Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot

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 2.2.0-ballot 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 Claim: Homecare Authorization Update Example

Page standards status: Informative

Profile: PAS Claim Update

identifier: `http://example.org/PATIENT_EVENT_TRACE_NUMBER`/111099-UPDATE

status: Active

type: Professional

use: Preauthorization

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

created: 2019-07-20 11:01:00+0500

insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY

provider: Organization DR. JOE SMITH CORPORATION

priority: Normal

### Relateds

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

### Insurances

- | Sequence | Focal | Coverage
* | 1 | true | Coverage: status = active; subscriberId = 1122334455; relationship = Self

> item

> ServiceItemRequestType: Health Services Review

> CertificationType: Initial

> sequence: 1

> category: Home Health Care

> productOrService: G0154

> location: Office

> item

> ServiceItemRequestType: Health Services Review

> CertificationType: Cancel

> InfoCancelledFlag: true

> sequence: 2

> category: Home Health Care

> productOrService: B4184

> location: Office

> item

> ServiceItemRequestType: Health Services Review

> CertificationType: Initial

> InfoChanged: added

> sequence: 3

> category: Home Health Care

> productOrService: B4185

> location: Office