import { CodeableConcept } from './CodeableConcept.js';
import { CoverageEligibilityResponse_Insurance_Item_Benefit } from './CoverageEligibilityResponse_Insurance_Item_Benefit.js';
import { Extension } from './Extension.js';
import { FhirPrimitive } from './FhirPrimitive.js';
import { Practitioner } from './Practitioner.js';
import { PractitionerRole } from './PractitionerRole.js';
import { Reference } from './Reference.js';
export interface CoverageEligibilityResponse_Insurance_Item {
    /**
     * @description Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
     * @short Unique id for inter-element referencing
     */
    id?: string;
    /**
     * @description May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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.
     * @comment There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
     * @short Additional content defined by implementations
     */
    extension?: Extension[];
    /**
     * @description May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained andor the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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. 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).
     * @comment There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
     * @short Extensions that cannot be ignored even if unrecognized
     */
    modifierExtension?: Extension[];
    /**
     * @description Code to identify the general type of benefits under which products and services are provided.
     * @comment Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.
     * @short Benefit classification
     */
    category?: CodeableConcept;
    /**
     * @description This contains the product, service, drug or other billing code for the item.
     * @comment Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).
     * @short Billing, service, product, or drug code
     */
    productOrService?: CodeableConcept;
    /**
     * @description Item typification or modifiers codes to convey additional context for the product or service.
     * @comment For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.
     * @short Product or service billing modifiers
     */
    modifier?: CodeableConcept[];
    /**
     * @description The practitioner who is eligible for the provision of the product or service.
     * @short Performing practitioner
     */
    provider?: Reference<Practitioner | PractitionerRole>;
    /**
     * @description True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.
     * @short Excluded from the plan
     */
    excluded?: FhirPrimitive<boolean>;
    /**
     * @description A short name or tag for the benefit.
     * @comment For example: MED01, or DENT2.
     * @short Short name for the benefit
     */
    name?: FhirPrimitive<string>;
    /**
     * @description A richer description of the benefit or services covered.
     * @comment For example 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.
     * @short Description of the benefit or services covered
     */
    description?: FhirPrimitive<string>;
    /**
     * @description Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.
     * @short In or out of network
     */
    network?: CodeableConcept;
    /**
     * @description Indicates if the benefits apply to an individual or to the family.
     * @short Individual or family
     */
    unit?: CodeableConcept;
    /**
     * @description The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.
     * @short Annual or lifetime
     */
    term?: CodeableConcept;
    /**
     * @backbone Nested BackboneElement: benefit [0..*]
     */
    benefit?: CoverageEligibilityResponse_Insurance_Item_Benefit[];
    /**
     * @description A boolean flag indicating whether a preauthorization is required prior to actual service delivery.
     * @short Authorization required flag
     */
    authorizationRequired?: FhirPrimitive<boolean>;
    /**
     * @description Codes or comments regarding information or actions associated with the preauthorization.
     * @short Type of required supporting materials
     */
    authorizationSupporting?: CodeableConcept[];
    /**
     * @description A web location for obtaining requirements or descriptive information regarding the preauthorization.
     * @short Preauthorization requirements endpoint
     */
    authorizationUrl?: FhirPrimitive<string>;
}
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