<status value="draft"/> <kind value="operation"/> <date value="2021-03-11T17:06:20+11:00"/> <publisher value="HL7 (FHIR Project)"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/fhir"/> </telecom> <telecom> <system value="email"/> <value value="fhir@lists.hl7.org"/> </telecom> </contact> <description value="This operation is used to submit a Claim, Pre-Authorization or Pre-Determination (all instances of Claim resources) for adjudication either as a single Claim resource instance or as a Bundle containing the Claim and other referenced resources, or Bundle containing a batch of Claim resources, either as single Claims resources or Bundle resources, for processing. The only input parameter is the single Claim or Bundle resource and the only output is a single ClaimResponse, Bundle of ClaimResponses or an OperationOutcome resource."/> <affectsState value="true"/> <code value="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 Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources."/> <type value="Resource"/> </parameter> <parameter> <name value="return"/> <use value="out"/> <min value="1"/> <max value="1"/> <documentation value="A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources."/> <type value="Resource"/> </parameter> </OperationDefinition>

submit

OPERATION: submit

The official URL for this operation definition is:

http://hl7.org/fhir/OperationDefinition/Claim-submit

This operation is used to submit a Claim, Pre-Authorization or Pre-Determination (all instances of Claim resources) for adjudication either as a single Claim resource instance or as a Bundle containing the Claim and other referenced resources, or Bundle containing a batch of Claim resources, either as single Claims resources or Bundle resources, for processing. The only input parameter is the single Claim or Bundle resource and the only output is a single ClaimResponse, Bundle of ClaimResponses or an OperationOutcome resource.

URL: [base]/Claim/$submit

Parameters

Use

Name

Cardinality

Type

Binding

Documentation

resource

1..1

Resource

A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.

OUT

return

1..1

Resource

A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources.