Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0 - STU 2.2 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 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

Example ClaimResponse: Error Response Example

Page standards status: Informative

Language: en

Profile: PAS Claim Response

Transmission Identifiers

  • applicationSenderCode: PAYERAPP
  • applicationReceiverCode: PROVIDERAPP
  • interchangeSenderID: PAYERID
  • interchangeReceiverID: PROVIDERID

identifier: http://example.org/PATIENT_EVENT_TRACE_NUMBER/111099

status: Active

type: Professional

use: Preauthorization

patient: JOE SMITH Male, DoB Unknown ( http://example.org/MIN#12345678901)

created: 2005-05-02 11:02:00+0500

insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY

requestor: Organization DR. JOE SMITH CORPORATION

request: Claim: extension = Urgent,; identifier = urn:trnorg:9012345678#111099; status = active; type = Professional; use = preauthorization; created = 2005-05-02 11:01:00+0500; priority = Normal

outcome: Error

error

code: 04

error

Error Element

  • error: 2010A-NM103

Error Path: Bundle.entry[1].Organization.name

Error Follow-up Action: C

code: T4