Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2
This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.0.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Page standards status: Informative |
Resource Claim "HomecareAuthorizationUpdateExample"
Profile: PAS Claim Update
identifier: id: 111099
status: active
type: Professional (Claim Type Codes#professional)
use: preauthorization
patient: Patient/SubscriberExample " SMITH"
created: 2019-07-20 11:01:00+0500
insurer: Organization/InsurerExample "MARYLAND CAPITAL INSURANCE COMPANY"
provider: Organization/UMOExample "DR. JOE SMITH CORPORATION"
priority: Normal (Process Priority Codes#normal)
| Sequence | Focal | Coverage |
| 1 | true | Coverage/InsuranceExample |
item
ServiceItemRequestType: Health Services Review (1525#HS)
CertificationType: Initial (1322#I)
sequence: 1
category: Home Health Care (1365#42)
productOrService: G0154 (HCPCSReleaseCodeSets#G0154)
item
ServiceItemRequestType: Health Services Review (1525#HS)
CertificationType: Cancel (1322#3)
modifierExtension[http://hl7.org/fhir/us/davinci-pas/StructureDefinition/modifierextension-infoCancelled]
sequence: 2
category: Home Health Care (1365#42)
productOrService: B4184 (HCPCSReleaseCodeSets#B4184)
item
InfoChanged: added
ServiceItemRequestType: Health Services Review (1525#HS)
CertificationType: Initial (1322#I)
sequence: 3
category: Home Health Care (1365#42)
productOrService: B4185 (HCPCSReleaseCodeSets#B4185)
IG © 2020+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pas#2.0.1 based on FHIR 4.0.1. Generated 2023-12-01
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