fhirtypes
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TypeScript
import { IBackboneElement, IElement } from '../base';
import { ICodeableConcept, IMoney } from '../datatypes';
/**
* @name IExplanationOfBenefitAdjudication
* @description 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 <a href="https://hl7.org/fhir/R4/explanationofbenefit-definitions.html#ExplanationOfBenefit.item.adjudication">ExplanationOfBenefitAdjudication</a>
* @version R4
* @extends {IBackboneElement}
* @author Claudia Alarcón Lazo
*/
export interface IExplanationOfBenefitAdjudication extends IBackboneElement {
/**
* @description A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
*/
category: ICodeableConcept;
/**
* @description A code supporting the understanding of the adjudication result and explaining variance from expected amount.
*/
reason?: ICodeableConcept;
/**
* @description Monetary amount associated with the category.
*/
amount?: IMoney;
/**
* @description A non-monetary value associated with the category. Mutually exclusive to the amount element above.
*/
value?: number;
/**
* @description Extensions for value
*/
_value?: IElement;
}