Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2 United States of America flag

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

Example ClaimResponse: Error Response Example

Page standards status: Informative

Generated Narrative: ClaimResponse

ResourceClaimResponse "ErrorResponseExample"

Profile: PAS Claim Response

identifier: http://example.org/PATIENT_EVENT_TRACE_NUMBER/111099

status: active

type: Professional (Claim Type Codes#professional)

use: preauthorization

patient: Patient/SubscriberExample " SMITH"

created: 2005-05-02 11:02:00+0500

insurer: Organization/InsurerExample "MARYLAND CAPITAL INSURANCE COMPANY"

requestor: Organization/UMOExample "DR. JOE SMITH CORPORATION"

outcome: error


code: 04 (901#04)


ErrorElement: 2010A-NM103

ErrorPath: Bundle.entry[1].Organization.name

ErrorFollowupAction: C (889#C)

code: T4 (901#T4)