Claim.insurance

Financial instruments for reimbursement for the health care products and services specified on the claim.

= Must Support, = Is Modifier, = QiCore defined extension

Field	Card.	Type	Description
sequence	1..1	Integer	A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.
focal	1..1	Boolean	A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
identifier	0..1	Identifier	The business identifier to be used when the claim is sent for adjudication against this insurance policy.
coverage	1..1	QICoreCoverage	Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
businessArrangement	0..1	String	A business agreement number established between the provider and the insurer for special business processing purposes.
preAuthRef	0..*	List<String>	Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
claimResponse	0..1	ClaimResponse	The result of the adjudication of the line items for the Coverage specified in this insurance.