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

Table of Contents

..0 Table of Contents
...1 Prior Authorization Implementation Guide Home Page
...2 Use Cases and Overview
...3 Technical Background
...4 HIPAA Regulations
...5 Formal Specification
...6 Downloads
...7 Credits
...8 Artifacts Overview
...9 Artifacts Summary
....9.1 ClaimInquiryOperation
....9.2 ClaimSubmitOperation
....9.3 PAS Beneficiary Patient
....9.4 PAS Claim
....9.5 PAS Claim Inquiry
....9.6 PAS Claim Inquiry Response
....9.7 PAS Claim Response
....9.8 PAS Claim Update
....9.9 PAS CommunicationRequest
....9.10 PAS Coverage
....9.11 PAS Device Request
....9.12 PAS Encounter
....9.13 PAS Inquiry Request Bundle
....9.14 PAS Inquiry Response Bundle
....9.15 PAS Insurer Organization
....9.16 PAS Medication Request
....9.17 PAS Practitioner
....9.18 PAS Request Bundle
....9.19 PAS Requestor Organization
....9.20 PAS Response Bundle
....9.21 PAS Service Request
....9.22 PAS Subscriber Patient
....9.23 PAS Timing
....9.24 AdministrationReferenceNumber
....9.25 AuthorizationNumber
....9.26 AuthorizedDate
....9.27 AuthorizedItemDetail
....9.28 AuthorizedProvider
....9.29 CalendarPattern
....9.30 CertificationType
....9.31 CommunicatedDiagnosis
....9.32 ContentModifier
....9.33 DeliveryPattern
....9.34 DiagnosisRecordedDate
....9.35 EPSDTIndicator
....9.36 ErrorElement
....9.37 FollowupAction
....9.38 IdentifierSubDepartment
....9.39 InfoCancelledFlag
....9.40 InfoChanged
....9.41 ItemTraceNumber
....9.42 LevelOfServiceCode
....9.43 MilitaryStatus
....9.44 NursingHomeLevelOfCare
....9.45 NursingHomeResidentialStatus
....9.46 PatientStatus
....9.47 PreAuthIssueDate
....9.48 PreAuthPeriod
....9.49 ProductOrServiceCodeEnd
....9.50 RequestedService
....9.51 RevenueUnitRateLimit
....9.52 ReviewAction
....9.53 ReviewActionCode
....9.54 ServiceItemRequestType
....9.55 AHA NUBC Revenue Value Set
....9.56 PAS Information Change Mode Value Set
....9.57 PAS Supporting Info Type Value Set
....9.58 X12 278 Diagnosis Code Value Set
....9.59 X12 278 Diagnosis Information Type
....9.60 X12 278 Diagnosis Type Value Set
....9.61 X12 278 Follow Up Action Value Set
....9.62 X12 278 Health Care Service Location Type Value Set
....9.63 X12 278 Reject Reason Value Set
....9.64 X12 278 Requested Service Type
....9.65 X12 278 Review Descision Reason Codes
....9.66 AHA NUBC Revenue Code System
....9.67 PAS Diagnosis Type
....9.68 PAS Information Change Mode Code System
....9.69 PAS Supporting Info Type Code System
....9.70 X12 278 Follow Up Action Code System
....9.71 X12 278 Reject Reason Code System
....9.72 Homecare Authorization Bundle Example
....9.73 Homecare Authorization Differential Update Bundle Example
....9.74 Homecare Authorization Differential Update Example
....9.75 Homecare Authorization Example
....9.76 Homecare Authorization Update Bundle Example
....9.77 Homecare Authorizaion Update Example
....9.78 Submit Claim Insurance Example
....9.79 Submit Claim Insurer Example
....9.80 Medical Services Authorization Bundle Example
....9.81 Medical Services Authorization Example
....9.82 Referral Authorization Bundle Example
....9.83 Referral Authorization Example
....9.84 Referral Authorization Response Bundle Example
....9.85 Referral Authorization Response Example
....9.86 Submit Claim Referral Practitioner Example
....9.87 Submit Claim Referral Request Example
....9.88 Submit Claim Subscriber Example
....9.89 Submit Claim Requestor Example