{"affectsState":true,"code":"submit","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"}]}],"date":"2026-03-29T21:54:20+00:00","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.","experimental":false,"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"}],"id":"Claim-submit","instance":false,"jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"kind":"operation","name":"Submit","parameter":[{"documentation":"A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.","max":"1","min":1,"name":"resource","type":"Resource","use":"in"},{"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.","max":"1","min":1,"name":"return","type":"Resource","use":"out"}],"publisher":"HL7 International / Financial Management","resource":["Claim"],"resourceType":"OperationDefinition","status":"active","system":false,"text":{"div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: OperationDefinition Claim-submit</b></p><a name=\"Claim-submit\"> </a><a name=\"hcClaim-submit\"> </a><p>URL: [base]/Claim/$submit</p><h3>Parameters</h3><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Scope</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>resource</td><td/><td>1..1</td><td><a href=\"resource.html\">Resource</a></td><td/><td><div><p>A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.</p>\n</div></td></tr><tr><td>OUT</td><td>return</td><td/><td>1..1</td><td><a href=\"resource.html\">Resource</a></td><td/><td><div><p>A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources.</p>\n</div></td></tr></table></div>","status":"generated"},"title":"Submit a Claim resource for adjudication","type":true,"url":"http://hl7.org/fhir/OperationDefinition/Claim-submit","version":"6.0.0-ballot4"}