> ## Documentation Index > Fetch the complete documentation index at: https://docs.metriport.com/llms.txt > Use this file to discover all available pages before exploring further. # Claim > A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. ## Properties | Name | Required | Type | Description | | --------------------- | -------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------ | | identifier | No | [Identifier](/medical-api/fhir/data-types/identifier)\[] | Business Identifier for claim | | status | Yes | code | active / cancelled / draft / entered-in-error | | type | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Category or discipline | | subType | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | More granular claim type | | use | Yes | code | claim / preauthorization / predetermination | | patient | Yes | Reference\<[Patient](/medical-api/fhir/resources/patient)> | The recipient of the products and services | | billablePeriod | No | [Period](/medical-api/fhir/data-types/period) | Relevant time frame for the claim | | created | Yes | dateTime | Resource creation date | | enterer | No | Reference\<[Practitioner](/medical-api/fhir/resources/practitioner) / [PractitionerRole](/medical-api/fhir/resources/practitionerrole)> | Author of the claim | | insurer | No | Reference\<[Organization](/medical-api/fhir/resources/organization)> | Target | | provider | Yes | Reference\<[Practitioner](/medical-api/fhir/resources/practitioner) / [PractitionerRole](/medical-api/fhir/resources/practitionerrole) / [Organization](/medical-api/fhir/resources/organization)> | Party responsible for the claim | | priority | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Desired processing ugency | | fundsReserve | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | For whom to reserve funds | | related | No | ClaimRelated | Prior or corollary claims | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - claim | No | Reference\<[Claim](/medical-api/fhir/resources/claim)> | Reference to the related claim | | - relationship | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | How the reference claim is related | | - reference | No | [Identifier](/medical-api/fhir/data-types/identifier) | File or case reference | | prescription | No | Reference\<[DeviceRequest](/medical-api/fhir/resources/devicerequest) / [MedicationRequest](/medical-api/fhir/resources/medicationrequest) / [VisionPrescription](/medical-api/fhir/resources/visionprescription)> | Prescription authorizing services and products | | originalPrescription | No | Reference\<[DeviceRequest](/medical-api/fhir/resources/devicerequest) / [MedicationRequest](/medical-api/fhir/resources/medicationrequest) / [VisionPrescription](/medical-api/fhir/resources/visionprescription)> | Original prescription if superseded by fulfiller | | payee | No | ClaimPayee | Recipient of benefits payable | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - type | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Category of recipient | | - party | No | Reference\<[Practitioner](/medical-api/fhir/resources/practitioner) / [PractitionerRole](/medical-api/fhir/resources/practitionerrole) / [Organization](/medical-api/fhir/resources/organization) / [Patient](/medical-api/fhir/resources/patient) / [RelatedPerson](/medical-api/fhir/resources/relatedperson)> | Recipient reference | | referral | No | Reference\<[ServiceRequest](/medical-api/fhir/resources/servicerequest)> | Treatment referral | | facility | No | Reference\<[Location](/medical-api/fhir/resources/location)> | Servicing facility | | careTeam | No | ClaimCareTeam | Members of the care team | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - sequence | Yes | positiveInt | Order of care team | | - provider | Yes | Reference\<[Practitioner](/medical-api/fhir/resources/practitioner) / [PractitionerRole](/medical-api/fhir/resources/practitionerrole) / [Organization](/medical-api/fhir/resources/organization)> | Practitioner or organization | | - responsible | No | boolean | Indicator of the lead practitioner | | - role | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Function within the team | | - qualification | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Practitioner credential or specialization | | supportingInfo | No | ClaimSupportingInfo | Supporting information | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - sequence | Yes | positiveInt | Information instance identifier | | - category | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Classification of the supplied information | | - code | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Type of information | | - timing\[x] | No | date, [Period](/medical-api/fhir/data-types/period) | When it occurred | | - value\[x] | No | boolean, string, [Quantity](/medical-api/fhir/data-types/quantity), [Attachment](/medical-api/fhir/data-types/attachment), Reference\ | Data to be provided | | - reason | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Explanation for the information | | diagnosis | No | ClaimDiagnosis | Pertinent diagnosis information | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - sequence | Yes | positiveInt | Diagnosis instance identifier | | - diagnosis\[x] | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept), Reference\<[Condition](/medical-api/fhir/resources/condition)> | Nature of illness or problem | | - type | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Timing or nature of the diagnosis | | - onAdmission | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Present on admission | | - packageCode | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Package billing code | | procedure | No | ClaimProcedure | Clinical procedures performed | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - sequence | Yes | positiveInt | Procedure instance identifier | | - type | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Category of Procedure | | - date | No | dateTime | When the procedure was performed | | - procedure\[x] | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept), Reference\<[Procedure](/medical-api/fhir/resources/procedure)> | Specific clinical procedure | | - udi | No | Reference\<[Device](/medical-api/fhir/resources/device)>\[] | Unique device identifier | | insurance | Yes | ClaimInsurance | Patient insurance information | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - sequence | Yes | positiveInt | Insurance instance identifier | | - focal | Yes | boolean | Coverage to be used for adjudication | | - identifier | No | [Identifier](/medical-api/fhir/data-types/identifier) | Pre-assigned Claim number | | - coverage | Yes | Reference\<[Coverage](/medical-api/fhir/resources/coverage)> | Insurance information | | - businessArrangement | No | string | Additional provider contract number | | - preAuthRef | No | string\[] | Prior authorization reference number | | - claimResponse | No | Reference\<[ClaimResponse](/medical-api/fhir/resources/claimresponse)> | Adjudication results | | accident | No | ClaimAccident | Details of the event | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - date | Yes | date | When the incident occurred | | - type | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | The nature of the accident | | - location\[x] | No | [Address](/medical-api/fhir/data-types/address), Reference\<[Location](/medical-api/fhir/resources/location)> | Where the event