Complete Claims Management Functionality
Enable Claims resources and submit claims, check status and more.
URL: [base]/Claim/$submit
In Parameters:
A Claim resource or Bundle of claims, either as individual Claim resources or as Bundles each containing a single Claim plus referenced resources.
Out Parameters:
A ClaimResponse resource or Bundle of claim responses, either as individual ClaimResponse resources or as Bundles each containing a single ClaimResponse plus referenced resources."
All FHIR resoruces to support Claims are available
Claims reosurces - Claims, ClaimResponse, ExplanationOfBenefit, CoverageEligibilityRequest, Patient, Organization, Practioners and others are created as part of claims management
doco
"resourceType" : "Claim",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"identifier" : [{ Identifier }], // Business Identifier for claim
"traceNumber" : [{ Identifier }], // Number for tracking
"status" : "<code>", // R! active | cancelled | draft | entered-in-error
"type" : { CodeableConcept }, // R! Category or discipline
"subType" : { CodeableConcept }, // More granular claim type
"use" : "<code>", // R! claim | preauthorization | predetermination
"patient" : { Reference(Patient) }, // R! The recipient of the products and services
"billablePeriod" : { Period }, // Relevant time frame for the claim
"created" : "<dateTime>", // R! Resource creation date
"enterer" : { Reference(Patient|Practitioner|PractitionerRole|RelatedPerson) }, // Author of the claim
"insurer" : { Reference(Organization) }, // Target
"provider" : { Reference(Organization|Practi
