Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B R4

Operation-claim-submit

Example OperationDefinition/Claim-submit (Narrative)

Financial Management Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

This is the narrative for the resource. See also the XML , JSON or Turtle format.

Submit OPERATION: Submit The official URL for

Note that this operation definition is: http://hl7.org/fhir/OperationDefinition/Claim-submit This operation is used to submit a Claim, Pre-Authorization or Pre-Determination (all instances of Claim resources) for adjudication either as a single Claim resource instance or as a Bundle containing the Claim and other referenced resources, or Bundle containing a batch of Claim resources, either as single Claims resources or Bundle resources, formal definition for processing. The only input parameter is the single Claim or Bundle resource and the only output is a single ClaimResponse, Bundle of ClaimResponses or submit operation as an OperationOutcome resource. OperationDefinition on Claim. See the Operation documentation

URL: [base]/Claim/$submit

Parameters

Use Name Scope Cardinality Type Binding Documentation
IN resource 1..1 Resource

A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.

OUT return 1..1 Resource

A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources.

 

 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.