Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions
Page standards status: Informative |
Generated Narrative: ClaimResponse
Resource ClaimResponse "PASClaimInquiryResponseExample"
Profile: PAS Claim Inquiry Response
identifier: id: 111099
status: active
type: Professional (Claim Type Codes#professional)
use: preauthorization
patient: Patient/SubscriberExample " SMITH"
created: 2019-07-20 11:01:00+0500
insurer: Organization/InsurerExample "MARYLAND CAPITAL INSURANCE COMPANY"
outcome: complete
item
ItemRequestedServiceDate: 2005-05-02 --> 2005-06-02
itemSequence: 1
Adjudications
Extension Category Submitted Amount (Adjudication Value Codes#submitted)
Sequence | Focal | Coverage |
1 | true | Coverage/InsuranceExample |