Package com.babylonhealth.lit.hl7_java.builders

Class ExplanationOfBenefitBuilder.Impl

    • Constructor Detail

      • Impl

        public Impl​(com.babylonhealth.lit.hl7.CLAIM_USE use,
            com.babylonhealth.lit.core.model.CodeableConcept _type,
            com.babylonhealth.lit.hl7.EXPLANATIONOFBENEFIT_STATUS status,
            com.babylonhealth.lit.core.model.Reference patient,
            com.babylonhealth.lit.core.FHIRDateTime created,
            com.babylonhealth.lit.core.model.Reference insurer,
            com.babylonhealth.lit.hl7.REMITTANCE_OUTCOME outcome,
            com.babylonhealth.lit.core.model.Reference provider,
            java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Insurance> insurance)
        Required fields for ExplanationOfBenefit
        Parameters:
        use - - A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
        _type - - The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
        status - - The status of the resource instance.
        patient - - The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.
        created - - The date this resource was created.
        insurer - - The party responsible for authorization, adjudication and reimbursement.
        outcome - - The outcome of the claim, predetermination, or preauthorization processing.
        provider - - The provider which is responsible for the claim, predetermination or preauthorization.
        insurance - - Financial instruments for reimbursement for the health care products and services specified on the claim.

    • Method Detail

      • withId

        public ExplanationOfBenefitBuilder.Impl withId​(@NonNull
                                               @NonNull java.lang.String id)
        Parameters:
        id - - The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      • withMeta

        public ExplanationOfBenefitBuilder.Impl withMeta​(@NonNull
                                                 @NonNull com.babylonhealth.lit.core.model.Meta meta)
        Parameters:
        meta - - The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

      • withText

        public ExplanationOfBenefitBuilder.Impl withText​(@NonNull
                                                 @NonNull com.babylonhealth.lit.hl7.model.Narrative text)
        Parameters:
        text - - A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

      • withForm

        public ExplanationOfBenefitBuilder.Impl withForm​(@NonNull
                                                 @NonNull com.babylonhealth.lit.core.model.Attachment form)
        Parameters:
        form - - The actual form, by reference or inclusion, for printing the content or an EOB.

      • withClaim

        public ExplanationOfBenefitBuilder.Impl withClaim​(@NonNull
                                                  @NonNull com.babylonhealth.lit.core.model.Reference claim)
        Parameters:
        claim - - The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.

      • withSubType

        public ExplanationOfBenefitBuilder.Impl withSubType​(@NonNull
                                                    @NonNull com.babylonhealth.lit.core.model.CodeableConcept subType)
        Parameters:
        subType - - A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.

      • withSubType

        public ExplanationOfBenefitBuilder.Impl withSubType​(@NonNull
                                                    @NonNull com.babylonhealth.lit.core_java.builders.CodeableConceptBuilder subType)

      • withEnterer

        public ExplanationOfBenefitBuilder.Impl withEnterer​(@NonNull
                                                    @NonNull com.babylonhealth.lit.core.model.Reference enterer)
        Parameters:
        enterer - - Individual who created the claim, predetermination or preauthorization.

      • withLanguage

        public ExplanationOfBenefitBuilder.Impl withLanguage​(@NonNull
                                                     @NonNull com.babylonhealth.lit.core.LANGUAGES language)
        Parameters:
        language - - The base language in which the resource is written.

      • withPriority

        public ExplanationOfBenefitBuilder.Impl withPriority​(@NonNull
                                                     @NonNull com.babylonhealth.lit.core.model.CodeableConcept priority)
        Parameters:
        priority - - The provider-required urgency of processing the request. Typical values include: stat, routine deferred.

      • withPriority

        public ExplanationOfBenefitBuilder.Impl withPriority​(@NonNull
                                                     @NonNull com.babylonhealth.lit.core_java.builders.CodeableConceptBuilder priority)

      • withReferral

        public ExplanationOfBenefitBuilder.Impl withReferral​(@NonNull
                                                     @NonNull com.babylonhealth.lit.core.model.Reference referral)
        Parameters:
        referral - - A reference to a referral resource.

      • withFacility

        public ExplanationOfBenefitBuilder.Impl withFacility​(@NonNull
                                                     @NonNull com.babylonhealth.lit.core.model.Reference facility)
        Parameters:
        facility - - Facility where the services were provided.

      • withFormCode

        public ExplanationOfBenefitBuilder.Impl withFormCode​(@NonNull
                                                     @NonNull com.babylonhealth.lit.core.model.CodeableConcept formCode)
        Parameters:
        formCode - - A code for the form to be used for printing the content.

