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.
Interactions
- Read: GET [base]/ExplanationOfBenefit/[patient]
- Search: GET [base]/ExplanationOfBenefit?[{parameters...}
Search Parameters
Search Parameter |
Search Parameter Type |
Example |
GET [base]/ExplanationOfBenefit?_id=[id] |
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GET [base]/ExplanationOfBenefit?patient=[patient] |
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GET [base]/ExplanationOfBenefit?type=[system][code] |
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GET [base]/ExplanationOfBenefit?identifier=[system][code] |
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GET [base]/ExplanationOfBenefit?service-date=[service-date] |
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GET [base]/ExplanationOfBenefit?_lastUpdated=[_lastUpdated] |
Supported includes & revIncludes
_include |
_revInclude |
ExplanationOfBenefit:* |
N/A |
ExplanationOfBenefit:care-team |
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ExplanationOfBenefit:coverage |
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ExplanationOfBenefit:insurer |
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ExplanationOfBenefit:patient |
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ExplanationOfBenefit:provider |