Create an AEOB Summary Profile to add to the AEOB Bundle

With the following in ExplanationOfBenefit

• Type 1..1 (extensible) 
  • Add “estimate-summary” code
• Provider 1..1
  • Add Data Absent Reason extension, value: not-applicable; Don’t allow other elements under EoB.provider.
• Extension for Out of/In Network Provider Information URL
• Use EoB.billablePeriod for full Period of care
• Have guidance on using processNote for relaying information such as there is out of network providers or prior auth is required
• Provide slices on EoB.total for member liability, in/out of network total, non covered total, and negotiated amount
• Disallow elements that are specific to an individual claim or would not properly be reflected or interpreted as “summary”
  • subtype (0..0) – More granular claim type (e.g. inpatient, outpatient, ortho, emergency) (Type is summary)
  • enterer (0..0) – Author of the claim – 0..1 Reference(Practitioner | PractitionerRole)
  • prescription (0..0) – Prescription authorizing services or products – 0..1 Reference(MedicationRequest | VisionPrescription)
  • originalPrescription (0..0) – Original prescription if superceded by fulfiller 0..1 Reference(MedicationRequest)
  • payee (0..0) – Recipient of benefits payable 0..1
  • referral (0..0) – Treatment Referral 0..1
  • preAuthRef (0..0)
  • preAuthRefPeriod (0..0)
  • supportingInfo (0..0) – Not used in individual AEOBs, used in regular EoBs for admit type, claim rcv date, point of origin, drg, etc.
  • precedence (0..0) – Ranking
  • item (0..0) – Individual claim line items
  • addItem (0..0) – Claim specific Insurer added line items
  • payment (0..0)
  • Adjudication (0..0) 
  • fundsReserveRequested (0..0) – A code to indicate whether and for whom funds are to be reserved for future claims.
  • fundsReserve (0..0) – A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
• And add benefit Balance requirements from AEoB