adjudication.amount |
Claim.TotalCharges
Claim.TotalPaid
Claim.TotalPatientPaid
|
adjudication.reason |
Claim.NonPaymentReason
|
benefitBalance.financial.used |
Claim.Properties
|
billablePeriod |
Claim.StartDate
Claim.EndDate
|
careTeam.provider |
Claim.CaregiverRelationships.CaregiverID
|
careTeam.responsible |
Claim.CaregiverRelationships.Responsible
|
careTeam.role |
Claim.CaregiverRelationships.RelationshipType
|
created |
Claim.CreatedDate
|
diagnosis.diagnosis |
Claim.Problems.Term
|
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') |
Claim.Problems.Date
|
diagnosis.onAdmission |
Claim.Problems.OnAdmission
|
diagnosis.sequence |
Claim.Problems.Sequence
|
diagnosis.type |
Claim.Problems.Type
|
disposition |
Claim.Property('FHIRExplanationOfBenefitDisposition')
|
extension |
Claim.Properties
|
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate') |
Claim.AdjudicationDate
|
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber') |
Claim.ControlNumber
|
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition') |
Claim.Disposition
|
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID') |
Claim.EncounterID
|
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn') |
Claim.Mrn
|
extension('http://careevolution.com/fhirextensions#properties') |
Claim.Properties
|
facility.identifier |
Claim.Property('FacilityNpi')
|
id |
Claim.Identifier
|
identifier |
Claim.Identifier
Claim.AlternateIdentifier
|
insurance |
Claim.InsuranceID
|
insurer |
Claim.InsuranceID
|
item.adjudication.amount |
Medications.AmountBilled
Medications.AmountPaid
Claim.Services.AmountClaimed
Claim.Services.AmountPaid
Claim.Services.PatientPaid
|
item.careTeamSequence |
Claim.Services.Property('FHIRCareTeamLinkId')
|
item.detail.productOrService.coding.display |
Medications.Comment
|
item.diagnosisSequence |
Claim.Services.Property('FHIRDiagnosisLinkId')
|
item.extension |
Claim.Services.Properties
|
item.extension('http://careevolution.com/fhirextensions#dataSource') |
Medications.DataSource
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-alternateIdentifier') |
Medications.AlternateIdentifier
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-caregiverReference') |
Medications.CaregiverID
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment') |
Claim.Services.Comment
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-dose') |
Medications.Dose
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-doseUnits') |
Medications.DoseUnits
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-filledBy') |
Medications.FilledByID
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-frequency') |
Medications.Frequency
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-isGeneric') |
Medications.IsGeneric
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-prescribedDate') |
Medications.PrescribedDate
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems') |
Claim.Services.Problem1
Claim.Services.Problem2
Claim.Services.Problem3
Claim.Services.Problem4
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-reconcileStatus') |
Medications.ReconcileStatus
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-refills') |
Medications.Refills
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status') |
Medications.Status
Claim.Services.Status
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-strength') |
Medications.Strength
|
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-therapeuticClass') |
Medications.TherapeuticClass
|
item.extension('http://careevolution.com/fhirextensions#properties') |
Claim.Services.Properties
|
item.informationSequence |
Claim.Services.Property('FHIRInformationLinkId')
|
item.location |
Claim.Services.LocationType
|
item.modifier |
Claim.Services.Modifier1
Claim.Services.Modifier2
Claim.Services.Modifier3
Claim.Services.Modifier4
Claim.Services.Modifier5
|
item.net |
Medications.AmountBilled
Claim.Services.AmountClaimed
|
item.procedureSequence |
Claim.Services.Property('FHIRProcedureLinkId')
|
item.productOrService |
Medications.Term
Claim.Services.ServiceCode
|
item.quantity |
Medications.Quantity
Medications.Units
Claim.Services.Units
|
item.revenue |
Claim.Services.RevenueCode
|
item.sequence |
Medications.Identifier
Claim.Services.Sequence
|
item.serviced |
Medications.Date
Claim.Services.StartDate
Claim.Services.EndDate
|
patient |
Claim.PatientID
|
payee |
Claim.CaregiverRelationships
|
payment.amount |
Claim.TotalPaid
|
payment.date |
Claim.PaidDate
|
procedure.date |
Claim.Procedures.Date
|
procedure.procedure |
Claim.Procedures.Term
|
procedure.sequence |
Claim.Procedures.Sequence
|
procedure.type |
Claim.Procedures.Type
|
provider |
Claim.CaregiverRelationships
|
status |
Claim.Status
|
supportingInfo.admissionperiod |
Claim.AdmitDate
Claim.DischargeDate
|
supportingInfo.admsrc |
Claim.AdmitSource
|
supportingInfo.admtype |
Claim.AdmitType
|
supportingInfo.brandgenericcode |
Medication.Term
|
supportingInfo.dawcode |
Medication.DispenseAsWritten
|
supportingInfo.dayssupply |
Medication.DaysSupplied
|
supportingInfo.discharge-status |
Claim.PatientStatus
|
supportingInfo.drg |
Claim.Drg
|
supportingInfo.placeofservice |
Claim.FacilityType
|
supportingInfo.pointoforigin |
Claim.AdmitSource
|
supportingInfo.refillnum |
Medication.RefillNumber
|
supportingInfo.typeofbill |
Claim.BillClass
|
text |
Claim.Comment
|
total.amount |
Claim.TotalCharges
Claim.TotalPaid
Claim.TotalPatientPaid
|
type |
Claim.ClaimType
|