Patient Cost Transparency Implementation Guide
2.0.1 - STU 2

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 2.0.1 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

## : Submit a GFE resource for the creation of an AEOB - XML Representation

Page standards status: Trial-use | Maturity Level: 2

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    <OperationDefinition xmlns="http://hl7.org/fhir">
      <id value="GFE-submit"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: OperationDefinition GFE-submit</b></p><a name="GFE-submit"> </a><a name="hcGFE-submit"> </a><p>URL: [base]/Claim/$gfe-submit</p><h3>Parameters</h3><table class="grid"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Scope</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>resource</td><td/><td>1..1</td><td><a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a> (<a href="StructureDefinition-davinci-pct-gfe-packet.html" title="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-packet">PCT GFE Packet</a>)</td><td/><td><div><p>A Bundle containing a single or multiple GFE resources plus referenced resources.</p>
    </div></td></tr><tr><td>OUT</td><td>return</td><td/><td>0..1</td><td><a href="http://hl7.org/fhir/R4/operationoutcome.html">OperationOutcome</a></td><td/><td><div><p>When successful, this will return operationOutcome with the; When there is an error calling $gfe-submit (4xx, 5xx HTTP code) then an OperationOutcome must be returned per the <a href="https://hl7.org/fhir/R5/async-bundle.html">async pattern</a>.</p>
    </div></td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="fm"/>
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                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="2">
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                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"/>
          </extension>
        </valueInteger>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use">
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                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
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                            value="http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"/>
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        </valueCode>
      </extension>
      <url
           value="http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit"/>
      <version value="2.0.1"/>
      <name value="GFESubmit"/>
      <title value="Submit a GFE resource for the creation of an AEOB"/>
      <status value="active"/>
      <kind value="operation"/>
      <date value="2026-03-26T13:47:00+00:00"/>
      <publisher value="HL7 International / Financial Management"/>
      <contact>
        <name value="HL7 International / Financial Management"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/fm"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="fmlists@lists.hl7.org"/>
        </telecom>
      </contact>
      <description
                   value="This operation is used by an entity to submit one or multiple GFEs as a Bundle containing the GFE(s) and other referenced resources for processing. The only input parameter is the single Bundle resource with one or multiple GFE(s) - each of which is based on the Claim resource (along with other referenced resources). The output is a url in the Content-Location header for subsequent polling and optionally an OperationOutcome resource per [async pattern](https://hl7.org/fhir/R5/async-bundle.html). If after polling the response is complete, then the result will either be a single Bundle with the AEOB - which is based on the ExplanationOfBenefit resource, (and other referenced resources) or an OperationOutcome resource indicating the AEOB will be sent directly to the patient."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
        </coding>
      </jurisdiction>
      <code value="gfe-submit"/>
      <resource value="Claim"/>
      <system value="false"/>
      <type value="true"/>
      <instance value="false"/>
      <parameter>
        <name value="resource"/>
        <use value="in"/>
        <min value="1"/>
        <max value="1"/>
        <documentation
                       value="A Bundle containing a single or multiple GFE resources plus referenced resources."/>
        <type value="Bundle"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-packet"/>
      </parameter>
      <parameter>
        <name value="return"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <documentation
                       value="When successful, this will return operationOutcome with the; When there is an error calling $gfe-submit (4xx, 5xx HTTP code) then an OperationOutcome must be returned per the [async pattern](https://hl7.org/fhir/R5/async-bundle.html)."/>
        <type value="OperationOutcome"/>
      </parameter>
    </OperationDefinition>