Da Vinci - Prior Authorization Support
0.1.0 - STU Ballot

Da Vinci - Prior Authorization Support, HL7 International - Financial Management Work Group - CI build for vesion 0.1.0). This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

Table of Contents

..0 Table of Contents
...1 PAS IG Home Page
...2 Use Cases and Overview
...3 Technical Background
...4 HIPAA Regulations
...5 Formal Specification
...6 FHIR Artifacts
....6.1 Artifact List
.....6.1.1 Submit Claim
.....6.1.2 Institutional Encounter
.....6.1.3 Certification Type
.....6.1.4 Requested Service Detail
.....6.1.5 Information Changed Indicator
.....6.1.6 Item Cancelled Indicator
.....6.1.7 Authorization Issue Date
.....6.1.8 Item Reference Identifier
.....6.1.9 Review Action Code
.....6.1.10 Review Action Reason Code
.....6.1.11 Event Authorized Date/Period
.....6.1.12 Item Pre-Authorization Period
.....6.1.13 Report Transmission Mode
.....6.1.14 Patient Hospitalization Status
.....6.1.15 Patient Nursing Home Residential Status
.....6.1.16 EPSDT Involvement Indicator
.....6.1.17 Nursing Home Level of Care
.....6.1.18 Calendar Pattern Code
.....6.1.19 Delivery Pattern Code
.....6.1.20 PAS Bundle
.....6.1.21 PAS Claim
.....6.1.22 PAS Claim Update
.....6.1.23 PAS Claim Response
.....6.1.24 PAS Requestor Organization
.....6.1.25 PAS UMO Organization
.....6.1.26 PAS Care Team Organization
.....6.1.27 PAS Requestor Practitioner
.....6.1.28 PAS Care Team Practitioner
.....6.1.29 PAS Requestor PractitionerRole
.....6.1.30 PAS CareTeam PractitionerRole
.....6.1.31 PAS Coverage
.....6.1.32 PAS Subscriber Patient
.....6.1.33 PAS Beneficiary Patient
.....6.1.34 PAS Condition
.....6.1.35 PAS Location
.....6.1.36 PAS Timing
.....6.1.37 PAS Encounter
.....6.1.38 PAS DocumentReference
.....6.1.39 PAS ServiceRequest
.....6.1.40 PAS CommunicationRequest
.....6.1.41 PAS Claim Supporting Information Type
.....6.1.42 PAS Claim Supporting Information Type Value Set
.....6.1.43 PAS Information Change Mode
.....6.1.44 PAS Information Change Mode Value Set
.....6.1.45 PA Referral Request example
.....6.1.46 PA Referral Response example
.....6.1.47 PA Home Health Care Request example
.....6.1.48 PA Home Health Care Updated Request example
.....6.1.49 PA Home Health Care Differential Request example
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