Publication Build: This will be filled in by the publication tooling
Page standards status: Informative |
Generated Narrative: Claim HomecareAuthorizationDifferentialExample
identifier: http://example.org/PATIENT_EVENT_TRACE_NUMBER
/111099-UPDATE-DIFF
status: Active
type: Professional
use: Preauthorization
patient: JOE SMITH Male, DoB Unknown ( http://example.org/MIN#12345678901)
created: 2019-07-20 11:01:00+0500
insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY
provider: Organization DR. JOE SMITH CORPORATION
priority: Normal
Sequence | Focal | Coverage |
1 | true | Coverage: status = active; subscriberId = 1122334455; relationship = Self |
item
ServiceItemRequestType: Health Services Review
CertificationType: Initial
InfoCancelledFlag: true
sequence: 2
category: Home Health Care
productOrService: B4184
location: 11
item
ServiceItemRequestType: Health Services Review
CertificationType: Initial
InfoChanged: added
sequence: 3
category: Home Health Care
productOrService: B4185
location: 11