Overview of Financial
CDM standard entities for 'Financial'
Entities
| Name | Description |
|---|---|
| Account | Business that represents a customer or potential customer. The company that is billed in business transactions. |
| BillingAccount | A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc. |
| Claim | A provider issued list of services and products provided, or to be provided, to a patient which is provided to an insurer for payment recovery. |
| ClaimCareTeam | The members of the team who provided the overall service as well as their role and whether responsible and qualifications. |
| ClaimDiagnosis | List of patient diagnosis for which care is sought. |
| ClaimInformation | Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are requi |
| ClaimItem | First tier of goods and services. |
| ClaimResponse | |
| ClaimResponseAddItem | |
| ClaimResponseItem | |
| ClaimResponseItemAdjudication | |
| ClaimResponseItemDetail | The second tier service adjudications for submitted services. |
| ClaimsProcedure | Ordered list of patient procedures performed to support the adjudication. |
| CodeableConcept | A Codeable Concept represents a value that is usually supplied by providing a reference to one or more terminologies, but may also be defined by the provision of text. |
| Contract | |
| Coverage | "The party(s) that are responsible for payment (or part of) of charges applied to this account (including self-pay). |
| EligibilityRequest | The EligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an EligibilityResponse, with information regarding whether the stated cover |
| EligibilityRequestItem | Eligibility request item. |
| EligibilityResponse | |
| EligibilityResponseInsurance | The insurer may provide both the details for the requested coverage as well as details for additional coverages known to the insurer. |
| EnrollmentRequest | This resource provides the insurance enrollment details to the insurer regarding a specified coverage |
| EnrollmentResponse | This resource provides enrollment and plan details from the processing of an Enrollment resource. |
| Insurance | Financial instrument by which payment information for health care. |
| PaymentNotice |