| Source | hl7.fhir.us.davinci-pas#current:Da Vinci Prior Authorization Support (PAS) FHIR IG (v4.0.1) |
| resourceType | OperationDefinition |
| id | Claim-inquiry |
| canonical | http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry |
| version | 1.2.0 |
| status | draft |
| publisher | HL7 International - Financial Management Work Group |
| name | ClaimInquiry |
| title | Submit a Claim resource for inquiry |
| date | 2023-09-05T15:43:16+00:00 |
| description | This operation is used to make an inquiry for a previously-submitted Pre-Authorization. This Prior Authorization $inquire operation is a query-by-example that follows the X12 278 Inquiry rules. The only input parameter is the single Bundle resource with a PASClaimInquiry instance (along with other referenced resources) and the only output is a single Bundle with zero-to-many PASClaimInquiryResponses (and other referenced resources) or an OperationOutcome resource. |
| jurisdictions | us |
| code | inquire |
| base | http://hl7.org/fhir/OperationDefinition/Claim-submit |
| system | false |
| type | true |
| instance | false |
| resources | Claim |
| Usages |
|
URL: [base]/Claim/$inquire
Input parameters Profile: PAS Inquiry Request Bundle
Output parameters Profile: PAS Inquiry Response Bundle
Parameters
| Use | Name | Scope | Cardinality | Type | Binding | Documentation |
| IN | resource | 1..1 | Bundle |
A Bundle containing a single ClaimInquiry plus referenced resources. |
||
| OUT | return | 1..1 | Bundle |
A Bundle containing a single ClaimInquiryResponse plus referenced resources. |
Produced 08 Sep 2023