Claim
A Claim represents a list of services given to an insurance company for recovering payment.
Overview
See the FHIR documentation for more information about Claim resources.
Mapped Concepts in HIEBus
- Claim
- Medication
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 |
|---|---|---|---|---|
| _count | Special | The maximum number of resources to return in a result page. | ||
| _elements | Special | Used to request a specific set of elements be returned as part of a resource. | ||
| _id | Token | Resource id. | ||
| _lastUpdated | Date | lt le gt ge | When the resource last changed. | |
| _source | Uri | :missing | Where the resource comes from. | |
| _summary | Special | Used to return only a portion of the resouces. Defaults to 'false', which returns the whole resource. | ||
| _total | Special | Use the value 'estimate' to populate the result bundle's 'total' element with an estimate of the matching number of resources. | ||
| created | Date | ne lt le gt ge sa eb ap :missing | The creation date for the Claim. | |
| encounter | Reference | :missing | yes | Encounters associated with a billed line item. |
| enddate | Date | ne lt le gt ge sa eb ap :missing | Searches for claims by end date-time. | |
| 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 careTeam. |
| startdate | Date | ne lt le gt ge sa eb ap :missing | Searches for claims by start date-time. | |
| status | Token | :not :in :notin :missing | The status of the Claim instance. | |
| 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
