Da Vinci - Prior Authorization Support
0.1.0 - STU Ballot

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Submit Claim

Format(s):

Narrative view

ClaimSubmit

OPERATION: ClaimSubmit

The official URL for this operation definition is: 

http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit

Da Vinci Prior Authorization Support 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

UseNameCardinalityTypeBindingDocumentation
INresource1..1Bundle

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

OUTreturn1..1Bundle

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