PDexPriorAuth1

active

ExplanationOfBenefit-PDexPriorAuth1.json

Resource Details

Resource Type: ExplanationOfBenefit
Resource ID: PDexPriorAuth1
Identifier: https://www.exampleplan.com/fhir/EOBIdentifier|PA123412341234123412341234
Conforms To: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-priorauthorization

Example Metadata

Index metadata for this example. The full FHIR resource body is not loaded in the workbench.

{
  "resourceType": "ExplanationOfBenefit",
  "id": "PDexPriorAuth1",
  "filename": "ExplanationOfBenefit-PDexPriorAuth1.json",
  "profile": [
    "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-priorauthorization"
  ],
  "lastUpdated": "2024-02-06T09:14:11+00:00",
  "identifier": {
    "system": "https://www.exampleplan.com/fhir/EOBIdentifier",
    "value": "PA123412341234123412341234"
  },
  "status": "active"
}