Claim
A Claim represents a list of services given to an insurance company for recovering payment.
Sample Query
Find claims for a patient’s family:
https://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir/Claim?patient.family=Demoski
Overview
See the FHIR documentation for more information about Claim resources.
Mapped Concepts in HIEBus
- Claim
Supported Interactions
Claim resources support the following interactions.
Search Parameters
When searching for Claim resources, the following search parameters are supported.
Name | Type | Prefixes
Modifiers |
Can be Chained? | Description |
---|---|---|---|---|
_id | Token | Resource id. | ||
_lastUpdated | Date | lt le gt ge | When the resource last changed. | |
_source | Uri | :missing | Where the resource comes from. | |
created | Date | ne lt le gt ge sa eb ap :missing | Searches for claims by start date-time. | |
date | Date | ne lt le gt ge sa eb ap :missing | See the HL7 FHIR documentation. | |
encounter | Reference | :missing | yes | Searches for claims by their associated encounter. |
identifier | Token | :missing | The primary identifier of the financial resource. | |
patient | Reference | :missing | yes | The patient the Claim is about. |
provenance-agent | Reference | :missing | yes | Search by provenance, specified by its author (aka originator) Organization. |
provider | Reference | :missing | yes | Searches for claims by practitioner (caregiver), considering all possible references: provider, payee.provider and the http://careevolution.com/fhirextensions#claim-providers extension. |
status | Token | :not :in :not-in :missing | Searches for claims by status. | |
type | Token | :missing | See the HL7 FHIR documentation. |
Sortable Parameters
When searching Claim resources, it is possible to sort the returned values by the following search parameters.
- created
- identifier
- _id
Only one sort parameter may be specified.
Supported Includes
When searching Claim resources, it is possible to include the resources referenced by the following field names.
- Encounter
- Patient
- Provenance Agent
- Provider
Supported Operations
Claim supports the following extended operations.