      • withFormCode

        public ExplanationOfBenefitBuilder.Impl withFormCode​(@NonNull
                                                     @NonNull com.babylonhealth.lit.core_java.builders.CodeableConceptBuilder formCode)

      • withContained

        public ExplanationOfBenefitBuilder.Impl withContained​(@NonNull
                                                      @NonNull com.babylonhealth.lit.core.model.Resource... contained)
        Parameters:
        contained - - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

      • withContained

        public ExplanationOfBenefitBuilder.Impl withContained​(@NonNull
                                                      @NonNull java.util.Collection<com.babylonhealth.lit.core.model.Resource> contained)
        Parameters:
        contained - - These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

      • withContained

        public ExplanationOfBenefitBuilder.Impl withContained​(@NonNull
                                                      @NonNull com.babylonhealth.lit.core_java.builders.ResourceBuilder... contained)

      • withExtension

        public ExplanationOfBenefitBuilder.Impl withExtension​(@NonNull
                                                      @NonNull com.babylonhealth.lit.core.model.Extension... extension)
        Parameters:
        extension - - May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      • withExtension

        public ExplanationOfBenefitBuilder.Impl withExtension​(@NonNull
                                                      @NonNull java.util.Collection<com.babylonhealth.lit.core.model.Extension> extension)
        Parameters:
        extension - - May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      • withExtension

        public ExplanationOfBenefitBuilder.Impl withExtension​(@NonNull
                                                      @NonNull com.babylonhealth.lit.core_java.builders.ExtensionBuilder... extension)

      • withIdentifier

        public ExplanationOfBenefitBuilder.Impl withIdentifier​(@NonNull
                                                       @NonNull com.babylonhealth.lit.core.model.Identifier... identifier)
        Parameters:
        identifier - - A unique identifier assigned to this explanation of benefit.

      • withIdentifier

        public ExplanationOfBenefitBuilder.Impl withIdentifier​(@NonNull
                                                       @NonNull java.util.Collection<com.babylonhealth.lit.core.model.Identifier> identifier)
        Parameters:
        identifier - - A unique identifier assigned to this explanation of benefit.

      • withIdentifier

        public ExplanationOfBenefitBuilder.Impl withIdentifier​(@NonNull
                                                       @NonNull com.babylonhealth.lit.core_java.builders.IdentifierBuilder... identifier)

      • withPreAuthRef

        public ExplanationOfBenefitBuilder.Impl withPreAuthRef​(@NonNull
                                                       @NonNull java.lang.String... preAuthRef)
        Parameters:
        preAuthRef - - Reference from the Insurer which is used in later communications which refers to this adjudication.

      • withPreAuthRef

        public ExplanationOfBenefitBuilder.Impl withPreAuthRef​(@NonNull
                                                       @NonNull java.util.Collection<java.lang.String> preAuthRef)
        Parameters:
        preAuthRef - - Reference from the Insurer which is used in later communications which refers to this adjudication.

      • withPrecedence

        public ExplanationOfBenefitBuilder.Impl withPrecedence​(@NonNull
                                                       @NonNull java.lang.Integer precedence)
        Parameters:
        precedence - - This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.

      • withDisposition

        public ExplanationOfBenefitBuilder.Impl withDisposition​(@NonNull
                                                        @NonNull java.lang.String disposition)
        Parameters:
        disposition - - A human readable description of the status of the adjudication.

      • withFundsReserve

        public ExplanationOfBenefitBuilder.Impl withFundsReserve​(@NonNull
                                                         @NonNull com.babylonhealth.lit.core.model.CodeableConcept fundsReserve)
        Parameters:
        fundsReserve - - A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.

      • withFundsReserve

        public ExplanationOfBenefitBuilder.Impl withFundsReserve​(@NonNull
                                                         @NonNull com.babylonhealth.lit.core_java.builders.CodeableConceptBuilder fundsReserve)

      • withPrescription

        public ExplanationOfBenefitBuilder.Impl withPrescription​(@NonNull
                                                         @NonNull com.babylonhealth.lit.core.model.Reference prescription)
        Parameters:
        prescription - - Prescription to support the dispensing of pharmacy, device or vision products.

      • withPrescription

        public ExplanationOfBenefitBuilder.Impl withPrescription​(@NonNull
                                                         @NonNull com.babylonhealth.lit.core_java.builders.ReferenceBuilder prescription)

      • withAdjudication

        public ExplanationOfBenefitBuilder.Impl withAdjudication​(@NonNull
                                                         @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit$Item$Adjudication... adjudication)
        Parameters:
        adjudication - - The adjudication results which are presented at the header level rather than at the line-item or add-item levels.

      • withAdjudication

        public ExplanationOfBenefitBuilder.Impl withAdjudication​(@NonNull
                                                         @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit$Item$Adjudication> adjudication)
        Parameters:
        adjudication - - The adjudication results which are presented at the header level rather than at the line-item or add-item levels.