occurred | | item | No | ClaimItem | Product or service provided | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - sequence | Yes | positiveInt | Item instance identifier | | - careTeamSequence | No | positiveInt\[] | Applicable careTeam members | | - diagnosisSequence | No | positiveInt\[] | Applicable diagnoses | | - procedureSequence | No | positiveInt\[] | Applicable procedures | | - informationSequence | No | positiveInt\[] | Applicable exception and supporting information | | - revenue | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Revenue or cost center code | | - category | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Benefit classification | | - productOrService | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Billing, service, product, or drug code | | - modifier | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Product or service billing modifiers | | - programCode | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Program the product or service is provided under | | - serviced\[x] | No | date, [Period](/medical-api/fhir/data-types/period) | Date or dates of service or product delivery | | - location\[x] | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept), [Address](/medical-api/fhir/data-types/address), Reference\<[Location](/medical-api/fhir/resources/location)> | Place of service or where product was supplied | | - quantity | No | [Quantity](/medical-api/fhir/data-types/quantity) | Count of products or services | | - unitPrice | No | [Money](/medical-api/fhir/data-types/money) | Fee, charge or cost per item | | - factor | No | decimal | Price scaling factor | | - net | No | [Money](/medical-api/fhir/data-types/money) | Total item cost | | - udi | No | Reference\<[Device](/medical-api/fhir/resources/device)>\[] | Unique device identifier | | - bodySite | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Anatomical location | | - subSite | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Anatomical sub-location | | - encounter | No | Reference\<[Encounter](/medical-api/fhir/resources/encounter)>\[] | Encounters related to this billed item | | - detail | No | ClaimItemDetail | Product or service provided | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - sequence | Yes | positiveInt | Item instance identifier | | - revenue | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Revenue or cost center code | | - category | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Benefit classification | | - productOrService | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Billing, service, product, or drug code | | - modifier | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Service/Product billing modifiers | | - programCode | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Program the product or service is provided under | | - quantity | No | [Quantity](/medical-api/fhir/data-types/quantity) | Count of products or services | | - unitPrice | No | [Money](/medical-api/fhir/data-types/money) | Fee, charge or cost per item | | - factor | No | decimal | Price scaling factor | | - net | No | [Money](/medical-api/fhir/data-types/money) | Total item cost | | - udi | No | Reference\<[Device](/medical-api/fhir/resources/device)>\[] | Unique device identifier | | - subDetail | No | ClaimItemDetailSubDetail | Product or service provided | | - id | No | string | Unique id for inter-element referencing | | - extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | - modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored even if unrecognized | | - sequence | Yes | positiveInt | Item instance identifier | | - revenue | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Revenue or cost center code | | - category | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Benefit classification | | - productOrService | Yes | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept) | Billing, service, product, or drug code | | - modifier | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Service/Product billing modifiers | | - programCode | No | [CodeableConcept](/medical-api/fhir/data-types/codeableconcept)\[] | Program the product or service is provided under | | - quantity | No | [Quantity](/medical-api/fhir/data-types/quantity) | Count of products or services | | - unitPrice | No | [Money](/medical-api/fhir/data-types/money) | Fee, charge or cost per item | | - factor | No | decimal | Price scaling factor | | - net | No | [Money](/medical-api/fhir/data-types/money) | Total item cost | | - udi | No | Reference\<[Device](/medical-api/fhir/resources/device)>\[] | Unique device identifier | | total | No | [Money](/medical-api/fhir/data-types/money) | Total claim cost | ## Search Parameters | Name | Type | Description | Expression | | ------------- | --------- | --------------------------------------------------------------------- | ------------------------------- | | care-team | reference | Member of the CareTeam | Claim.careTeam.provider | | created | date | The creation date for the Claim | Claim.created | | detail-udi | reference | UDI associated with a line item, detail product or service | Claim.item.detail.udi | | encounter | reference | Encounters associated with a billed line item | Claim.item.encounter | | enterer | reference | The party responsible for the entry of the Claim | Claim.enterer | | facility | reference | Facility where the products or services have been or will be provided | Claim.facility | | identifier | token | The primary identifier of the financial resource | Claim.identifier | | insurer | reference | The target payor/insurer for the Claim | Claim.insurer | | item-udi | reference | UDI associated with a line item product or service | Claim.item.udi | | patient | reference | Patient receiving the products or services | Claim.patient | | payee | reference | The party receiving any payment for the Claim | Claim.payee.party | | priority | token | Processing priority requested | Claim.priority | | procedure-udi | reference | UDI associated with a procedure | Claim.procedure.udi | | provider | reference | Provider responsible for the Claim | Claim.provider | | status | token | The status of the Claim instance. | Claim.status | | subdetail-udi | reference | UDI associated with a line item, detail, subdetail product or service | Claim.item.detail.subDetail.udi | | use | token | The kind of financial resource | Claim.use | ## Inherited Properties | Name | Required | Type | Description | | ----------------- | -------- | ------------------------------------------------------ | ------------------------------------------------------ | | id | No | string | Logical id of this artifact | | meta | No | [Meta](/medical-api/fhir/data-types/meta) | Metadata about the resource | | implicitRules | No | uri | A set of rules under which this content was created | | language | No | code | Language of the resource content | | text | No | [Narrative](/medical-api/fhir/data-types/narrative) | Text summary of the resource, for human interpretation | | contained | No | Resource\[] | Contained, inline Resources | | extension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Additional content defined by implementations | | modifierExtension | No | [Extension](/medical-api/fhir/data-types/extension)\[] | Extensions that cannot be ignored | To view the FHIR specification for this resource, see [Claim](https://www.hl7.org/fhir/StructureDefinition/Claim).