Da Vinci Prior Authorization Support (PAS) FHIR IG
0.1.0 - CI Build

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International - Financial Management Work Group. This is not an authorized publication; it is the continuous build for version 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 Prior Authorization Implementation Guide Home Page
...2 Use Cases and Overview
...3 Technical Background
...4 HIPAA Regulations
...5 Formal Specification
...6 Downloads
...7 Credits
...8 Artifacts Overview
...9 Artifacts Summary
....9.1 ClaimInquiryOperation
....9.2 ClaimSubmitOperation
....9.3 PAS Beneficiary Patient
....9.4 PAS Claim
....9.5 PAS Claim Inquiry
....9.6 PAS Claim Inquiry Response
....9.7 PAS Claim Response
....9.8 PAS Claim Update
....9.9 PAS CommunicationRequest
....9.10 PAS Coverage
....9.11 PAS Device Request
....9.12 PAS Encounter
....9.13 PAS Inquiry Request Bundle
....9.14 PAS Inquiry Response Bundle
....9.15 PAS Insurer Organization
....9.16 PAS Medication Request
....9.17 PAS Practitioner
....9.18 PAS Request Bundle
....9.19 PAS Requestor Organization
....9.20 PAS Response Bundle
....9.21 PAS Service Request
....9.22 PAS Subscriber Patient
....9.23 PAS Timing
....9.24 AdministrationReferenceNumber
....9.25 AuthorizationNumber
....9.26 AuthorizedDate
....9.27 AuthorizedItemDetail
....9.28 AuthorizedProvider
....9.29 CalendarPattern
....9.30 CertificationType
....9.31 CommunicatedDiagnosis
....9.32 ContentModifier
....9.33 DeliveryPattern
....9.34 DiagnosisRecordedDate
....9.35 EPSDTIndicator
....9.36 FollowupAction
....9.37 IdentifierSubDepartment
....9.38 InfoCancelledFlag
....9.39 InfoChanged
....9.40 ItemTraceNumber
....9.41 LevelOfServiceCode
....9.42 MilitaryStatus
....9.43 NursingHomeLevelOfCare
....9.44 NursingHomeResidentialStatus
....9.45 PatientStatus
....9.46 PreAuthIssueDate
....9.47 PreAuthPeriod
....9.48 ProductOrServiceCodeEnd
....9.49 RequestedService
....9.50 RevenueUnitRateLimit
....9.51 ReviewAction
....9.52 ReviewActionCode
....9.53 ServiceItemRequestType
....9.54 AHA NUBC Revenue Codes
....9.55 PASInformationChangeMode
....9.56 PASSupportingInfoType
....9.57 AHA NUBC Revenue Codes
....9.58 PASInformationChangeMode
....9.59 PASSupportingInfoType
....9.60 Submit Claim Example
....9.61 Submit Claim Bundle Example
....9.62 Submit Claim Bundle Example
....9.63 Submit Claim Update Differential Example
....9.64 Submit Claim Example
....9.65 Submit Claim Update Bundle Example
....9.66 Submit Claim Update Example
....9.67 Submit Claim Medical Services Example
....9.68 Submit Claim Bundle Example
....9.69 Submit Claim Response Bundle Example
....9.70 Submit Claim Response Example
....9.71 Submit Claim Insurance Example
....9.72 Submit Claim Insurer Example
....9.73 Submit Claim Referral Practitioner Example
....9.74 Submit Claim Referral Request Example
....9.75 Submit Claim Subscriber Example
....9.76 Submit Claim Requestor Example