account"Account into which this ChargeItems belongs." - HL7 FHIR, ChargeItem.account
associatedTransactionDateContains the Transaction Date of a related Billable Service. Typically used to relate a completed fill to a partial fill for the same prescription."Date of the Associated Prescription/Service Reference Number." - NCPDP Telecommunication (Field 457-EP, Data Dictionary 201104).
associatedTransactionIdContains the Transaction Id of a related Billable Service. Typically used to relate a completed fill to a partial fill for the same prescription."Related Prescription/Service Reference Number to which the service is associated." - NCPDP Telecommunication (Field 456-EN, Data Dictionary 201104).
billingSequencePointer to the Billing Event(s) in which the Health Plans are invoiced for the Billable Service.
bodysite"The anatomical location where the related service has been applied." - HL7 FHIR, ChargeItem.bodysiteNote that this property could potentially be calculated from the Procedure (Action Performed) associated with this Billable Service.
canBenefitsBeCoordinated"Indicates whether this insurance works in conjunction with other insurance plans, or if it provides independent coverage and payment of benefits regardless of other insurance that might be available to the patient." - HL7 Version 2.8, IN1-21. Note that HL7 Version 2 models this as a code with possible values (Table 173) of: Coordination, Independent.
certificateOfMedicalNecessityPointer to additional documentation, especially Certificate(s) of Medical Necessity which justify the eligibility of the Billable Service for payment.
costCenter"The financial cost center permits the tracking of charge attribution." - HL7 FHIR, ChargeItem.costCenter
dateEntered"Date the charge item was entered." - HL7 FHIR, ChargeItem.enteredDate
dateOfServiceThe date and/or time upon which the Billable Service was performed."Identifies date the prescription was filled or professional service rendered or subsequent payer began coverage following Part A expiration in a long-term care setting only." - NCPDP Telecommunication (Field 401-D1, Data Dictionary 201104)."The time at which the service is performed as local time that will correspond with the actual date of service." - NCPDP Telecommunication (Field 678-Y6, Data Dictionary 201104). Used primarily for controlled substance reporting."Date/time(s) or duration when the charged service was applied." - HL7 FHIR, ChargeItem.occurrence[x]. Note that in FHIR, the data type of this property can be either a dateTime, Period, or Timing. In the FHIM, this is currently limited to a PointInTime.
definitionCanonical"References the source of pricing information, rules of application for the code this ChargeItem uses." - HL7 FHIR, ChargeItem.definitionCanonical
definitionUri"References the (external) source of pricing information, rules of application for the code this ChargeItem uses." - HL7 FHIR, ChargeItem.definitionUri
doesPatientAssignBenefits"Indicates whether the insured agreed to assign the insurance benefits to the healthcare provider. If so, the insurance will pay the provider directly." - HL7 Version 2.8, IN1-20. Note that HL7 Version 2 models this as a code with possible values (Table 135) of: "Yes", "No", and "Modified Assignment"."Code to indicate a patient’s choice on assignment of benefits." - NCPDP Telecommunication (Field 391-MT, Data Dictionary 201104). Note that while this is a code in the NCPDP Telecommunication structure, the valid values are Yes and No.
doesProviderAcceptAssignment"Code indicating whether the provider accepts assignment." - NCPDP Telecommunication (Field 361-2D, Data Dictionary 201104).
eligibilityClarificationCode"Code indicating that the pharmacy is clarifying eligibility for a patient. Example: The patient has become a student but eligibility has not yet been updated. The pharmacy can indicate [Full Time Student] so that the carrier may override eligibility for this patient." - NCPDP Telecommunication (Field 309-C9, Data Dictionary 201104). Possible values include: No Override; Override; Full Time Student; Disabled Dependent; Dependent Parent; Significant Other; Not Specified.
employmentImpacted"The start and optional end dates of when the patient was precluded from working due to the treatable condition(s)." - HL7 FHIR, Claim.employmentImpacted
encounter"The encounter or episode of care that establishes the context for this event." - HL7 FHIR, ChargeItem.context
enterer"The device, practitioner, etc. who entered the charge item." - HL7 FHIR, ChargeItem.enterer
factorOverride"Factor overriding the factor determined by the rules associated with the code." - HL7 FHIR, ChargeItem.factorOverride
hospitalization"The start and optional end dates of when the patient was confined to a treatment center." - HL7 FHIR, Claim.hospitalization
identifier"Reference number assigned by the provider for the dispensed drug/product and/or service provided." - NCPDP Telecommunication (Field 402-D2, Data Dictionary 201104). Note that the NCPDP Telecommunication structure uses a separate qualifier field (455-EM) to indicate what kind of data is in this field. Possible values include: Rx Billing; Service Billing."Identifiers assigned to this event performer or other systems." - HL7 FHIR, ChargeItem.identifier
locationPointer to the location where the billable service took place."Code identifying the place where a drug or service is dispensed or administered." - NCPDP Telecommunication (Field 3Ø7-C7, Data Dictionary 201104). Use CMS's Place of Service Codes for Professional Claims.
