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java.lang.Objectca.infoway.messagebuilder.model.MessagePartBean
ca.infoway.messagebuilder.model.pcs_mr2007_v02_r02.claims.merged.AdjudicationResultBean
public class AdjudicationResultBean
Business Name: AdjudicationResult
COCT_MT680000CA.AdjudicationResult: Adjudication Result
Result of adjudication
FICR_MT610201CA.AdjudicationResult: Adjudication Result
Result of Adjudication
Constructor Summary | |
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AdjudicationResultBean()
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Method Summary | |
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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 |
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getField, getNullFlavor, getNullFlavor, getSpecializationType, hasNullFlavor, hasNullFlavor, setNullFlavor, setNullFlavor, setSpecializationType |
Methods inherited from class java.lang.Object |
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clone, equals, finalize, getClass, hashCode, notify, notifyAll, toString, wait, wait, wait |
Constructor Detail |
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public AdjudicationResultBean()
Method Detail |
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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.
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.
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)
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)
public List<RequiredActionTypeBean> getTriggerAdjudicationResultRequiredAct()
Un-merged Business Name: (no business name specified)
Relationship: FICR_MT610201CA.AdjudicationResultTrigger.adjudicationResultRequiredAct
Conformance/Cardinality: POPULATED (1)
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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