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ExplanationOfBenefit

This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.

Structure​

Search Parameters​

_haste-health-author (reference)
The author of the resource
Resource.meta.extension.where(url='https://haste.health/author').value
_type (token)
Derived from the R4B Definition
$this.type().name
_text (string)
Search on the narrative of the resource
_content (string)
Search on the entire content of the resource
_id (token)
Logical id of this artifact
Resource.id
_lastUpdated (date)
When the resource version last changed
Resource.meta.lastUpdated
_profile (uri)
Profiles this resource claims to conform to
Resource.meta.profile
_query (token)
A custom search profile that describes a specific defined query operation
_security (token)
Security Labels applied to this resource
Resource.meta.security
_source (uri)
Identifies where the resource comes from
Resource.meta.source
_tag (token)
Tags applied to this resource
Resource.meta.tag
care-team (reference)
Member of the CareTeam
ExplanationOfBenefit.careTeam.provider
claim (reference)
The reference to the claim
ExplanationOfBenefit.claim
coverage (reference)
The plan under which the claim was adjudicated
ExplanationOfBenefit.insurance.coverage
created (date)
The creation date for the EOB
ExplanationOfBenefit.created
detail-udi (reference)
UDI associated with a line item detail product or service
ExplanationOfBenefit.item.detail.udi
disposition (string)
The contents of the disposition message
ExplanationOfBenefit.disposition
encounter (reference)
Encounters associated with a billed line item
ExplanationOfBenefit.item.encounter
enterer (reference)
The party responsible for the entry of the Claim
ExplanationOfBenefit.enterer
facility (reference)
Facility responsible for the goods and services
ExplanationOfBenefit.facility
identifier (token)
The business identifier of the Explanation of Benefit
ExplanationOfBenefit.identifier
item-udi (reference)
UDI associated with a line item product or service
ExplanationOfBenefit.item.udi
patient (reference)
The reference to the patient
ExplanationOfBenefit.patient
payee (reference)
The party receiving any payment for the Claim
ExplanationOfBenefit.payee.party
procedure-udi (reference)
UDI associated with a procedure
ExplanationOfBenefit.procedure.udi
provider (reference)
The reference to the provider
ExplanationOfBenefit.provider
status (token)
Status of the instance
ExplanationOfBenefit.status
subdetail-udi (reference)
UDI associated with a line item detail subdetail product or service
ExplanationOfBenefit.item.detail.subDetail.udi