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Claim

A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.

Structure​

Search Parameters​

_id (token)
Logical id of this artifact
Resource.id
_query (token)
A custom search profile that describes a specific defined query operation
item-udi (reference)
UDI associated with a line item product or service
Claim.item.udi
identifier (token)
The primary identifier of the financial resource
Claim.identifier
_content (string)
Search on the entire content of the resource
procedure-udi (reference)
UDI associated with a procedure
Claim.procedure.udi
status (token)
The status of the Claim instance.
Claim.status
created (date)
The creation date for the Claim
Claim.created
priority (token)
Processing priority requested
Claim.priority
provider (reference)
Provider responsible for the Claim
Claim.provider
_tag (token)
Tags applied to this resource
Resource.meta.tag
_type (token)
Derived from the R4B Definition
$this.type().name
_profile (uri)
Profiles this resource claims to conform to
Resource.meta.profile
payee (reference)
The party receiving any payment for the Claim
Claim.payee.party
_lastUpdated (date)
When the resource version last changed
Resource.meta.lastUpdated
enterer (reference)
The party responsible for the entry of the Claim
Claim.enterer
subdetail-udi (reference)
UDI associated with a line item, detail, subdetail product or service
Claim.item.detail.subDetail.udi
patient (reference)
Patient receiving the products or services
Claim.patient
detail-udi (reference)
UDI associated with a line item, detail product or service
Claim.item.detail.udi
use (token)
The kind of financial resource
Claim.use
facility (reference)
Facility where the products or services have been or will be provided
Claim.facility
encounter (reference)
Encounters associated with a billed line item
Claim.item.encounter
care-team (reference)
Member of the CareTeam
Claim.careTeam.provider
insurer (reference)
The target payor/insurer for the Claim
Claim.insurer
_text (string)
Search on the narrative of the resource
_haste-health-author (reference)
The author of the resource
Resource.meta.extension.where(url='https://haste.health/author').value
_security (token)
Security Labels applied to this resource
Resource.meta.security
_source (uri)
Identifies where the resource comes from
Resource.meta.source