  
  public ExplanationOfBenefit addDiagnosis(ExplanationOfBenefit.DiagnosisComponent t)
- getDiagnosisFirstRep
  
  public ExplanationOfBenefit.DiagnosisComponent getDiagnosisFirstRep()
  
  Returns:
  
  The first repetition of repeating field diagnosis, creating it if it does not already exist {3}
- getProcedure
  
  public List<ExplanationOfBenefit.ProcedureComponent> getProcedure()
  
  Returns:
  
  procedure (Procedures performed on the patient relevant to the billing items with the claim.)
- setProcedure
  
  public ExplanationOfBenefit setProcedure(List<ExplanationOfBenefit.ProcedureComponent> theProcedure)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasProcedure
  
  public boolean hasProcedure()
- addProcedure
  
  public ExplanationOfBenefit.ProcedureComponent addProcedure()
- addProcedure
  
  public ExplanationOfBenefit addProcedure(ExplanationOfBenefit.ProcedureComponent t)
- getProcedureFirstRep
  
  public ExplanationOfBenefit.ProcedureComponent getProcedureFirstRep()
  
  Returns:
  
  The first repetition of repeating field procedure, creating it if it does not already exist {3}
- getPrecedenceElement
  
  public PositiveIntType getPrecedenceElement()
  
  Returns:
  
  precedence (This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.). This is the underlying object with id, value and extensions. The accessor "getPrecedence" gives direct access to the value
- hasPrecedenceElement
  
  public boolean hasPrecedenceElement()
- hasPrecedence
  
  public boolean hasPrecedence()
- setPrecedenceElement
  
  public ExplanationOfBenefit setPrecedenceElement(PositiveIntType value)
  
  Parameters:
  
  value - precedence (This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.). This is the underlying object with id, value and extensions. The accessor "getPrecedence" gives direct access to the value
- getPrecedence
  
  public int getPrecedence()
  
  Returns:
  
  This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.
- setPrecedence
  
  public ExplanationOfBenefit setPrecedence(int value)
  
  Parameters:
  
  value - This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.
- getInsurance
  
  public List<ExplanationOfBenefit.InsuranceComponent> getInsurance()
  
  Returns:
  
  insurance (Financial instruments for reimbursement for the health care products and services specified on the claim.)
- setInsurance
  
  public ExplanationOfBenefit setInsurance(List<ExplanationOfBenefit.InsuranceComponent> theInsurance)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasInsurance
  
  public boolean hasInsurance()
- addInsurance
  
  public ExplanationOfBenefit.InsuranceComponent addInsurance()
- addInsurance
  
  public ExplanationOfBenefit addInsurance(ExplanationOfBenefit.InsuranceComponent t)
- getInsuranceFirstRep
  
  public ExplanationOfBenefit.InsuranceComponent getInsuranceFirstRep()
  
  Returns:
  
  The first repetition of repeating field insurance, creating it if it does not already exist {3}
- getAccident
  
  public ExplanationOfBenefit.AccidentComponent getAccident()
  
  Returns:
  
  accident (Details of a accident which resulted in injuries which required the products and services listed in the claim.)
- hasAccident
  
  public boolean hasAccident()
- setAccident
  
  public ExplanationOfBenefit setAccident(ExplanationOfBenefit.AccidentComponent value)
  
  Parameters:
  
  value - accident (Details of a accident which resulted in injuries which required the products and services listed in the claim.)
- getPatientPaid
  
  public Money getPatientPaid()
  
  Returns:
  
  patientPaid (The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services.)
- hasPatientPaid
  
  public boolean hasPatientPaid()
- setPatientPaid
  
  public ExplanationOfBenefit setPatientPaid(Money value)
  
  Parameters:
  
  value - patientPaid (The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services.)
- getItem
  
  public List<ExplanationOfBenefit.ItemComponent> getItem()
  
