Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-snapshot - STU 2.2 - Public Review United States of America flag

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 2.2.0-snapshot 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

ValueSet: Claim Types

2.2.0-snapshot
Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimTypes Version:
Standards status: Trial-use Active as of 2026-01-30 Maturity Level: 4 Computable Name: ClaimTypes
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.48.21

This set of codes restricts the claim type.

References

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/claim-type version 📦1.0.1
    CodeDisplayDefinition
    institutionalInstitutionalHospital, clinic and typically inpatient claims.
    professionalProfessionalTypically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
    oralOralDental, Denture and Hygiene claims.

 

Expansion

Expansion performed internally based on codesystem Claim Type Codes v1.0.1 (CodeSystem)

This value set contains 3 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/claim-type  institutionalInstitutionalHospital, clinic and typically inpatient claims.
http://terminology.hl7.org/CodeSystem/claim-type  professionalProfessionalTypically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
http://terminology.hl7.org/CodeSystem/claim-type  oralOralDental, Denture and Hygiene claims.

Description of the above table(s).