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 - XML Representation

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Raw xml

<OperationDefinition xmlns="http://hl7.org/fhir">
  <id value="Claim-submit"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>ClaimSubmit</h2><p>OPERATION: ClaimSubmit</p><p>The official URL for this operation definition is: </p><pre>http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit</pre><div><p>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.</p>
</div><p>URL: [base]/Claim/$submit</p><p>Parameters</p><table class="grid"><tr><td><b>Use</b></td><td><b>Name</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>1..1</td><td><a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></td><td/><td><div><p>A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.</p>
</div></td></tr><tr><td>OUT</td><td>return</td><td>1..1</td><td><a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></td><td/><td><div><p>A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources.</p>
</div></td></tr></table></div>
  </text>
  <url
       value="http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit"/>
  <version value="0.1.0"/>
  <name value="ClaimSubmit"/>
  <title value="Submit a Claim resource for adjudication"/>
  <status value="draft"/>
  <kind value="operation"/>
  <date value="2019-08-05T11:50:42-04:00"/>
  <description
               value="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."/>
  <code value="submit"/>
  <base value="http://hl7.org/fhir/OperationDefinition/Claim-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="Bundle"/>
  </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="Bundle"/>
  </parameter>
</OperationDefinition>