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

Table of Contents

Page standards status: Informative
.. 0 Table of Contents
... 1 Prior Authorization Implementation Guide Home Page
... 2 Technical Background
... 3 Use Cases and Overview
... 4 Credits
... 5 PAS ePA Coordinator Information
... 6 Conformance
... 7 Formal Specification
... 8 Request for Additional Information
... 9 HIPAA Regulations
... 10 Privacy & Security
... 11 PAS Metrics
... 12 Artifacts Overview
... 13 PAS Terminology
... 14 Downloads
... 15 Change Log
... 16 PAS Outstanding Issues
... 17 Artifacts Summary
.... 17.1 EHR PAS Capabilities
.... 17.2 Intermediary PAS Capabilities
.... 17.3 Search for a Prior Authorization Response by example
.... 17.4 Submit a Prior Authorization Request for adjudication
.... 17.5 PAS Metric Data
.... 17.6 PAS Claim Base
.... 17.7 PAS Claim Response Base
.... 17.8 PAS Organization Base Profile
.... 17.9 PAS Beneficiary Patient
.... 17.10 PAS Claim
.... 17.11 PAS Claim Inquiry
.... 17.12 PAS Claim Inquiry Response
.... 17.13 PAS Claim Response
.... 17.14 PAS Claim Update
.... 17.15 PAS CommunicationRequest
.... 17.16 PAS Coverage
.... 17.17 PAS Device Request
.... 17.18 PAS Document Reference
.... 17.19 PAS Encounter
.... 17.20 PAS Inquiry Request Bundle
.... 17.21 PAS Inquiry Response Bundle
.... 17.22 PAS Insurer Organization
.... 17.23 PAS Location Profile
.... 17.24 PAS Medication Request
.... 17.25 PAS Nutrition Order
.... 17.26 PAS Practitioner
.... 17.27 PAS PractitionerRole
.... 17.28 PAS Request Bundle
.... 17.29 PAS Requestor Organization
.... 17.30 PAS Response Bundle
.... 17.31 PAS Service Request
.... 17.32 PAS Subscriber Patient
.... 17.33 PAS Subscription
.... 17.34 PAS Task
.... 17.35 PAS Identifier
.... 17.36 PAS Quantity
.... 17.37 PAS Timing
.... 17.38 AdministrationReferenceNumber
.... 17.39 AuthorizationNumber
.... 17.40 AuthorizedProviderType
.... 17.41 CalendarPattern
.... 17.42 CareTeamClaimScope
.... 17.43 CertificationEffectiveDate
.... 17.44 CertificationExpirationDate
.... 17.45 CertificationIssueDate
.... 17.46 CertificationType
.... 17.47 CommunicatedDiagnosis
.... 17.48 ConditionCode
.... 17.49 ContentModifier
.... 17.50 DeliveryPattern
.... 17.51 DiagnosisRecordedDate
.... 17.52 DocumentInformation
.... 17.53 EPSDTIndicator
.... 17.54 ErrorElement
.... 17.55 ErrorFollowupAction
.... 17.56 ErrorPath
.... 17.57 HomeHealthCareInformation
.... 17.58 IdentifierJurisdiction
.... 17.59 IdentifierSubDepartment
.... 17.60 InfoCancelledFlag
.... 17.61 InfoChanged
.... 17.62 ItemAuthorizedDetail
.... 17.63 ItemAuthorizedProvider
.... 17.64 ItemPreAuthIssueDate
.... 17.65 ItemPreAuthPeriod
.... 17.66 ItemRequestedServiceDate
.... 17.67 ItemTraceNumber
.... 17.68 LevelOfServiceCode
.... 17.69 MilitaryStatus
.... 17.70 NursingHomeLevelOfCare
.... 17.71 NursingHomeResidentialStatus
.... 17.72 PatientStatus
.... 17.73 ProductOrServiceCodeEnd
.... 17.74 RequestedService
.... 17.75 RevenueCode
.... 17.76 RevenueUnitRateLimit
.... 17.77 ReviewAction
.... 17.78 ReviewActionCode
.... 17.79 ServiceItemRequestType
.... 17.80 ServiceLineNumber
.... 17.81 AHA NUBC Revenue Value Set
.... 17.82 Metric Data Source
.... 17.83 PAS Communication Medium Value Set
