PASClaimInquiry

PAS Claim Inquiry

activeDa Vinci PAS2.2.1resource7 key elements

PAS constraints on Claim resource when submitting an inquiry for existing authorizations.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-inquiry
ID
profile-claim-inquiry
Type
Base Definition
profile-claim-base|2.2.1
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
:certificationType0..1
Extension
S
A code representing the type of certification being requested (UM02)
identifier1..1
1+
billablePeriod
S
:certIssueDate0..1
Extension
S
The specific date or period within when which item's preauthorization was issued.
:certExpirationDate0..1
Extension
S
The specific date or period within which this item's preauthorization expires.
:certEffectiveDate0..1
Extension
S
The specific date or period within which this item's preauthorization became effective.
:reviewActionCode0..1
Extension
S
The code describing the result of the review.