EOBRequest FHIR Resource Proposal

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Owning committee name

Financial Management

Contributing or Reviewing Work Groups

  • Claims with Attachments
  • Patient Administration

FHIR Resource Development Project Insight ID


Scope of coverage

The EOBRequest resource provides the information to identify a Claim, and potentially a Pre-Determination or Pre-Authorization, so that the Explanation of Benefit resource can be generated and/or retrieved.

RIM scope


Resource appropriateness

This is the formal request for an EOB for Payors which require one and/or use transports which do not support a 'Get Operation'.

Expected implementations

This is a key resource expected by most Healthcare billing implementations where Health care products and services are provided.

Content sources

Existing normative V3 and V2 specifications, Canadian Specifications, X12, NCPDP

Example Scenarios

Resource Relationships

Refers to Claim, Patient, Practitioner, Coverage, Is referred to by a Reconciliation.


Ready for DSTU 2

gForge Users



This resource may be replaced with a more generic request for a resource.

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