  Returns:
  
  item (A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.)
- setItem
  
  public ExplanationOfBenefit setItem(List<ExplanationOfBenefit.ItemComponent> theItem)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasItem
  
  public boolean hasItem()
- addItem
  
  public ExplanationOfBenefit.ItemComponent addItem()
- addItem
  
  public ExplanationOfBenefit addItem(ExplanationOfBenefit.ItemComponent t)
- getItemFirstRep
  
  public ExplanationOfBenefit.ItemComponent getItemFirstRep()
  
  Returns:
  
  The first repetition of repeating field item, creating it if it does not already exist {3}
- getAddItem
  
  public List<ExplanationOfBenefit.AddedItemComponent> getAddItem()
  
  Returns:
  
  addItem (The first-tier service adjudications for payor added product or service lines.)
- setAddItem
  
  public ExplanationOfBenefit setAddItem(List<ExplanationOfBenefit.AddedItemComponent> theAddItem)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasAddItem
  
  public boolean hasAddItem()
- addAddItem
  
  public ExplanationOfBenefit.AddedItemComponent addAddItem()
- addAddItem
  
  public ExplanationOfBenefit addAddItem(ExplanationOfBenefit.AddedItemComponent t)
- getAddItemFirstRep
  
  public ExplanationOfBenefit.AddedItemComponent getAddItemFirstRep()
  
  Returns:
  
  The first repetition of repeating field addItem, creating it if it does not already exist {3}
- getAdjudication
  
  public List<ExplanationOfBenefit.AdjudicationComponent> getAdjudication()
  
  Returns:
  
  adjudication (The adjudication results which are presented at the header level rather than at the line-item or add-item levels.)
- setAdjudication
  
  public ExplanationOfBenefit setAdjudication(List<ExplanationOfBenefit.AdjudicationComponent> theAdjudication)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasAdjudication
  
  public boolean hasAdjudication()
- addAdjudication
  
  public ExplanationOfBenefit.AdjudicationComponent addAdjudication()
- addAdjudication
  
  public ExplanationOfBenefit addAdjudication(ExplanationOfBenefit.AdjudicationComponent t)
- getAdjudicationFirstRep
  
  public ExplanationOfBenefit.AdjudicationComponent getAdjudicationFirstRep()
  
  Returns:
  
  The first repetition of repeating field adjudication, creating it if it does not already exist {3}
- getTotal
  
  public List<ExplanationOfBenefit.TotalComponent> getTotal()
  
  Returns:
  
  total (Categorized monetary totals for the adjudication.)
- setTotal
  
  public ExplanationOfBenefit setTotal(List<ExplanationOfBenefit.TotalComponent> theTotal)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasTotal
  
  public boolean hasTotal()
- addTotal
  
  public ExplanationOfBenefit.TotalComponent addTotal()
- addTotal
  
  public ExplanationOfBenefit addTotal(ExplanationOfBenefit.TotalComponent t)
- getTotalFirstRep
  
  public ExplanationOfBenefit.TotalComponent getTotalFirstRep()
  
  Returns:
  
  The first repetition of repeating field total, creating it if it does not already exist {3}
- getPayment
  
  public ExplanationOfBenefit.PaymentComponent getPayment()
  
  Returns:
  
  payment (Payment details for the adjudication of the claim.)
- hasPayment
  
  public boolean hasPayment()
- setPayment
  
  public ExplanationOfBenefit setPayment(ExplanationOfBenefit.PaymentComponent value)
  
  Parameters:
  
  value - payment (Payment details for the adjudication of the claim.)
- getFormCode
  
  public CodeableConcept getFormCode()
  
  Returns:
  
  formCode (A code for the form to be used for printing the content.)
- hasFormCode
  
  public boolean hasFormCode()
- setFormCode
  
  public ExplanationOfBenefit setFormCode(CodeableConcept value)
  
  Parameters:
  
  value - formCode (A code for the form to be used for printing the content.)
- getForm
  
  public Attachment getForm()
  
