FHIR Resources Analysis for OpenIMIS Integration
Insurance coverage details
Coverage Eligibility
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Request http://
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Coverage Eligibility Response:
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Coverage
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Difference between coverage and coverage eligibility
Version decisions to be made in later meetings : Decision made on version as suggested by Kamil STU3
Claims Submission
Claim Request :
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Different phases of claims request
Predetermination
Preauthorization
Claim
Claim Response:
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Claim Response without Payor
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details http://
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Claims Tracking
Status Check : Task {code=status}
Cancel Claim processing
Reprocess claims request
Resubmit claims after correcting the errors from the rejected claims
Financial module
httpswww.
Account
Invoice
Payment Reconciliation
Batch processing of Claims : eClaimBatches
eClaimBatches: https://www.hl7.org/fhir/financial-module.html#13.0.13.2
Relative order of use of financial resources [For reference of insurance flow using fhir ]
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# Wiki links and References
https://wiki.openmrs.org/display/projects/OpenMRS+FHIR+Module
https://wiki.openmrs.org/display/projects/FHIR+Module+Enhancements+Project
https://wiki.openmrs.org/display/projects/OpenMRS+FHIR+Module+Development%3A+Phase+01
https://wiki.openmrs.org/display/projects/FHIR+Resource+List+for+Sync
https://wiki.openmrs.org/display/projects/Changes+to+the+FHIR+module