Da Vinci Payer Data Exchange
2.0.0-ballot - ballot US

This page is part of the Da Vinci Payer Data Exchange (v2.0.0-ballot: STU2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

ValueSet: Prior Authorization value categories

Official URL: http://hl7.org/fhir/us/davinci-pdex/ValueSet/PriorAuthorizationAmounts Version: 2.0.0-ballot
Active as of 2022-02-18 Computable Name: PriorAuthorizationAmounts

Codes to define Prior Authorization requested, agreed and utilized amounts.

References

Logical Definition (CLD)

 

Expansion

This value set contains 3 concepts

Expansion based on Prior Authorization Values v2.0.0-ballot (CodeSystem)

All codes in this table are from the system http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodes

CodeDisplayDefinition
submittedSubmittedProposed amounts of units or services
eligibleEligibleEligible/agreed items or services
utilizedUtilizedAmount of items or services consumed to date

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code