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
Official URL: http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry | Version: 2.0.1 | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: ClaimInquiry |
This operation is used to make an inquiry for a previously-submitted Pre-Authorization. This Prior Authorization $inquire operation is a query-by-example that follows the X12 278 Inquiry rules. The only input parameter is the single Bundle resource with a PASClaimInquiry instance (along with other referenced resources) and the only output is a single Bundle with zero-to-many PASClaimInquiryResponses (and other referenced resources) or an OperationOutcome resource.
URL: [base]/Claim/$inquire
Input parameters Profile: PAS Inquiry Request Bundle
Output parameters Profile: PAS Inquiry Response Bundle
Parameters
Use | Name | Scope | Cardinality | Type | Binding | Documentation |
IN | resource | 1..1 | Bundle | A Bundle containing a single ClaimInquiry plus referenced resources. | ||
OUT | return | 1..1 | Bundle | A Bundle containing a single ClaimInquiryResponse plus referenced resources. |