Structure Definition: ExplanationOfBenefit-PriorAuth
Base Definition: http://hl7.org/fhir/StructureDefinition/Base
Status: draft
Kind: logical
Type: ExplanationOfBenefit-PriorAuth
Elements (Differential)
| Path | Cardinality | Type | Short |
|---|---|---|---|
ExplanationOfBenefit-PriorAuth | 0..* | ExplanationOfBenefit-PriorAuth | |
ExplanationOfBenefit-PriorAuth.lastUpdated | 0..1 | string | Last Updated Time |
ExplanationOfBenefit-PriorAuth.createdDate | 0..1 | string | Created Date |
ExplanationOfBenefit-PriorAuth.beneficiarySk | 1..1 | string | Beneficiary Source Key |
ExplanationOfBenefit-PriorAuth.derivedOutcome | 0..1 | string | Derived Outcome |
ExplanationOfBenefit-PriorAuth.CLM_TYPE | 1..1 | string | Claim Type |
ExplanationOfBenefit-PriorAuth.UTN | 1..1 | string | Unique Tracking Number |
ExplanationOfBenefit-PriorAuth.ICN_DCN | 0..1 | string | Internal Control Number / DCN |
ExplanationOfBenefit-PriorAuth.UTN_VALID_ST_DT | 0..1 | string | UTN Valid Start Date |
ExplanationOfBenefit-PriorAuth.UTN_VALID_EN_DT | 0..1 | string | UTN Valid End Date |
ExplanationOfBenefit-PriorAuth.MAC_ID | 0..1 | string | MAC ID |
ExplanationOfBenefit-PriorAuth.TOB | 0..1 | string | Type of Bill |
ExplanationOfBenefit-PriorAuth.NPI | 0..1 | string | NPI |
ExplanationOfBenefit-PriorAuth.NAME | 0..1 | string | Name |
ExplanationOfBenefit-PriorAuth.CMS_CERT | 0..1 | string | CMS Certification Number |
ExplanationOfBenefit-PriorAuth.providerList | 0..* | https://bluebutton.cms.gov/fhir/StructureDefinition/Provider | Provider List |
ExplanationOfBenefit-PriorAuth.priorAuthItem | 0..* | https://bluebutton.cms.gov/fhir/StructureDefinition/LineItemComponent | Prior Auth Item List |