| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Claim
|
PASClaimBase | |||
certificationType
|
S | 0..1 | CodeableConcept |
A code representing the type of certification being requested (UM02) URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType Binding: todo ( required ): Codes indicating the type of certification. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
billablePeriod
|
S | |||
|
provider
|
This is the submitter of the inquiry. | |||
|
diagnosis
|
||||
item
|
||||
certIssueDate
|
S | 0..1 | date |
The specific date or period within when which item's preauthorization was issued. URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationIssueDate |
|
certExpirationDate
|
S | 0..1 | date |
The specific date or period within which this item's preauthorization expires. URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationExpirationDate |
|
certEffectiveDate
|
S | 0..1 | date |
The specific date or period within which this item's preauthorization became effective. URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationEffectiveDate |
|
reviewActionCode
|
S | 0..1 | CodeableConcept |
The code describing the result of the review. URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode Binding: todo ( required ): Codes indicating type of action. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
|
Documentation for this format
|
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