medicaidTransactionIdThis is the Medicaid Subrogation Internal Control Number / Transaction Control Number (ICN/TCN)."Claim number assigned by the Medicaid Agency." - NCPDP Telecommunication (Field 114-N4, Data Dictionary 201104).
note"Comments made about the event by the performer, subject or other participants." - HL7 FHIR, ChargeItem.note
otherCoverageCode"Code indicating whether or not the patient has other insurance coverage." - NCPDP Telecommunication (Field 420-DK, Data Dictionary 201104). Possible values include: Not Specified by patient; No other coverage; Other coverage exists-payment collected; Other Coverage Billed – claim not covered; Other coverage exists-payment not collected; Claim is billing for patient financial responsibility only.
overrideReason"If the list price or the rule-based factor associated with the code is overridden, this attribute can capture a text to indicate the reason for this action." - HL7 FHIR, ChargeItem.overrideReason
partOf"ChargeItems can be grouped to larger ChargeItems covering the whole set." - HL7 FHIR, ChargeItem.partOf
patientIdentifies the Person who is the recipient of the Billable Service."The individual or set of individuals the action is being or was performed on" - HL7 FHIR, ChargeItem.subject
patientCaseManagementPointer to the Case that is applicable to the Billable Event. In other words, the Billable Event must cite the appropriate Case (if applicable) in order to be reimbursed.
performingOrganization"The organization performing the service." - HL7 FHIR, ChargeItem.performingOrganization
priceOverride"Total price of the charge overriding the list price associated with the code." - HL7 FHIR, ChargeItem.priceOverride
priorAuthorizationRequest"Based on the type of insurance, some coverage plans require that an authorization number or code be obtained prior to all non-emergency admissions, and within 48 hours of an emergency admission. Insurance billing would not be permitted without this number. The date and source of authorization are the components of this field." - HL7 Version 2.8, IN1-14.
product"Identifies the device, food, drug or other product being charged either by type code or reference to an instance." - HL7 FHIR, ChargeItem.product[x]
productServiceCode"ID of the product dispensed or service provided." - NCPDP Telecommunication (Field 407-D7, Data Dictionary 201104). Note that the NCPDP Telecommunication structure uses a separate qualifier field (436-E1 ) to indicate what kind of data is in this field. Possible values include: NDC, UPC, HRI, and 37 other codes. This is not modeled as a separate property in the FHIM, rather this can be handled by the Code data type."A code that identifies the charge, like a billing code." - HL7 FHIR, ChargeItem.code
quantity"Quantity of which the charge item has been serviced." - HL7 FHIR, ChargeItem.quantityNote that this property could potentially be calculated from the Procedure (Action Performed) or Dispense associated with this Billable Service.
reason"Describes why the event occurred in coded or textual form." - HL7 FHIR, ChargeItem.reason
requestingOrganization"The organization requesting the service." - HL7 FHIR, ChargeItem.requestingOrganization
serviceIdentifies a healthcare procedure which is being invoiced or which is associated with the service being invoiced."Indicates the rendered service that caused this charge." - HL7 FHIR, ChargeItem.service
status"The current state of the ChargeItem." Possible values are: Planned; Billable; Not billable; Aborted; Billed; Entered in Error; Unknown. - HL7 FHIR, ChargeItem.status
submissionClarificationCode"Code indicating that the pharmacist is clarifying the submission." - NCPDP Telecommunication (Field 420-DK, Data Dictionary 201104). Possible values include: No Override; Other Override; Vacation Supply; Lost Prescription; Therapy Change; Starter Dose; Medically Necessary; Process Compound For Approved Ingredients; Encounters; Meets Plan Limitations; Certification on File; DME Replacement Indicator; Payer-Recognized Emergency/Disaster Assistance Request; Long Term Care Leave of Absence; Long Term Care Replacement Medication; Long Term Care Emergency box (kit) or automated dispensing machine; Long Term Care Emergency supply remainder; Long Term Care Patient Admit/Readmit Indicator; Split Billing; Section 340B; LTC dispensing (NCPDP has 15 additional codes for Long Term Care dispensing mostly differentiating on the number of days supply); Other.
supportingInformation"Further information supporting this charge." - HL7 FHIR, ChargeItem.supportingInformation