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

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.2.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions

OperationDefinition: Search for a Prior Authorization Response by example

Official URL: http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry Version: 2.2.0-ballot
Standards status: Trial-use Maturity Level: 3 Computable Name: ClaimInquiry
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.33.1

This operation is used to make a search for a Prior Authorization Response by example. This Prior Authorization $inquire operation is a query-by-example that follows the X12 278 Inquiry rules. The only input parameter is the single Bundle resource with a PASClaimInquiry instance (along with other referenced resources) and the only output is a single Bundle with zero-to-many PASClaimInquiryResponses (and other referenced resources) or an OperationOutcome resource.

URL: [base]/Claim/$inquire

Parameters

UseNameScopeCardinalityTypeBindingDocumentation
INresource1..1Bundle (PAS Inquiry Request Bundle)

A Bundle containing a single ClaimInquiry plus referenced resources.

OUTreturn1..1Bundle (PAS Inquiry Response Bundle)

A Bundle containing a single ClaimInquiryResponse plus referenced resources.