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