This page is part of the Da Vinci Payer Data Exchange (v2.1.0-ballot: STU2.1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

PDex Prior Authorization

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The PDex Prior Authorization profile has been created to enable Payers to communicate prior authorization decisions and changes to the status of a prior authorization to members, providers and other payers.

Prior Authorizations can be identified by the ExplanationOfBenefit.use = preauthorization.

Go to PDex Prior Authorization profile

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