Da Vinci Prior Authorization Support (PAS) FHIR IG - Downloaded Version 2.2.0-ballot See the Directory of published versions
| Page standards status: Informative |
Profile: PAS Task
identifier: http://example.org/ITEM_TRACE_NUMBER/1122334
status: Requested
intent: order
code: Attach Request Code
for: JESSE SMITH Female, DoB: 1947-01-18 ( Member Number)
requester: Identifier: United States National Provider Identifier/789312
owner: Identifier: United States National Provider Identifier/789312
reasonCode: Prior Authorization Information Request
input
type: Payer URL
value: http://example.org/payerURL
input
ServiceLineNumber: 1
type: Attachments Needed
value: Procedure note