| FIAB_HD010100UV02 Patient Billing Account Event |
Description: Entry point for account management messages (Link to Excel View) Derived from RMIM: FIAB_RM010000UV02 |
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| Account | |||||||||
| classCode [1..1] (M) Act (CS) {CNE:V:ActClassAccount, root= "ACCT"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [1..*] Act (DSET<II>) |
Design Comments: bank account, transit number, etc. |
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| code [0..1] Act (CD) {CWE:V:ActAccountCode} |
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| title [0..1] Act (ST) |
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| statusCode [1..1] Act (CS) {CNE:D:ActStatus} |
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| balanceAmt [0..1] Account (MO) |
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| currencyCode [0..1] Account (CD) {CWE:D:Currency} |
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| interestRateQuantity [0..1] Account (RTO<MO,PQ>) |
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| allowedBalanceQuantity [0..1] Account (IVL<MO>) |
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| subject [1..1] (Subject) |
Design Comments: The named party for the account. For a patient billing account, this is the patient |
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| holder [0..1] (Holder) | |||||||||
| predecessor [0..1] (Predecessor) | |||||||||
| coverage [0..*] (Coverage) | |||||||||
| component [0..*] (Component) |
Design Comments: Used to reference sub-accounts |
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| pertainsTo [0..*] (PertinentInformation) | |||||||||
| Subject |
Design Comments: The named party for the account. For a patient billing account, this is the patient |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationTargetSubject, root= "SBJ"} |
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| patientRole [1..1] (PatientRole) | |||||||||
| PatientRole | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassPatient, root= "PAT"} |
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| id [0..*] Role (DSET<II>) |
Design Comments: patient identifier |
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| confidentialityCode [0..1] Role (DSET<CD>) {CWE:D:Confidentiality} |
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| veryImportantPersonCode [0..1] Patient (CD) {CWE:D:PatientImportance} |
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| patientPerson [0..1] (E_PersonUniversal) |
Design Comments: Guarantor is scoped by the patient. Patient is also the subject of the account. |
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| subjectOf [0..*] (Subject2) | |||||||||
| Subject2 | |||||||||
| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationTargetSubject, root= "SBJ"} |
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| encounter [1..1] (A_EncounterUniversal) | |||||||||
| Holder | |||||||||
| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationHolder, root= "HLD"} |
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| guarantorRole [1..1] (GuarantorRole) |
Design Comments: Guarantor takes financial responsibility over the account |
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| GuarantorRole |
Design Comments: Guarantor takes financial responsibility over the account |
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| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassGuarantor, root= "GUAR"} |
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| id [0..*] Role (DSET<II>) |
Design Comments: Guarantor identifier |
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| negationInd [0..1] Role (BL) |
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| addr [0..1] Role (AD) |
Design Comments: Can be used to indicate where to mail the statement |
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| telecom [0..1] Role (TEL) |
Design Comments: Can be used to indicate where to call regarding the statement |
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| statusCode [0..1] Role (CS) {CNE:D:RoleStatus} |
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| effectiveTime [0..1] Role (IVL<TS>) |
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| guarantorChoice [0..1] (GuarantorChoice) | |||||||||
| promisorPerson [0..1] (E_PersonUniversal) |
Design Comments: Guarantor is scoped by the patient. Patient is also the subject of the account. |
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| GuarantorChoice | |||||||||
| guarantorLanguage [0..*] (GuarantorLanguage) | |||||||||
| choice of GuarantorPerson | |||||||||
| or GuarantorOrganization | |||||||||
| GuarantorLanguage | |||||||||
| languageCode [1..1] (M) LanguageCommunication (CS) {CNE:D:HumanLanguage} |
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| modeCode [1..1] (M) LanguageCommunication (CS) {CNE:D:LanguageAbilityMode, default= "RWR"} |
Design Comments: Received Written |
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| preferenceInd [1..1] LanguageCommunication (BL) |
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| GuarantorPerson | |||||||||
| classCode [1..1] (M) Entity (CS) {CNE:V:EntityClassPerson, root= "PSN"} |
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| determinerCode [1..1] (M) Entity (CS) {CNE:V:EntityDeterminerSpecific, root= "INSTANCE"} |
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| id [0..*] Entity (DSET<II>) |
Design Comments: Can be used to supply non-guarantor role ids such as SSN |
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| name [1..*] Entity (COLL<PN>) |
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| addr [0..1] Person (AD) |
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| Inherits associations from GuarantorChoice | |||||||||
| GuarantorOrganization | |||||||||
| classCode [1..1] (M) Entity (CS) {CNE:V:EntityClassOrganization, root= "ORG"} |
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| determinerCode [1..1] (M) Entity (CS) {CNE:V:EntityDeterminerSpecific, root= "INSTANCE"} |
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| id [0..*] Entity (DSET<II>) |
Design Comments: Can be used to supply non-guarantor role ides such as TIN-tax id number |
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| code [0..1] Entity (CD) {CNE:D:EntityCode} |
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| name [0..1] Entity (ON) |
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| Inherits associations from GuarantorChoice | |||||||||
| Predecessor | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipSucceeds, root= "SUCC"} |
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| oldAccount [1..1] (OldAccount) | |||||||||
| OldAccount | |||||||||
| classCode [1..1] (M) Act (CS) {CNE:V:ActClassAccount, root= "ACCT"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [0..*] Act (DSET<II>) |
Design Comments: bank account, transit number, etc. |
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| statusCode [0..*] Act (CS) {CNE:D:ActStatus} |
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| allowedBalanceQuantity [0..1] Account (IVL<MO>) |
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| Coverage | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipCoveredBy, root= "COVBY"} |
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| sequenceNumber [0..1] ActRelationship (INT) |
Design Comments: COB Priority |
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| insurancePolicy [1..1] (InsurancePolicy) | |||||||||
| InsurancePolicy | |||||||||
| classCode [1..1] (M) Act (CS) {CNE:V:ActClassCoverage, root= "COV"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [0..*] Act (DSET<II>) |
Design Comments: Insurance policy identifier |
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| code [0..1] Act (CD) {CWE:V:ActInsurancePolicyCode} |
Design Comments: Type of insurance policy |
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| statusCode [0..1] Act (CS) {CNE:D:ActStatus} |
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| effectiveTime [0..1] Act (IVL<TS>) |
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| beneficiary [0..1] (Beneficiary) | |||||||||
| author [1..1] (PolicyUnderwriter) | |||||||||
| Beneficiary | |||||||||
| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationBeneficiary, root= "BEN"} |
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| patientRole [1..1] (PatientRole) | |||||||||
| PolicyUnderwriter | |||||||||
| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationAuthorOriginator, root= "AUT"} |
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| carrierRole [1..1] (CarrierRole) | |||||||||
| CarrierRole | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassUnderwriter, root= "UNDWRT"} |
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| id [1..1] (M) Role (II) |
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| underwritingCarrierOrganization [0..1] (CarrierOrganization) | |||||||||
| CarrierOrganization | |||||||||
| classCode [1..1] (M) Entity (CS) {CNE:V:EntityClassOrganization, root= "ORG"} |
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| determinerCode [1..1] (M) Entity (CS) {CNE:V:EntityDeterminerSpecific, root= "INSTANCE"} |
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| name [1..1] (M) Entity (EN) |
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| Component |
Design Comments: Used to reference sub-accounts |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasComponent, root= "COMP"} |
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| account [1..1] (Account) | |||||||||
| PertinentInformation | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipPertains, root= "PERT"} |
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| encounter [1..1] (A_EncounterUniversal) | |||||||||