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 |
Generated Narrative: ClaimResponse
Resource ClaimResponse "ErrorResponseExample"
Profile: PAS Claim Response
identifier: id: 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
error
code: 04 (901#04)
error
ErrorElement: 2010A-NM103
ErrorPath: Bundle.entry[1].Organization.name
ErrorFollowupAction: C (889#C)
code: T4 (901#T4)