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

OperationDefinition: Submit a Prior Authorization Request for adjudication

Official URL: http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit Version: 2.1.0
Standards status: Trial-use Maturity Level: 3 Computable Name: ClaimSubmit
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.33.2

This operation is used to submit a PreAuthorization Claim Request for adjudication as a Bundle containing the PASClaimRequest and other referenced resources for processing. The only input parameter is the single Bundle resource with a PASClaimRequest instance (along with other referenced resources) and the only output is a single Bundle with a PASClaimResponse (and other referenced resources) or an OperationOutcome resource. This is a variant of the FHIR Core Claim $submit operation.

Generated Narrative: OperationDefinition Claim-submit

URL: [base]/Claim/$submit

Input parameters Profile:PAS Request Bundle

Output parameters Profile:PAS Response Bundle

Parameters

UseNameScopeCardinalityTypeBindingDocumentation
INresource1..1Bundle

A Bundle containing a single Claim plus referenced resources.

OUTreturn1..1Bundle

A Bundle containing a single ClaimResponse plus referenced resources.