Line item details
ExplanationOfBenefitItem =
object
Product or service provided.
Properties
id
id:
string|null
Unique id for inter-element referencing
sequence
sequence:
number|null
Item instance identifier
bodySite
bodySite:
CodeableConcept|null
Anatomical location
locationCodeableConcept
locationCodeableConcept:
CodeableConcept|null
Place of service or where product was supplied
modifier
modifier: (
CodeableConcept|null)[] |null
Product or service billing modifiers
noteNumber
noteNumber: (
number|null)[] |null
Applicable note numbers
productOrService
productOrService:
CodeableConcept|null
Billing, service, product, or drug code
quantity
quantity:
Quantity|null
Count of products or services
revenue
revenue:
CodeableConcept|null
Revenue or cost center code
net
net:
Money|null
Total item cost
servicedDate
servicedDate:
string|null
Date or dates of service or product delivery
servicedPeriod
servicedPeriod:
Period|null
Date or dates of service or product delivery
adjudication
adjudication: (
ExplanationOfBenefitAdjudication|null)[] |null
Adjudication details