Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2 United States of America flag

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.2.1: STU 2) 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

ValueSet: Claim Types

Official URL: http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimTypes Version: 2.2.1
Standards status: Trial-use Active as of 2026-03-27 Maturity Level: 4 Computable Name: ClaimTypes
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.48.21

This set of codes restricts the claim type.

References

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/claim-type version 📍1.0.1
    CodeDisplayDefinition
    institutionalInstitutionalHospital, clinic and typically inpatient claims.
    professionalProfessionalTypically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
    oralOralDental, Denture and Hygiene claims.

 

Expansion

Expansion performed internally based on codesystem Claim Type Codes v1.0.1 (CodeSystem)

This value set contains 3 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/claim-type  institutionalInstitutionalHospital, clinic and typically inpatient claims.
http://terminology.hl7.org/CodeSystem/claim-type  professionalProfessionalTypically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
http://terminology.hl7.org/CodeSystem/claim-type  oralOralDental, Denture and Hygiene claims.

Description of the above table(s).