 0 Table of Contents |
  1 Prior Authorization Implementation Guide Home Page |
  2 Use Cases and Overview |
  3 Request for Additional Information |
  4 Technical Background |
  5 HIPAA Regulations |
  6 Formal Specification |
  7 Privacy & Security |
  8 PAS ePA Coordinator Information |
  9 PAS Metrics |
  10 Downloads |
  11 Credits |
  12 Artifacts Overview |
  13 Change Log |
  14 Conformance |
  15 Artifacts Summary |
   15.1 EHR PAS Capabilities |
   15.2 Intermediary PAS Capabilities |
   15.3 Search for a Prior Authorization Response by example |
   15.4 Submit a Prior Authorization Request for adjudication |
   15.5 PAS Metric Data |
   15.6 PAS Claim Base |
   15.7 PAS Claim Response Base |
   15.8 PAS Organization Base Profile |
   15.9 PAS Beneficiary Patient |
   15.10 PAS Claim |
   15.11 PAS Claim Inquiry |
   15.12 PAS Claim Inquiry Response |
   15.13 PAS Claim Response |
   15.14 PAS Claim Update |
   15.15 PAS CommunicationRequest |
   15.16 PAS Coverage |
   15.17 PAS Device Request |
   15.18 PAS Encounter |
   15.19 PAS Inquiry Request Bundle |
   15.20 PAS Inquiry Response Bundle |
   15.21 PAS Insurer Organization |
   15.22 PAS Location Profile |
   15.23 PAS Medication Request |
   15.24 PAS Nutrition Order |
   15.25 PAS Practitioner |
   15.26 PAS PractitionerRole |
   15.27 PAS Request Bundle |
   15.28 PAS Requestor Organization |
   15.29 PAS Response Bundle |
   15.30 PAS Service Request |
   15.31 PAS Subscriber Patient |
   15.32 PAS Subscription |
   15.33 PAS Task |
   15.34 PAS Identifier |
   15.35 PAS Quantity |
   15.36 PAS Timing |
   15.37 AdministrationReferenceNumber |
   15.38 AuthorizationNumber |
   15.39 AuthorizedProviderType |
   15.40 CalendarPattern |
   15.41 CareTeamClaimScope |
   15.42 CertificationEffectiveDate |
   15.43 CertificationExpirationDate |
   15.44 CertificationIssueDate |
   15.45 CertificationType |
   15.46 CommunicatedDiagnosis |
   15.47 ConditionCode |
   15.48 ContentModifier |
   15.49 DeliveryPattern |
   15.50 DiagnosisRecordedDate |
   15.51 EPSDTIndicator |
   15.52 ErrorElement |
   15.53 ErrorFollowupAction |
   15.54 ErrorPath |
   15.55 HomeHealthCareInformation |
   15.56 IdentifierJurisdiction |
   15.57 IdentifierSubDepartment |
   15.58 InfoCancelledFlag |
   15.59 InfoChanged |
   15.60 ItemAuthorizedDetail |
   15.61 ItemAuthorizedProvider |
   15.62 ItemPreAuthIssueDate |
   15.63 ItemPreAuthPeriod |
   15.64 ItemRequestedServiceDate |
   15.65 ItemTraceNumber |
   15.66 LevelOfServiceCode |
   15.67 MilitaryStatus |
   15.68 NursingHomeLevelOfCare |
   15.69 NursingHomeResidentialStatus |
   15.70 PALineNumber |
   15.71 PatientStatus |
   15.72 ProductOrServiceCodeEnd |
   15.73 RequestedService |
   15.74 RevenueCode |
   15.75 RevenueUnitRateLimit |
   15.76 ReviewAction |
   15.77 ReviewActionCode |
   15.78 ServiceItemRequestType |
   15.79 ServiceLineNumber |
   15.80 AHA NUBC Revenue Value Set |
   15.81 Metric Data Source |
   15.82 PAS Communication Medium Value Set |
   15.83 PAS Information Change Mode Value Set |
   15.84 PAS LOINC Attachment Codes Value Set |
   15.85 PAS PWK01 Attachment Report Type Code Value Set |
   15.86 PAS Supporting Info Type Value Set |
   15.87 PAS Task Codes |
   15.88 X12 278 CRC Condition Category |
   15.89 X12 278 CRC Condition Code |
   15.90 X12 278 Diagnosis Code Value Set |
   15.91 X12 278 Diagnosis Information Type |
   15.92 X12 278 Diagnosis Type Value Set |
   15.93 X12 278 Follow Up Action Value Set |
   15.94 X12 278 Health Care Service Location Type Value Set |
   15.95 X12 278 Nutrition Enteral Formula Type |
   15.96 X12 278 Nutrition Oral Diet Type |
   15.97 X12 278 Reject Reason Value Set |
   15.98 X12 278 Requested Service Modifier Type |
   15.99 X12 278 Requested Service Type |
   15.100 X12 278 Review Decision Reason Codes |
   15.101 PAS Temporary Codes |
   15.102 Additional Information Task Example |
   15.103 Authorization Response with Practitioner Requestor and Additional Content Example |
   15.104 Authorization Response with Practitioner Requestor Example |
   15.105 Communication Request Example |
   15.106 Device Request Example |
   15.107 Encounter Example |
   15.108 Error Response Bundle Example |
   15.109 Error Response Example |
   15.110 Homecare Authorization Bundle Example |
   15.111 Homecare Authorization Differential Update Bundle Example |
   15.112 Homecare Authorization Differential Update Example |
   15.113 Homecare Authorization Example |
   15.114 Homecare Authorization Update Bundle Example |
   15.115 Homecare Authorization Update Example |
   15.116 Medical Services Authorization Bundle Example |
   15.117 Medical Services Authorization Example |
   15.118 Medication Request Example |
   15.119 Nutrition Order Example |
   15.120 PAS Claim Inquiry Example |
   15.121 PAS Claim Inquiry ResponseExample |
   15.122 PAS Inquiry Request Bundle Example |
   15.123 PAS Inquiry Response Bundle Example |
   15.124 PAS Subscription example for a specific provider |
   15.125 PAS Subscription Notification example |
   15.126 PAS Subscription Notification Parameters |
   15.127 Pending Authorization Response with Practitioner Requestor Example |
   15.128 Referral Authorization Bundle Example |
   15.129 Referral Authorization Example |
   15.130 Referral Authorization Response Bundle Example |
   15.131 Referral Pending Authorization Response Bundle Example |
   15.132 Rejection Response Bundle Example |
   15.133 Rejection Response Example |
   15.134 Submit Claim Beneficiary Example |
   15.135 Submit Claim Insurance Example |
   15.136 Submit Claim Insurer Example |
   15.137 Submit Claim Referral Location Example |
   15.138 Submit Claim Referral Practitioner Example |
   15.139 Submit Claim Referral Practitioner Role Example |
   15.140 Submit Claim Referral Request Example |
   15.141 Submit Claim Requestor Example |
   15.142 Submit Claim Subscriber Example |
   15.143 Submit Claim Surgical Location Example |
   15.144 Submit Claim Surgical Practitioner Example |
   15.145 Submit Claim Surgical Practitioner Role Example |
   15.146 Surgical Admission Request Bundle Example |
   15.147 Surgical Request Authorization Example |
   15.148 PAS Subscription Topic |