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
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There are three types of searches that are supported by this Implementation Guide.
Provider has a long outstanding claim submission without a corresponding remittance. Assuming that the claim is adjudicated, parameters to identify the claim are submitted and a list of remittances associated with that claim are returned.
Provider has claim submissions for a patient without a corresponding remittance. Rather than providing information on a single claim, patient information is submitted and a list of remittances associated with that patient are returned.
Provider has received the notification of a payment (either by cheque or EFT deposit) but there is no remittance accompanying the payment. Information about the payment is submitted and a list of remittances assocaited with that payment are returned.
Once a list of remittances has been returned via one of the previous search mechanisms, a specific remittance identifier is specified and a copy of the remittance, either in 835 format or PDF format, is returned as an encoded attachment in a FHIR DocumentReference instance.