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

## ValueSet: Claim Types

Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimTypes | Version: 2.2.0-ballot
Standards status: Trial-use Active as of 2026-01-30 | Maturity Level: 3 | Computable Name: ClaimTypes
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.48.21

This set of codes restricts the claim type.

References

- PAS Claim Base

### Logical Definition (CLD)

- Include these codes as defined in `http://terminology.hl7.org/CodeSystem/claim-type` version 📦1.0.1

  Code | Display | Definition
  institutional | Institutional | Hospital, clinic and typically inpatient claims.
  professional | Professional | Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
  oral | Oral | Dental, Denture and Hygiene claims.

### Expansion

Expansion performed internally based on codesystem Claim Type Codes v1.0.1 (CodeSystem)

This value set contains 3 concepts

System | Code | Display (en) | Definition | JSON | XML
`http://terminology.hl7.org/CodeSystem/claim-type` | institutional | Institutional | Hospital, clinic and typically inpatient claims. |  |
`http://terminology.hl7.org/CodeSystem/claim-type` | professional | Professional | Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting. |  |
`http://terminology.hl7.org/CodeSystem/claim-type` | oral | Oral | Dental, Denture and Hygiene claims. |  |

Description of the above table(s).