EnrollEligCOB
Class PaymentReconciliation

"This resource provides payment details and claim references supporting a bulk payment." - HL7 FHIR, PaymentReconciliation

Attributes
«TS» PointInTime dateCreated dateCreated

"The date when the enclosed suite of services were performed or completed." - HL7 FHIR, PaymentReconciliation.created

Detail detail detail

"List of individual settlement amounts and the corresponding transaction." - HL7 FHIR, PaymentReconciliation.detail

String disposition disposition

"A description of the status of the adjudication." - HL7 FHIR, PaymentReconciliation.disposition

«CS» Code form form

"The form to be used for printing the content." - HL7 FHIR, PaymentReconciliation.form

«II» Id identifier identifier

"The Response business identifier." - HL7 FHIR, PaymentReconciliation.identifier

BenefitsProvider organization organization

"The Insurer who produced this adjudicated response." - HL7 FHIR, PaymentReconciliation.organization

«CS» Code outcome outcome

"Transaction status: error, complete." - HL7 FHIR, PaymentReconciliation.outcome

«IVL_TS» Period period period

"The period of time for which payments have been gathered into this bulk payment for settlement." - HL7 FHIR, PaymentReconciliation.period

ProcessNote processNote processNote

"Suite of notes." - HL7 FHIR, PaymentReconciliation.processNote

«ANY» Any request request

"Original request resource reference." - HL7 FHIR, PaymentReconciliation.request
Note that in FHIR, this is a pointer to ANY resource. This is a placeholder to remind us to change this property to an association to the appriopriate FHIM class.

OrganizationalProvider requestOrganization requestOrganization

"The organization which is responsible for the services rendered to the patient." - HL7 FHIR, PaymentReconciliation.requestOrganization

HealthcareProvider requestProvider requestProvider

"The practitioner who is responsible for the services rendered to the patient." - HL7 FHIR, PaymentReconciliation.requestProvider

«CS» Code status status

"The status of the resource instance." - HL7 FHIR, PaymentReconciliation.status

«MO» MonetaryAmount total total

"Total payment amount." - HL7 FHIR, PaymentReconciliation.total


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NamePaymentReconciliation
Name Expression
NamespaceEnrollEligCOB
Owned Template Signature
OwnerEnrollEligCOB
Owning Template Parameter
PackageEnrollEligCOB
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 dateCreated
Public «TS» PointInTime dateCreated

"The date when the enclosed suite of services were performed or completed." - HL7 FHIR, PaymentReconciliation.created

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamedateCreated
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::dateCreated
Stereotype
Template Parameter
Type«TS» PointInTime
Upper1
Upper Value(1)
VisibilityPublic


 detail
Public Detail detail

"List of individual settlement amounts and the corresponding transaction." - HL7 FHIR, PaymentReconciliation.detail

Constraints:
Properties:

AggregationNone
Alias
AssociationpaymentReconciliation_detail
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Namedetail
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::detail
Stereotype
Template Parameter
TypeDetail
Upper*
Upper Value(*)
VisibilityPublic


 disposition
Public String disposition

"A description of the status of the adjudication." - HL7 FHIR, PaymentReconciliation.disposition

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namedisposition
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::disposition
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 form
Public «CS» Code form

"The form to be used for printing the content." - HL7 FHIR, PaymentReconciliation.form

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Terminologies[
HL7_FHIR_R4 Forms http://hl7.org/fhir/ValueSet/forms
]
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameform
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::form
StereotypeValueSetConstraints
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 identifier
Public «II» Id identifier

"The Response business identifier." - HL7 FHIR, PaymentReconciliation.identifier

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Nameidentifier
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::identifier
Stereotype
Template Parameter
Type«II» Id
Upper*
Upper Value(*)
VisibilityPublic


 organization
Public BenefitsProvider organization

"The Insurer who produced this adjudicated response." - HL7 FHIR, PaymentReconciliation.organization

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameorganization
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::organization
Stereotype
Template Parameter
TypeBenefitsProvider
Upper1
Upper Value(1)
VisibilityPublic


 outcome
Public «CS» Code outcome

"Transaction status: error, complete." - HL7 FHIR, PaymentReconciliation.outcome

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Terminologies[
HL7_FHIR_R4 Claim Processing Codes http://hl7.org/fhir/ValueSet/remittance-outcome
]
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameoutcome
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::outcome
StereotypeValueSetConstraints
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 period
Public «IVL_TS» Period period

"The period of time for which payments have been gathered into this bulk payment for settlement." - HL7 FHIR, PaymentReconciliation.period

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameperiod
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::period
Stereotype
Template Parameter
Type«IVL_TS» Period
Upper1
Upper Value(1)
VisibilityPublic


 processNote
Public ProcessNote processNote

"Suite of notes." - HL7 FHIR, PaymentReconciliation.processNote

Constraints:
Properties:

AggregationNone
Alias
AssociationpaymentReconciliation_processNote
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NameprocessNote
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::processNote
Stereotype
Template Parameter
TypeProcessNote
Upper*
Upper Value(*)
VisibilityPublic


 request
Public «ANY» Any request

"Original request resource reference." - HL7 FHIR, PaymentReconciliation.request
Note that in FHIR, this is a pointer to ANY resource. This is a placeholder to remind us to change this property to an association to the appriopriate FHIM class.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namerequest
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::request
Stereotype
Template Parameter
Type«ANY» Any
Upper1
Upper Value(1)
VisibilityPublic


 requestOrganization
Public OrganizationalProvider requestOrganization

"The organization which is responsible for the services rendered to the patient." - HL7 FHIR, PaymentReconciliation.requestOrganization

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamerequestOrganization
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::requestOrganization
Stereotype
Template Parameter
TypeOrganizationalProvider
Upper1
Upper Value(1)
VisibilityPublic


 requestProvider
Public HealthcareProvider requestProvider

"The practitioner who is responsible for the services rendered to the patient." - HL7 FHIR, PaymentReconciliation.requestProvider

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamerequestProvider
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::requestProvider
Stereotype
Template Parameter
TypeHealthcareProvider
Upper1
Upper Value(1)
VisibilityPublic


 status
Public «CS» Code status

"The status of the resource instance." - HL7 FHIR, PaymentReconciliation.status

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Terminologies[
HL7_FHIR_R4 Financial Resource Status Codes http://hl7.org/fhir/ValueSet/fm-status
]
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namestatus
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::status
StereotypeValueSetConstraints
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 total
Public «MO» MonetaryAmount total

"Total payment amount." - HL7 FHIR, PaymentReconciliation.total

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPaymentReconciliation
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nametotal
Name Expression
NamespacePaymentReconciliation
Opposite
OwnerPaymentReconciliation
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::PaymentReconciliation::total
Stereotype
Template Parameter
Type«MO» MonetaryAmount
Upper1
Upper Value(1)
VisibilityPublic