      • withImplicitRules

        public ExplanationOfBenefitBuilder.Impl withImplicitRules​(@NonNull
                                                          @NonNull java.lang.String implicitRules)
        Parameters:
        implicitRules - - A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      • withClaimResponse

        public ExplanationOfBenefitBuilder.Impl withClaimResponse​(@NonNull
                                                          @NonNull com.babylonhealth.lit.core.model.Reference claimResponse)
        Parameters:
        claimResponse - - The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.

      • withClaimResponse

        public ExplanationOfBenefitBuilder.Impl withClaimResponse​(@NonNull
                                                          @NonNull com.babylonhealth.lit.core_java.builders.ReferenceBuilder claimResponse)

      • withBenefitPeriod

        public ExplanationOfBenefitBuilder.Impl withBenefitPeriod​(@NonNull
                                                          @NonNull com.babylonhealth.lit.core.model.Period benefitPeriod)
        Parameters:
        benefitPeriod - - The term of the benefits documented in this response.

      • withBenefitPeriod

        public ExplanationOfBenefitBuilder.Impl withBenefitPeriod​(@NonNull
                                                          @NonNull com.babylonhealth.lit.core_java.builders.PeriodBuilder benefitPeriod)

      • withBillablePeriod

        public ExplanationOfBenefitBuilder.Impl withBillablePeriod​(@NonNull
                                                           @NonNull com.babylonhealth.lit.core.model.Period billablePeriod)
        Parameters:
        billablePeriod - - The period for which charges are being submitted.

      • withBillablePeriod

        public ExplanationOfBenefitBuilder.Impl withBillablePeriod​(@NonNull
                                                           @NonNull com.babylonhealth.lit.core_java.builders.PeriodBuilder billablePeriod)

      • withPreAuthRefPeriod

        public ExplanationOfBenefitBuilder.Impl withPreAuthRefPeriod​(@NonNull
                                                             @NonNull com.babylonhealth.lit.core.model.Period... preAuthRefPeriod)
        Parameters:
        preAuthRefPeriod - - The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.

      • withPreAuthRefPeriod

        public ExplanationOfBenefitBuilder.Impl withPreAuthRefPeriod​(@NonNull
                                                             @NonNull java.util.Collection<com.babylonhealth.lit.core.model.Period> preAuthRefPeriod)
        Parameters:
        preAuthRefPeriod - - The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.

      • withPreAuthRefPeriod

        public ExplanationOfBenefitBuilder.Impl withPreAuthRefPeriod​(@NonNull
                                                             @NonNull com.babylonhealth.lit.core_java.builders.PeriodBuilder... preAuthRefPeriod)

      • withModifierExtension

        public ExplanationOfBenefitBuilder.Impl withModifierExtension​(@NonNull
                                                              @NonNull com.babylonhealth.lit.core.model.Extension... modifierExtension)
        Parameters:
        modifierExtension - - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      • withModifierExtension

        public ExplanationOfBenefitBuilder.Impl withModifierExtension​(@NonNull
                                                              @NonNull java.util.Collection<com.babylonhealth.lit.core.model.Extension> modifierExtension)
        Parameters:
        modifierExtension - - May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      • withModifierExtension

        public ExplanationOfBenefitBuilder.Impl withModifierExtension​(@NonNull
                                                              @NonNull com.babylonhealth.lit.core_java.builders.ExtensionBuilder... modifierExtension)

      • withOriginalPrescription

        public ExplanationOfBenefitBuilder.Impl withOriginalPrescription​(@NonNull
                                                                 @NonNull com.babylonhealth.lit.core.model.Reference originalPrescription)
        Parameters:
        originalPrescription - - Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.

      • withOriginalPrescription

        public ExplanationOfBenefitBuilder.Impl withOriginalPrescription​(@NonNull
                                                                 @NonNull com.babylonhealth.lit.core_java.builders.ReferenceBuilder originalPrescription)

      • withFundsReserveRequested

        public ExplanationOfBenefitBuilder.Impl withFundsReserveRequested​(@NonNull
                                                                  @NonNull com.babylonhealth.lit.core.model.CodeableConcept fundsReserveRequested)
        Parameters:
        fundsReserveRequested - - A code to indicate whether and for whom funds are to be reserved for future claims.

      • withFundsReserveRequested

        public ExplanationOfBenefitBuilder.Impl withFundsReserveRequested​(@NonNull
                                                                  @NonNull com.babylonhealth.lit.core_java.builders.CodeableConceptBuilder fundsReserveRequested)

      • withPayee

        public ExplanationOfBenefitBuilder.Impl withPayee​(@NonNull
                                                  com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Payee payee)
        Parameters:
        payee - - The party to be reimbursed for cost of the products and services according to the terms of the policy.

      • withTotal

        public ExplanationOfBenefitBuilder.Impl withTotal​(@NonNull
                                                  @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Total... total)
        Parameters:
        total - - Categorized monetary totals for the adjudication.

