Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions
Page standards status: Informative |
Resource Claim "HomecareAuthorizationUpdateExample"
Profile: PAS Claim Update
identifier: id: 111099
status: active
type: Professional (Claim Type Codes#professional)
use: preauthorization
patient: Patient/SubscriberExample " SMITH"
created: 2019-07-20 11:01:00+0500
insurer: Organization/InsurerExample "MARYLAND CAPITAL INSURANCE COMPANY"
provider: Organization/UMOExample "DR. JOE SMITH CORPORATION"
priority: Normal (Process Priority Codes#normal)
Sequence | Focal | Coverage |
1 | true | Coverage/InsuranceExample |
item
ServiceItemRequestType: Health Services Review (1525#HS)
CertificationType: Initial (1322#I)
sequence: 1
category: Home Health Care (1365#42)
productOrService: G0154 (HCPCSReleaseCodeSets#G0154)
item
ServiceItemRequestType: Health Services Review (1525#HS)
CertificationType: Cancel (1322#3)
modifierExtension[http://hl7.org/fhir/us/davinci-pas/StructureDefinition/modifierextension-infoCancelled]
sequence: 2
category: Home Health Care (1365#42)
productOrService: B4184 (HCPCSReleaseCodeSets#B4184)
item
InfoChanged: added
ServiceItemRequestType: Health Services Review (1525#HS)
CertificationType: Initial (1322#I)
sequence: 3
category: Home Health Care (1365#42)
productOrService: B4185 (HCPCSReleaseCodeSets#B4185)