ReconciliationRequest FHIR Resource Proposal

From HL7Wiki
Jump to: navigation, search

ReconciliationRequest

Owning committee name

Financial Management

Contributing or Reviewing Work Groups

  • Patient Administration

FHIR Resource Development Project Insight ID

994

Scope of coverage

The ReconciliationRequest resource provides the information to identify a potential bulk payment reconciliation so that the information on the status of that resource or the resource itself can be obtained.


RIM scope

Query

Resource appropriateness

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

Expected implementations

Is referred to by a Reconciliation.

Content sources

Existing normative V3 and V2 specifications, Canadian Specifications, X12

Example Scenarios

Resource Relationships

Refers to Patient, Practitioner, Organization, Coverage, Referral, ClaimResponse. Is referred to by ClaimResponse, ReconciliationResponse, Reversal, Readjudication, PaymentNotice, StatusRequest, FinancialAttachment, InformationCheck, ExplanationOfBenefit and occasionally by a Claim resource.

Timelines

Ready for DSTU 2

gForge Users

paulknapp

Issues

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

Copyright © Health Level Seven International ® ALL RIGHTS RESERVED. The reproduction of this material in any form is strictly forbidden without the written permission of the publisher.