- FHIR Payment Notice Resource
- Electronic Health Records Exchange Through FHIR
- Medical Terminology
- Processes Data
- Processes Information
- Processes Documentation
- Health Information Exchange
- Electronic Health Records
- FHIR Smart
- Smart on FHIR
Payment Notice resource provides the status of the payment for goods and services rendered, and the request and response resource references.
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The Payment Notice resource indicates the resource for which the payment has been indicated and reports the current status information of that payment. The payment notice may be used by providers and payers to advise the provider or regulatory bodies of the state of a payment (check in the mail/Electronic Funds Transfer (EFT) sent, payment cashed, payment canceled). Employers or Insurance Exchanges may use this to advise payers of premium payment. Payers and/or providers may have the need to advise providers and/or regulators of the status of claim settlement and payment completion. This same resource may be used by employers and insurance exchanges to advise payers that premium payments have been issued and settled.
Additional information regarding electronic payment notice content and usage may be found at:
– Financial Resource Status Lifecycle: how status is used in the financial resources.
– Batches: how eClaims may handle batches of eligibility, claims, payments and responses.
The Payment Notice resource is used to indicate that a payment has occurred or is about to occur. The resource is used commonly when tracking of payment occurrences is required for regulatory or business purposes, such as ensuring that payment of claim adjudications occurs within a specific timeframe. The Payment Notice is not used to report adjudicated amounts or to reconcile adjudicated amounts against actual payment.
The Claim Response resource is an insurer’s adjudication and/or authorization of a set of healthcare-related goods and services for a patient against the patient’s insurance coverages and does not indicate that payment has occured. The Payment Reconciliation resource serves to correlate payment amounts to the adjudicated claim amounts appearing on one or more Claim Responses.
About this Dataset
John Snow Labs; Health Level Seven International;
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|Source License Requirements||
FHIR, HL7, Medical Terminology, Processes Data, Processes Information, Processes Documentation, Health Information Exchange, Electronic Health Records, FHIR Smart, Smart on FHIR
FHIR Payment Notice Resource, Electronic Health Records Exchange Through FHIR
|Concept_Name||Name of the concept in the FHIR structure.||string||required : 1|
|Computer_Ready_Name||A Computer-ready name (e.g. a token) that identifies the structure - suitable for code generation. Note that this name (and other names relevant for code generation, including element & slice names, codes etc) may collide with reserved words in the relevant target language, and code generators will need to handle this.||string||-|
|Type||The type the structure describes.||string||-|
|Dollar_Ref||The "$ref" string value contains a Uniform Resource Identifier (URI) which identifies the location of the JSON value being referenced.||string||-|
|Description||A free text natural language description of the structure and its use.||string||-|
|Items||The value of the keyword should be an object or an array of objects. If the keyword value is an object, then for the data array to be valid each item of the array should be valid according to the schema in this value.||string||-|
|Required||The value of the keyword should be an array of unique strings. The data object to be valid should contain all properties with names equal to the elements in the keyword value.||string||-|
|Const||The value of this keyword can be anything. The data is valid if it is deeply equal to the value of the keyword.||string||-|
|Concept Name||Computer Ready Name||Type||Dollar Ref||Description||Items||Required||Const|
|PaymentNotice||resourceType||This is a PaymentNotice resource|
|PaymentNotice||id||#/definitions/id||The logical id of the resource|
|PaymentNotice||meta||#/definitions/Meta||The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.|
|PaymentNotice||implicitRules||#/definitions/uri||A reference to a set of rules that were followed when the resource was constructed|
|PaymentNotice||_implicitRules||#/definitions/Element||Extensions for implicitRules|
|PaymentNotice||language||#/definitions/code||The base language in which the resource is written.|
|PaymentNotice||_language||#/definitions/Element||Extensions for language|
|PaymentNotice||text||#/definitions/Narrative||A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data|
|PaymentNotice||contained||array||These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently|
|PaymentNotice||extension||array||May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable|