Interface / 3.0.1 (STU3) / Claim

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.

Claim resources support the following interactions.

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.
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.
hospitalization	Date	ne lt le gt ge sa eb ap :missing		See the HL7 FHIR documentation.
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.
startdate	Date	ne lt le gt ge sa eb ap :missing		Searches for claims by start date-time.
status	Token	:not :in :notin :missing		Searches for claims by status.
type	Token	:missing		See the HL7 FHIR documentation.

When searching Claim resources, it is possible to sort the returned values by the following search parameters.

Only one sort parameter may be specified.

When searching Claim resources, it is possible to include the resources referenced by the following field names.