Da Vinci Postable Remittance
1.0.0-ballot - ci-build
Da Vinci Postable Remittance
1.0.0-ballot - ci-build
Da Vinci Postable Remittance, published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pr/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-pr/OperationDefinition/SearchByClaim | Version: 1.0.0-ballot | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: SearchByClaim | ||
This operation is used to search for a postable remittance by providing claim information.
Generated Narrative: OperationDefinition SearchByClaim
URL: [base]/$searchByClaim
Input parameters Profile:Search By Claim Incoming Parameters
Output parameters Profile:Search Result Outgoing Parameters
| Use | Name | Scope | Cardinality | Type | Binding | Documentation |
| IN | TIN | 1..1 | string | Medical Group / Billing Provider / Payee TIN | ||
| IN | DateOfService | 0..1 | Period | Date of Service | ||
| IN | PayerID | 0..1 | string | Payer Identifer | ||
| IN | PayerName | 0..1 | string | Payer Name | ||
| IN | PatientID | 0..1 | string | Patient Member (or Subscriber) Insurance ID | ||
| IN | Claim | 1..1 | Information about the claim being searched for. | |||
| IN | Claim.ProviderClaimID | 1..1 | string | Provider generated Claim ID (also known as Patient Account Number) | ||
| IN | Claim.ProviderID | 0..1 | string | NPI or Payer Assigned Provider Identifier | ||
| IN | Claim.PayerClaimID | 0..1 | string | Payer Generated Claim ID (DCN or ICN) | ||
| IN | Claim.ClaimChargeAmount | 0..1 | Money | Claim Charge Amount | ||
| OUT | TIN | 0..1 | string | Medical Group / Billing Provider / Payee TIN | ||
| OUT | Payer | 0..1 | Details of payer information. | |||
| OUT | Payer.PayerID | 1..1 | string | Payer Identifier | ||
| OUT | Payer.PayerName | 1..1 | string | Payer Name | ||
| OUT | Claim | 0..* | Details to verify correct claim found. | |||
| OUT | Claim.PayerClaimID | 1..1 | string | Payer Generated Claim ID (DCN or ICN) | ||
| OUT | Claim.ProviderClaimID | 1..1 | string | Provider generated Claim ID | ||
| OUT | Claim.ClaimReceivedDate | 1..1 | date | Claim Received Date | ||
| OUT | Claim.ProviderID | 1..1 | string | NPI or Payer Assigned Provider Identifier | ||
| OUT | Claim.PaymentInfo | 0..* | Details of adjudicated payment. | |||
| OUT | Claim.PaymentInfo.PaymentDate | 1..1 | date | Payment Date | ||
| OUT | Claim.PaymentInfo.PaymentNumber | 1..1 | string | Payment Number | ||
| OUT | Claim.PaymentInfo.PaymentAmount | 1..1 | Money | Payment Amount | ||
| OUT | Claim.PaymentInfo.Remittance | 0..* | Details of remittance advice. | |||
| OUT | Claim.PaymentInfo.Remittance.RemittanceAdviceIdentifier | 1..1 | string | Remittance Advice Identifier | ||
| OUT | Claim.PaymentInfo.Remittance.RemittanceAdviceType | 1..1 | code | Remittance Advice Value Set (Required) | Remittance Advice Type | |
| OUT | Claim.PaymentInfo.Remittance.RemittanceAdviceDate | 1..1 | date | Remittance Advice Date | ||
| OUT | Claim.PaymentInfo.Remittance.RemittanceAdviceFileSize | 1..1 | integer | Remittance Advice File Size | ||
| OUT | Patient | 1..1 | Details to verify correct patient found. | |||
| OUT | Patient.DateOfBirth | 1..1 | date | Patient date of birth | ||
| OUT | Patient.PatientID | 1..1 | string | Patient Member (or Subscriber) Insurance ID | ||
| OUT | Patient.PatientFirstName | 1..1 | string | Patient First Name | ||
| OUT | Patient.PatientLastName | 1..1 | string | Patient Last Name |
IG © 2024+ HL7 International / Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.davinci-pr#1.0.0-ballot based on FHIR 4.0.1. Generated 2024-11-19
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