Da Vinci Prior Authorization Support (PAS) FHIR IG
1.0.0 - STU 1

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Example Claim: Homecare Authorizaion Update Example

Generated Narrative

identifier: id: 111099

status: active

type: Professional

use: preauthorization

patient: Generated Summary: id: 12345678901; JOE SMITH ; gender: male

created: Jul 20, 2019 6:01:00 AM

insurer: Generated Summary: id: 789312; active; PR; name: MARYLAND CAPITAL INSURANCE COMPANY

provider: Generated Summary: id: 8189991234; active; X3; name: DR. JOE SMITH CORPORATION

priority: Normal

Insurances

-SequenceFocalCoverage
*1trueGenerated Summary: status: active

item

ServiceItemRequestType: Health Services Review

CertificationType: Initial

sequence: 1

productOrService: G0154

item

ServiceItemRequestType: Health Services Review

CertificationType: Initial

ModifierExtension[http://hl7.org/fhir/us/davinci-pas/StructureDefinition/modifierextension-infoCancelled]s

-
*

sequence: 2

productOrService: B4184

item

InfoChanged: added

ServiceItemRequestType: Health Services Review

CertificationType: Initial

sequence: 3

productOrService: B4185