A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
= Must Support, = Is Modifier, = QiCore defined extension
Field | Card. | Type | Description |
---|---|---|---|
sequence | 1..1 | Integer | A number to uniquely identify item entries. |
revenue | 0..1 | Concept | The type of revenue or cost center providing the product and/or service. Binding: Codes for the revenue or cost centers supplying the service and/or products. (example) |
category | 0..1 | Concept | Code to identify the general type of benefits under which products and services are provided. Binding: Benefit categories such as: oral-basic, major, glasses. (example) |
productOrService | 1..1 | Concept | When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item. Binding: Allowable service and product codes. (example) |
modifier | 0..* | List<Concept> | Item typification or modifiers codes to convey additional context for the product or service. Binding: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. (example) |
programCode | 0..* | List<Concept> | Identifies the program under which this may be recovered. Binding: Program specific reason codes. (example) |
quantity | 0..1 | Quantity | The number of repetitions of a service or product. |
unitPrice | 0..1 | Money | If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. |
factor | 0..1 | Decimal | A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. |
net | 0..1 | Money | The quantity times the unit price for an additional service or product or charge. |
udi | 0..* | List<QICoreDevice> | Unique Device Identifiers associated with this line item. |
subDetail | 0..* | List<item.detail.subDetail> | A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items. |