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

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: Claim Types

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{
  "resourceType" : "ValueSet",
  "id" : "ClaimTypes",
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet ClaimTypes</b></p><a name=\"ClaimTypes\"> </a><a name=\"hcClaimTypes\"> </a><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-claim-type.html\"><code>http://terminology.hl7.org/CodeSystem/claim-type</code></a><span title=\"Version is not explicitly stated, which means it is fixed to 1.0.1, the version found through the package references\"> version &#x1F4E6;1.0.1</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-claim-type.html#claim-type-institutional\">institutional</a></td><td style=\"color: #cccccc\">Institutional</td><td>Hospital, clinic and typically inpatient claims.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-claim-type.html#claim-type-professional\">professional</a></td><td style=\"color: #cccccc\">Professional</td><td>Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-claim-type.html#claim-type-oral\">oral</a></td><td style=\"color: #cccccc\">Oral</td><td>Dental, Denture and Hygiene claims.</td></tr></table></li></ul></div>"
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  ],
  "url" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimTypes",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.24.48.21"
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  ],
  "version" : "2.2.0-snapshot",
  "name" : "ClaimTypes",
  "title" : "Claim Types",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-01-30T23:58:09+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/fm"
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          "value" : "fmlists@lists.hl7.org"
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    {
      "name" : "Jean Duteau",
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  ],
  "description" : "This set of codes restricts the claim type.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
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      ]
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  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "concept" : [
          {
            "code" : "institutional"
          },
          {
            "code" : "professional"
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          {
            "code" : "oral"
          }
        ]
      }
    ]
  }
}