  Returns:
  
  form (The actual form, by reference or inclusion, for printing the content or an EOB.)
- hasForm
  
  public boolean hasForm()
- setForm
  
  public ExplanationOfBenefit setForm(Attachment value)
  
  Parameters:
  
  value - form (The actual form, by reference or inclusion, for printing the content or an EOB.)
- getProcessNote
  
  public List<ExplanationOfBenefit.NoteComponent> getProcessNote()
  
  Returns:
  
  processNote (A note that describes or explains adjudication results in a human readable form.)
- setProcessNote
  
  public ExplanationOfBenefit setProcessNote(List<ExplanationOfBenefit.NoteComponent> theProcessNote)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasProcessNote
  
  public boolean hasProcessNote()
- addProcessNote
  
  public ExplanationOfBenefit.NoteComponent addProcessNote()
- addProcessNote
  
  public ExplanationOfBenefit addProcessNote(ExplanationOfBenefit.NoteComponent t)
- getProcessNoteFirstRep
  
  public ExplanationOfBenefit.NoteComponent getProcessNoteFirstRep()
  
  Returns:
  
  The first repetition of repeating field processNote, creating it if it does not already exist {3}
- getBenefitPeriod
  
  public Period getBenefitPeriod()
  
  Returns:
  
  benefitPeriod (The term of the benefits documented in this response.)
- hasBenefitPeriod
  
  public boolean hasBenefitPeriod()
- setBenefitPeriod
  
  public ExplanationOfBenefit setBenefitPeriod(Period value)
  
  Parameters:
  
  value - benefitPeriod (The term of the benefits documented in this response.)
- getBenefitBalance
  
  public List<ExplanationOfBenefit.BenefitBalanceComponent> getBenefitBalance()
  
  Returns:
  
  benefitBalance (Balance by Benefit Category.)
- setBenefitBalance
  
  public ExplanationOfBenefit setBenefitBalance(List<ExplanationOfBenefit.BenefitBalanceComponent> theBenefitBalance)
  
  Returns:
  
  Returns a reference to this for easy method chaining
- hasBenefitBalance
  
  public boolean hasBenefitBalance()
- addBenefitBalance
  
  public ExplanationOfBenefit.BenefitBalanceComponent addBenefitBalance()
- addBenefitBalance
  
  public ExplanationOfBenefit addBenefitBalance(ExplanationOfBenefit.BenefitBalanceComponent t)
- getBenefitBalanceFirstRep
  
  public ExplanationOfBenefit.BenefitBalanceComponent getBenefitBalanceFirstRep()
  
  Returns:
  
  The first repetition of repeating field benefitBalance, creating it if it does not already exist {3}
- listChildren
  
  protected void listChildren(List<Property> children)
  
  Overrides:
  
  listChildren in class DomainResource
- getNamedProperty
  
  public Property getNamedProperty(int _hash, String _name, boolean _checkValid) throws org.hl7.fhir.exceptions.FHIRException
  
  Overrides:
  
  getNamedProperty in class DomainResource
  
  Throws:
  
  org.hl7.fhir.exceptions.FHIRException
- getProperty
  
  public Base[] getProperty(int hash, String name, boolean checkValid) throws org.hl7.fhir.exceptions.FHIRException
  
  Overrides:
  
  getProperty in class DomainResource
  
  Throws:
  
  org.hl7.fhir.exceptions.FHIRException
- setProperty
  
  public Base setProperty(int hash, String name, Base value) throws org.hl7.fhir.exceptions.FHIRException
  
  Overrides:
  
  setProperty in class DomainResource
  
  Throws:
  
  org.hl7.fhir.exceptions.FHIRException
- setProperty
  
  public Base setProperty(String name, Base value) throws org.hl7.fhir.exceptions.FHIRException
  
