Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2 United States of America flag

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.0.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example ClaimResponse: Error Response Example

Page standards status: Informative

Generated Narrative: ClaimResponse

Resource ClaimResponse "ErrorResponseExample"

Profile: PAS Claim Response

identifier: id: 111099

status: active

type: Professional (Claim Type Codes#professional)

use: preauthorization

patient: Patient/SubscriberExample " SMITH"

created: 2005-05-02 11:02:00+0500

insurer: Organization/InsurerExample "MARYLAND CAPITAL INSURANCE COMPANY"

requestor: Organization/UMOExample "DR. JOE SMITH CORPORATION"

outcome: error

error

code: 04 (901#04)

error

ErrorElement: 2010A-NM103

ErrorPath: Bundle.entry[1].Organization.name

ErrorFollowupAction: C (889#C)

code: T4 (901#T4)