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.

Interactions

  • Read: GET [base]/ExplanationOfBenefit/[patient]
  • Search: GET [base]/ExplanationOfBenefit?[{parameters...}

Search Parameters

Search Parameter

Search Parameter Type

Example

_id

token

GET [base]/ExplanationOfBenefit?_id=[id]

patient

reference

GET [base]/ExplanationOfBenefit?patient=[patient]

type

token

GET [base]/ExplanationOfBenefit?type=[system][code]

identifier

token

GET [base]/ExplanationOfBenefit?identifier=[system][code]

service-date

date

GET [base]/ExplanationOfBenefit?service-date=[service-date]

_lastUpdated

date

GET [base]/ExplanationOfBenefit?_lastUpdated=[_lastUpdated]

Supported includes & revIncludes

_include

_revInclude

ExplanationOfBenefit:*

N/A

ExplanationOfBenefit:care-team

 

ExplanationOfBenefit:coverage

 

ExplanationOfBenefit:insurer

 

ExplanationOfBenefit:patient

 

ExplanationOfBenefit:provider