      • withTotal

        public ExplanationOfBenefitBuilder.Impl withTotal​(@NonNull
                                                  @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Total> total)
        Parameters:
        total - - Categorized monetary totals for the adjudication.

      • withRelated

        public ExplanationOfBenefitBuilder.Impl withRelated​(@NonNull
                                                    @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Related... related)
        Parameters:
        related - - Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.

      • withRelated

        public ExplanationOfBenefitBuilder.Impl withRelated​(@NonNull
                                                    @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Related> related)
        Parameters:
        related - - Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.

      • withPayment

        public ExplanationOfBenefitBuilder.Impl withPayment​(@NonNull
                                                    com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Payment payment)
        Parameters:
        payment - - Payment details for the adjudication of the claim.

      • withCareTeam

        public ExplanationOfBenefitBuilder.Impl withCareTeam​(@NonNull
                                                     @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.CareTeam... careTeam)
        Parameters:
        careTeam - - The members of the team who provided the products and services.

      • withCareTeam

        public ExplanationOfBenefitBuilder.Impl withCareTeam​(@NonNull
                                                     @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.CareTeam> careTeam)
        Parameters:
        careTeam - - The members of the team who provided the products and services.

      • withAccident

        public ExplanationOfBenefitBuilder.Impl withAccident​(@NonNull
                                                     com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Accident accident)
        Parameters:
        accident - - Details of a accident which resulted in injuries which required the products and services listed in the claim.

      • withDiagnosis

        public ExplanationOfBenefitBuilder.Impl withDiagnosis​(@NonNull
                                                      @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Diagnosis... diagnosis)
        Parameters:
        diagnosis - - Information about diagnoses relevant to the claim items.

      • withDiagnosis

        public ExplanationOfBenefitBuilder.Impl withDiagnosis​(@NonNull
                                                      @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Diagnosis> diagnosis)
        Parameters:
        diagnosis - - Information about diagnoses relevant to the claim items.

      • withProcedure

        public ExplanationOfBenefitBuilder.Impl withProcedure​(@NonNull
                                                      @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Procedure... procedure)
        Parameters:
        procedure - - Procedures performed on the patient relevant to the billing items with the claim.

      • withProcedure

        public ExplanationOfBenefitBuilder.Impl withProcedure​(@NonNull
                                                      @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Procedure> procedure)
        Parameters:
        procedure - - Procedures performed on the patient relevant to the billing items with the claim.

      • withProcessNote

        public ExplanationOfBenefitBuilder.Impl withProcessNote​(@NonNull
                                                        @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.ProcessNote... processNote)
        Parameters:
        processNote - - A note that describes or explains adjudication results in a human readable form.

      • withProcessNote

        public ExplanationOfBenefitBuilder.Impl withProcessNote​(@NonNull
                                                        @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.ProcessNote> processNote)
        Parameters:
        processNote - - A note that describes or explains adjudication results in a human readable form.

      • withSupportingInfo

        public ExplanationOfBenefitBuilder.Impl withSupportingInfo​(@NonNull
                                                           @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.SupportingInfo... supportingInfo)
        Parameters:
        supportingInfo - - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.

      • withSupportingInfo

        public ExplanationOfBenefitBuilder.Impl withSupportingInfo​(@NonNull
                                                           @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.SupportingInfo> supportingInfo)
        Parameters:
        supportingInfo - - Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.

      • withItem

        public ExplanationOfBenefitBuilder.Impl withItem​(@NonNull
                                                 @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Item... item)
        Parameters:
        item - - A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.

      • withItem

        public ExplanationOfBenefitBuilder.Impl withItem​(@NonNull
                                                 @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.Item> item)
        Parameters:
        item - - A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.

      • withAddItem

        public ExplanationOfBenefitBuilder.Impl withAddItem​(@NonNull
                                                    @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.AddItem... addItem)
        Parameters:
        addItem - - The first-tier service adjudications for payor added product or service lines.

      • withAddItem

        public ExplanationOfBenefitBuilder.Impl withAddItem​(@NonNull
                                                    @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.AddItem> addItem)
        Parameters:
        addItem - - The first-tier service adjudications for payor added product or service lines.

      • withBenefitBalance

        public ExplanationOfBenefitBuilder.Impl withBenefitBalance​(@NonNull
                                                           @NonNull com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.BenefitBalance... benefitBalance)
        Parameters:
        benefitBalance - - Balance by Benefit Category.

      • withBenefitBalance

        public ExplanationOfBenefitBuilder.Impl withBenefitBalance​(@NonNull
                                                           @NonNull java.util.Collection<com.babylonhealth.lit.hl7.model.ExplanationOfBenefit.BenefitBalance> benefitBalance)
        Parameters:
        benefitBalance - - Balance by Benefit Category.