This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.
Interactions
- Read: GET [base]/Claim/[patient]
- Search: GET [base]/ Claim?[{parameters...}
Search Parameters
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Search Parameter |
Search Parameter Type |
Example |
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GET [base]/ Claim?_id=[id] |
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GET [base]/ Claim?patient=[patient] |
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GET [base]/ Claim?type=[system][code] |
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GET [base]/ Claim?identifier=[system][code] |
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GET [base]/ Claim?service-date=[service-date] |
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GET [base]/ Claim?_lastUpdated=[_lastUpdated] |
Supported includes & revIncludes
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_include |
_revInclude |
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Claim:* |
N/A |
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Claim:care-team |
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Claim:coverage |
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Claim:insurer |
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Claim:patient |
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Claim:provider |