{
  "resourceType": "OperationDefinition",
  "id": "Claim-submit",
  "text": {
    "status": "generated",
    "div": "\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\u003cp class\u003d\"res-header-id\"\u003e\u003cb\u003eGenerated Narrative: OperationDefinition Claim-submit\u003c/b\u003e\u003c/p\u003e\u003ca name\u003d\"Claim-submit\"\u003e \u003c/a\u003e\u003ca name\u003d\"hcClaim-submit\"\u003e \u003c/a\u003e\u003cp\u003eURL: [base]/Claim/$submit\u003c/p\u003e\u003ch3\u003eParameters\u003c/h3\u003e\u003ctable class\u003d\"grid\"\u003e\u003ctr\u003e\u003ctd\u003e\u003cb\u003eUse\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eName\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eScope\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eCardinality\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eType\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eBinding\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eDocumentation\u003c/b\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003eIN\u003c/td\u003e\u003ctd\u003eresource\u003c/td\u003e\u003ctd/\u003e\u003ctd\u003e1..1\u003c/td\u003e\u003ctd\u003e\u003ca href\u003d\"resource.html\"\u003eResource\u003c/a\u003e\u003c/td\u003e\u003ctd/\u003e\u003ctd\u003e\u003cdiv\u003e\u003cp\u003eA Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.\u003c/p\u003e\n\u003c/div\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003eOUT\u003c/td\u003e\u003ctd\u003ereturn\u003c/td\u003e\u003ctd/\u003e\u003ctd\u003e1..1\u003c/td\u003e\u003ctd\u003e\u003ca href\u003d\"resource.html\"\u003eResource\u003c/a\u003e\u003c/td\u003e\u003ctd/\u003e\u003ctd\u003e\u003cdiv\u003e\u003cp\u003eA ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources.\u003c/p\u003e\n\u003c/div\u003e\u003c/td\u003e\u003c/tr\u003e\u003c/table\u003e\u003c/div\u003e"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "normative"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://hl7.org/fhir/OperationDefinition/Claim-submit",
  "version": "6.0.0-ballot4",
  "name": "Submit",
  "title": "Submit a Claim resource for adjudication",
  "status": "active",
  "kind": "operation",
  "experimental": false,
  "date": "2026-05-20T15:02:53+00:00",
  "publisher": "HL7 International / Financial Management",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        },
        {
          "system": "email",
          "value": "fhir@lists.hl7.org"
        }
      ]
    },
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "This operation is used to submit a Claim, Pre-Authorization or Pre-Determination (all instances of Claim resources) for adjudication either as a single Claim resource instance or as a Bundle containing the Claim and other referenced resources, or Bundle containing a batch of Claim resources, either as single Claims resources or Bundle resources, for processing. The only input parameter is the single Claim or Bundle resource and the only output is a single ClaimResponse, Bundle of ClaimResponses or an OperationOutcome resource.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "affectsState": true,
  "code": "submit",
  "resource": [
    "Claim"
  ],
  "system": false,
  "type": true,
  "instance": false,
  "parameter": [
    {
      "name": "resource",
      "use": "in",
      "min": 1,
      "max": "1",
      "documentation": "A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.",
      "type": "Resource"
    },
    {
      "name": "return",
      "use": "out",
      "min": 1,
      "max": "1",
      "documentation": "A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources.",
      "type": "Resource"
    }
  ]
}