Finance and Insurance Service (FAIS)
1.0.1-current - ci-build International flag

Finance and Insurance Service (FAIS), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.Finance/ and changes regularly. See the Directory of published versions

Example ClaimResponse: Use Case 5 - Example accepted pre-determination response

Generated Narrative: ClaimResponse ex-preauthorization-response-5

status: Active

type: Institutional

use: Claim

patient: Purity Atieno Female, DoB: 2000-05-04

created: 2024-07-16 03:00:00+0000

insurer: Organization National Health Insurance Scheme

request: Claim: status = active; type = Institutional; use = preauthorization; created = 2024-07-15 03:00:00+0000; priority = Normal

outcome: Processing Complete

disposition: Accepted

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active; type = public healthcare; subscriberId = 05710b56-4448-11ef-b676-774a043da147; relationship = Self; period = 2024-01-01 --> 2024-12-31