Da Vinci Postable Remittance
1.0.0 - STU 1 United States of America flag

This page is part of the DaVinci Postable Remittance FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: ExampleSearchByClaim - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="ExampleSearchByClaim"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pr/StructureDefinition/searchByClaimParameters"/>
  </meta>
  <parameter>
    <name value="TIN"/>
    <valueString value="123485858"/>
  </parameter>
  <parameter>
    <name value="ServiceStartDate"/>
    <valueDate value="2023-08-01"/>
  </parameter>
  <parameter>
    <name value="ServiceEndDate"/>
    <valueDate value="2023-08-31"/>
  </parameter>
  <parameter>
    <name value="PatientID"/>
    <valueString value="M12345513215"/>
  </parameter>
  <parameter>
    <name value="Claim"/>
    <part>
      <name value="ProviderClaimID"/>
      <valueString value="12345V54321"/>
    </part>
    <part>
      <name value="ProviderID"/>
      <valueString value="52415"/>
    </part>
  </parameter>
</Parameters>