ca.infoway.messagebuilder.model.pcs_mr2007_v02_r02.claims.merged
Class AdjudicationResultBean

Package class diagram package AdjudicationResultBean
java.lang.Object
  extended by ca.infoway.messagebuilder.model.MessagePartBean
      extended by ca.infoway.messagebuilder.model.pcs_mr2007_v02_r02.claims.merged.AdjudicationResultBean
All Implemented Interfaces:
NullFlavorSupport, Serializable

public class AdjudicationResultBean
extends MessagePartBean

Business Name: AdjudicationResult

COCT_MT680000CA.AdjudicationResult: Adjudication Result

Result of adjudication

FICR_MT610201CA.AdjudicationResult: Adjudication Result

Result of Adjudication

See Also:
Serialized Form

Constructor Summary
AdjudicationResultBean()
           
 
Method Summary
 ActAdjudicationCode getCode()
          Un-merged Business Name: CodeDenotingAdjudicationResults
 List<AdjudicationCodeChoice> getPertinentInformationAdjudicationCodeChoice()
          Un-merged Business Name: (no business name specified)
 List<IssuesBean> getReasonOfDetectedIssueEvent()
          Un-merged Business Name: (no business name specified)
 List<AdjudicationResultReferenceBean> getReference()
          Un-merged Business Name: (no business name specified)
 List<RequiredActionTypeBean> getTriggerAdjudicationResultRequiredAct()
          Un-merged Business Name: (no business name specified)
 void setCode(ActAdjudicationCode code)
          Un-merged Business Name: CodeDenotingAdjudicationResults
 
Methods inherited from class ca.infoway.messagebuilder.model.MessagePartBean
getField, getNullFlavor, getNullFlavor, getSpecializationType, hasNullFlavor, hasNullFlavor, setNullFlavor, setNullFlavor, setSpecializationType
 
Methods inherited from class java.lang.Object
clone, equals, finalize, getClass, hashCode, notify, notifyAll, toString, wait, wait, wait
 

Constructor Detail

AdjudicationResultBean

public AdjudicationResultBean()
Method Detail

getCode

public ActAdjudicationCode getCode()

Un-merged Business Name: CodeDenotingAdjudicationResults

Relationship: COCT_MT680000CA.AdjudicationResult.code

Conformance/Cardinality: MANDATORY (1)

(Summary of the adjudication processing - as submitted, w/ adjust, refuse adjust, refuse

Un-merged Business Name: AdjudicationResultsAdjudicationCode

Relationship: FICR_MT610201CA.AdjudicationResult.code

Conformance/Cardinality: POPULATED (1)

For Invoice (COB): AS (Adjudicated As Submitted) and ANF (Adjudicated with No Financial Impact) is not usually allowed, as this would imply that the previous Adjudicator has provided an intention to pay ALL of the Invoice and therefore, an Invoice to a downstream Adjudicator is not necessary. However, if there is still an outstanding balance the EOB from an upstream Adjudicator may be sent to a downstream Adjudicator. For Adjudication Results: Can be any code from the ActAdjudicationCode domain.

For Adjudication Results: Can be any code from the ActAdjudicationCode domain.


setCode

public void setCode(ActAdjudicationCode code)

Un-merged Business Name: CodeDenotingAdjudicationResults

Relationship: COCT_MT680000CA.AdjudicationResult.code

Conformance/Cardinality: MANDATORY (1)

(Summary of the adjudication processing - as submitted, w/ adjust, refuse adjust, refuse

Un-merged Business Name: AdjudicationResultsAdjudicationCode

Relationship: FICR_MT610201CA.AdjudicationResult.code

Conformance/Cardinality: POPULATED (1)

For Invoice (COB): AS (Adjudicated As Submitted) and ANF (Adjudicated with No Financial Impact) is not usually allowed, as this would imply that the previous Adjudicator has provided an intention to pay ALL of the Invoice and therefore, an Invoice to a downstream Adjudicator is not necessary. However, if there is still an outstanding balance the EOB from an upstream Adjudicator may be sent to a downstream Adjudicator. For Adjudication Results: Can be any code from the ActAdjudicationCode domain.

For Adjudication Results: Can be any code from the ActAdjudicationCode domain.


getPertinentInformationAdjudicationCodeChoice

public List<AdjudicationCodeChoice> getPertinentInformationAdjudicationCodeChoice()

Un-merged Business Name: (no business name specified)

Relationship: COCT_MT680000CA.AdditionalPertinentInformation.adjudicationCodeChoice

Conformance/Cardinality: POPULATED (1)

Un-merged Business Name: (no business name specified)

Relationship: FICR_MT610201CA.AdditionalPertinentInformation.adjudicationCodeChoice

Conformance/Cardinality: POPULATED (1)


getReference

public List<AdjudicationResultReferenceBean> getReference()

Un-merged Business Name: (no business name specified)

Relationship: COCT_MT680000CA.AdjudicationResult.reference

Conformance/Cardinality: POPULATED (1-10)

Un-merged Business Name: (no business name specified)

Relationship: FICR_MT610201CA.AdjudicationResult.reference

Conformance/Cardinality: POPULATED (1-10)


getTriggerAdjudicationResultRequiredAct

public List<RequiredActionTypeBean> getTriggerAdjudicationResultRequiredAct()

Un-merged Business Name: (no business name specified)

Relationship: FICR_MT610201CA.AdjudicationResultTrigger.adjudicationResultRequiredAct

Conformance/Cardinality: POPULATED (1)


getReasonOfDetectedIssueEvent

public List<IssuesBean> getReasonOfDetectedIssueEvent()

Un-merged Business Name: (no business name specified)

Relationship: FICR_MT610201CA.AdjudicationObservationReason.detectedIssueEvent

Conformance/Cardinality: POPULATED (1)



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