CARINBBExplanationOfBenefitOutpatientFacility |
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 (placeOfServiceCode) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (patientDischargeStatusCode) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (sourceInpatientAdmissionTypeCode) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (sourceInpatientAdmissionCode) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (frequencyCode) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (serviceClassificationCode) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (facilityTypeCode) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (claimReceivedDate) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (referringProviderNetworkStatus) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
supportingInfo (billingProviderNetworkStatus) | |
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 |
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 |