  Overrides:
  
  setProperty in class DomainResource
  
  Throws:
  
  org.hl7.fhir.exceptions.FHIRException
- makeProperty
  
  public Base makeProperty(int hash, String name) throws org.hl7.fhir.exceptions.FHIRException
  
  Overrides:
  
  makeProperty in class DomainResource
  
  Throws:
  
  org.hl7.fhir.exceptions.FHIRException
- getTypesForProperty
  
  public String[] getTypesForProperty(int hash, String name) throws org.hl7.fhir.exceptions.FHIRException
  
  Overrides:
  
  getTypesForProperty in class DomainResource
  
  Throws:
  
  org.hl7.fhir.exceptions.FHIRException
- addChild
  
  public Base addChild(String name) throws org.hl7.fhir.exceptions.FHIRException
  
  Overrides:
  
  addChild in class DomainResource
  
  Throws:
  
  org.hl7.fhir.exceptions.FHIRException
- fhirType
  
  public String fhirType()
  
  Specified by:
  
  fhirType in interface org.hl7.fhir.instance.model.api.IBase
  
  Overrides:
  
  fhirType in class DomainResource
- copy
  
  public ExplanationOfBenefit copy()
  
  Specified by:
  
  copy in class DomainResource
- copyValues
  
  public void copyValues(ExplanationOfBenefit dst)
- typedCopy
  
  protected ExplanationOfBenefit typedCopy()
- equalsDeep
  
  public boolean equalsDeep(Base other_)
  
  Overrides:
  
  equalsDeep in class DomainResource
- equalsShallow
  
  public boolean equalsShallow(Base other_)
  
  Overrides:
  
  equalsShallow in class DomainResource
- isEmpty
  
  public boolean isEmpty()
  
  Specified by:
  
  isEmpty in interface org.hl7.fhir.instance.model.api.IBase
  
  Overrides:
  
  isEmpty in class DomainResource
- getResourceType
  
  public ResourceType getResourceType()
  
  Specified by:
  
  getResourceType in class Resource

Class ExplanationOfBenefit

Nested Class Summary

Nested classes/interfaces inherited from class org.hl7.fhir.r5.model.Base

Field Summary

Fields inherited from class org.hl7.fhir.r5.model.DomainResource

Fields inherited from class org.hl7.fhir.r5.model.Resource

Fields inherited from interface org.hl7.fhir.instance.model.api.IAnyResource

Fields inherited from interface org.hl7.fhir.instance.model.api.IBaseResource

Constructor Summary

Method Summary

Methods inherited from class org.hl7.fhir.r5.model.DomainResource

Methods inherited from class org.hl7.fhir.r5.model.Resource

Methods inherited from class org.hl7.fhir.r5.model.BaseResource

Methods inherited from class org.hl7.fhir.r5.model.Base

Methods inherited from class java.lang.Object

Methods inherited from interface org.hl7.fhir.instance.model.api.IAnyResource

Methods inherited from interface org.hl7.fhir.instance.model.api.IBase

Methods inherited from interface org.hl7.fhir.instance.model.api.IBaseResource

Field Details

identifier

status

type

subType

use

patient

billablePeriod

created

enterer

insurer

provider

priority

fundsReserveRequested

fundsReserve

related

prescription

originalPrescription

payee

referral

encounter

facility

claim

claimResponse

outcome

decision

disposition

preAuthRef

preAuthRefPeriod

diagnosisRelatedGroup

careTeam

supportingInfo

diagnosis

procedure

precedence

insurance

accident

patientPaid

item

addItem

adjudication

total

payment

formCode

form

processNote

benefitPeriod

benefitBalance

SP_CARE_TEAM

CARE_TEAM

INCLUDE_CARE_TEAM

SP_CLAIM

CLAIM

INCLUDE_CLAIM

SP_COVERAGE

COVERAGE

INCLUDE_COVERAGE

SP_CREATED

CREATED

SP_DETAIL_UDI

DETAIL_UDI

INCLUDE_DETAIL_UDI