Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1 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 2.1.0 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: Rejection Response Example

Page standards status: Informative

Generated Narrative: ClaimResponse RejectionResponseExample

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

status: Active

type: Professional

use: Preauthorization

patient: JOE SMITH Male, DoB Unknown ( Member Number)

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

insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY

requestor: Organization DR. JOE SMITH CORPORATION

request: Claim: identifier = http://example.org/PATIENT_EVENT_TRACE_NUMBER#111099-UPDATE; status = active; type = Professional; use = preauthorization; created = 2019-07-20 11:01:00+0500; priority = Normal

outcome: Error

ProcessNotes

-NumberText
*1Updates are not allowed. A new auth request must be submitted.

error

ErrorElement: 2000E

ErrorFollowupAction: N

code: 33