CARINBBExplanationOfBenefitInpatientFacility |
ExplanationOfBenefit | Entity. Role, or Act |
text | Act.text? |
contained | N/A |
extension | N/A |
modifierExtension | N/A |
related | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
payee | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
careTeam | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (billingnetworkcontractingstatus) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (attendingnetworkcontractingstatus) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (referringnetworkcontractingstatus) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (clmrecvddate) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (typeofservice) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (tob-typeoffacility) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (tob-billclassification) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (tob-frequency) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (admsrc) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (admtype) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (discharge-status) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (ms-drg) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (placeofservice) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
diagnosis | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
procedure | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
insurance | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
insurance (primaryinsurance) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
insurance (secondaryinsurance) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
accident | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
item | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
adjudication | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
adjudication (adjudicationamounttype) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
adjudication (denialreason) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
detail | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
subDetail | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
addItem | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
detail | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
subDetail | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
total | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
payment | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
processNote | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
benefitBalance | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
financial | |
id | n/a |
extension | n/a |
modifierExtension | N/A |