Readjudicate FHIR Resource Proposal
- 1 Readjudicate
- 1.1 Owning committee name
- 1.2 Contributing or Reviewing Work Groups
- 1.3 FHIR Resource Development Project Insight ID
- 1.4 Scope of coverage
- 1.5 RIM scope
- 1.6 Resource appropriateness
- 1.7 Expected implementations
- 1.8 Content sources
- 1.9 Example Scenarios
- 1.10 Resource Relationships
- 1.11 Timelines
- 1.12 gForge Users
Owning committee name
Contributing or Reviewing Work Groups
- Claims with Attachments
- Patient Administration
FHIR Resource Development Project Insight ID
Scope of coverage
The Readjudicate resource indicates the claim which is to be reversed and provides both supporting information for the reversal and the goods and services which are to be readjudicated.
This is necessary for the limited supporters who require the ability to formally request the readjudication of specified service subtrees from an already adjudicated Claim.
This is a new resource to support this infrequently mandated ability to readjudicate claims.
Saudi Arabia requirements.
Refers to a Claim resource and uses Organization, Practitioner. Is referred to by a ClaimResponse.
Ready for DSTU 2