.... 17.84 PAS Information Change Mode Value Set
.... 17.85 PAS LOINC Attachment Codes Value Set
.... 17.86 PAS PWK01 Attachment Report Type Code Value Set
.... 17.87 PAS Supporting Info Type Value Set
.... 17.88 PAS Task Codes
.... 17.89 X12 278 CRC Condition Category
.... 17.90 X12 278 CRC Condition Code
.... 17.91 X12 278 Diagnosis Code Value Set
.... 17.92 X12 278 Diagnosis Information Type
.... 17.93 X12 278 Diagnosis Type Value Set
.... 17.94 X12 278 Follow Up Action Value Set
.... 17.95 X12 278 Health Care Service Location Type Value Set
.... 17.96 X12 278 Nutrition Enteral Formula Type
.... 17.97 X12 278 Nutrition Oral Diet Type
.... 17.98 X12 278 Reject Reason Value Set
.... 17.99 X12 278 Requested Service Modifier Type
.... 17.100 X12 278 Requested Service Type
.... 17.101 X12 278 Review Decision Reason Codes
.... 17.102 PAS Temporary Codes
.... 17.103 Additional Information Task Example
.... 17.104 Authorization Response with Practitioner Requestor and Additional Content Example
.... 17.105 Authorization Response with Practitioner Requestor Example
.... 17.106 Communication Request Example
.... 17.107 Device Request Example
.... 17.108 Encounter Example
.... 17.109 Error Response Bundle Example
.... 17.110 Error Response Example
.... 17.111 Homecare Authorization Bundle Example
.... 17.112 Homecare Authorization Example
.... 17.113 Homecare Authorization Update Bundle Example
.... 17.114 Homecare Authorization Update Example
.... 17.115 Invalid Request Response
.... 17.116 Medical Services Authorization Bundle Example
.... 17.117 Medical Services Authorization Example
.... 17.118 Medication Request Example
.... 17.119 Nutrition Order Example
.... 17.120 PAS Claim Inquiry Example
.... 17.121 PAS Claim Inquiry ResponseExample
.... 17.122 PAS Document Reference Example
.... 17.123 PAS Inquiry Request Bundle Example
.... 17.124 PAS Inquiry Response Bundle Example
.... 17.125 PAS Subscription example for a specific provider
.... 17.126 PAS Subscription Notification example
.... 17.127 PAS Subscription Notification Parameters
.... 17.128 Pending Authorization Response with Practitioner Requestor Example
.... 17.129 Referral Authorization Bundle Example
.... 17.130 Referral Authorization Example
.... 17.131 Referral Authorization Response Bundle Example
.... 17.132 Referral Pending Authorization Response Bundle Example
.... 17.133 Rejection Response Bundle Example
.... 17.134 Rejection Response Example
.... 17.135 Submit Claim Beneficiary Example
.... 17.136 Submit Claim Insurance Example
.... 17.137 Submit Claim Insurer Example
.... 17.138 Submit Claim Referral Location Example
.... 17.139 Submit Claim Referral Practitioner Example
.... 17.140 Submit Claim Referral Practitioner Role Example
.... 17.141 Submit Claim Referral Request Example
.... 17.142 Submit Claim Requestor Example
.... 17.143 Submit Claim Subscriber Example
.... 17.144 Submit Claim Surgical Location Example
.... 17.145 Submit Claim Surgical Practitioner Example
.... 17.146 Submit Claim Surgical Practitioner Role Example
.... 17.147 Surgical Admission Request Bundle Example
.... 17.148 Surgical Request Authorization Example
.... 17.149 PAS Subscription Topic