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-submit | Version: 2.0.1 | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: ClaimSubmit |
This operation is used to submit a Pre-Authorization Claim Request for adjudication as a Bundle containing the PASClaimRequest and other referenced resources for processing. The only input parameter is the single Bundle resource with a PASClaimRequest instance (along with other referenced resources) and the only output is a single Bundle with a PASClaimResponse (and other referenced resources) or an OperationOutcome resource. This is a variant of the FHIR Core Claim $submit operation.
URL: [base]/Claim/$submit
Input parameters Profile: PAS Request Bundle
Output parameters Profile: PAS Response Bundle
Parameters
Use | Name | Scope | Cardinality | Type | Binding | Documentation |
IN | resource | 1..1 | Bundle | A Bundle containing a single Claim plus referenced resources. | ||
OUT | return | 1..1 | Bundle | A Bundle containing a single ClaimResponse plus referenced resources. |