Page Comparison

...

• Insurance coverage details

1. Coverage Eligibility Request httpsRequest http://www.hl7.org/fhir/STU3/coverageeligibilityrequesteligibilityrequest.html
2. Coverage Eligibility Response:httpshttp://www.hl7.org/fhir/coverageeligibilityresponseSTU3/eligibilityresponse.html
3. Coverage httpshttp://www.hl7.org/fhir/STU3/coverage.html
4. Difference between coverage and coverage eligibility
5. Version decisions to be made in later meetings

• Claims Submission

1. Claim Request :httpshttp://www.hl7.org/fhir/STU3/claim.html
2. Different phases of claims request
1. Predetermination
2. Preauthorization
3. Claim
3. Claim Response:https http://www.hl7.org/fhir/STU3/claimresponse.html
4. Claim Response without Payor details httpsdetails http://www.hl7.org/fhir/STU3/explanationofbenefit.htmhtml

• Claims Tracking
1. Status Check : Task {code=status}
2. Cancel Claim processing
3. Reprocess claims request
4. Resubmit claims after correcting the errors from the rejected claims
   
   
• Financial module http://hl7.org/fhir/STU3/financial-module.html

1. Account
2. Invoice
3. Payment Notice
4. Payment Reconciliation

• Batch processing of Claims : eClaimBatches

...

• Relative order of use of financial resources [For reference of insurance flow using fhir ]

1. httpshttp://www.hl7.org/fhir/STU3/financial-module.html#order

# Wiki links and References

...