Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot United States of America flag

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

Example Claim: PCT-GFE-Summary-1

Page standards status: Informative

Resource Claim "PCT-GFE-Summary-1"

Profile: PCT Good Faith Estimate Summary

status: active

type: Estimate Summary (PCT Estimate Type Code System#estimate-summary)

use: predetermination

patient: Patient/patient1001 " BETTERHALF"

billablePeriod: 2021-10-31 --> 2021-10-31

created: 2021-10-05

insurer: Organization/org1001 "Umbrella Insurance Company"

provider: ??

priority: Normal (Process Priority Codes#normal)

Diagnoses

-SequenceDiagnosis[x]TypePackageCode
*1Unspecified focal traumatic brain injury (International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)#S06.30)Principal Diagnosis (Example Diagnosis Type Codes#principal)Head trauma - concussion (Example Diagnosis Related Group Codes#400)

Insurances

-SequenceFocalCoverage
*1trueCoverage/coverage1001

Totals

-ValueCurrency
*200USD