Patient Cost Transparency Implementation Guide
1.1.0 - STU 1 United States of America flag

This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v1.1.0: STU 1) 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

OperationDefinition: Submit a GFE resource for the creation of an AEOB

Official URL: http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit Version: 1.1.0
Standards status: Trial-use Computable Name: GFESubmit

This operation is used by an entity to submit one or multiple GFEs as a Bundle containing the GFE(s) and other referenced resources for processing. The only input parameter is the single Bundle resource with one or multiple GFE(s) - each of which is based on the Claim resource (along with other referenced resources). The output is a url in the Content-Location header for subsequent polling and optionally an OperationOutcome resource per async pattern. If after polling the response is complete, then the result will either be a single Bundle with the AEOB - which is based on the ExplanationOfBenefit resource, (and other referenced resources) or an OperationOutcome resource indicating the AEOB will be sent directly to the patient.

URL: [base]/Claim/$gfe-submit

Parameters

UseNameScopeCardinalityTypeBindingDocumentation
INresource1..1Bundle

A Bundle containing a single or multiple GFE resources plus referenced resources.

OUTreturn0..1OperationOutcome

An optional OperationOutcome per the async pattern.