cardea.fhir.ClaimResponse

class cardea.fhir.ClaimResponse(dict_values=None)

This resource provides the adjudication details from the processing of a Claim resource.

Parameters

• resourceType – This is a ClaimResponse resource

• identifier – The Response business identifier.

• status – The status of the resource instance.

• patient – Patient Resource.

• created – The date when the enclosed suite of services were performed or completed.

• insurer – The Insurer who produced this adjudicated response.

• requestProvider – The practitioner who is responsible for the services rendered to the patient.

• requestOrganization – The organization which is responsible for the services rendered to the patient.

• request – Original request resource referrence.

• outcome – Processing outcome errror, partial or complete processing.

• disposition – A description of the status of the adjudication.

• payeeType – Party to be reimbursed: Subscriber, provider, other.

• item – The first tier service adjudications for submitted services.

• addItem – The first tier service adjudications for payor added services.

• error – Mutually exclusive with Services Provided (Item).

• totalCost – The total cost of the services reported.

• unallocDeductable – The amount of deductible applied which was not allocated to any particular service line.

• totalBenefit – Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductible).

• payment – Payment details for the claim if the claim has been paid.

• reserved – Status of funds reservation (For provider, for Patient, None).

• form – The form to be used for printing the content.

• processNote – Note text.

• communicationRequest – Request for additional supporting or authorizing information, such as: documents, images or resources.

• insurance – Financial instrument by which payment information for health care.

__init__(dict_values=None)

Initialize self. See help(type(self)) for accurate signature.

Methods

__init__([dict_values])	Initialize self.
assert_type()	Checks class values follow set possible enumerations.
get_dataframe()	Returns dataframe from class attribute values.
get_eligible_relationships()	Returns class relationships for attributes that are used.
get_id()	Returns fhir class identifier.
get_relationships()	Returns class relationships.
set_attributes(dict_values)	Sets values to class attributes.

cardea.fhir.Claim cardea.fhir.ClinicalImpression