Claim
Description
Claim resource represents a request for payment for healthcare services provided to a patient, submitted by a healthcare provider to an insurer or payer. It includes details about the patient, services rendered, provider, and the claimed amount. This resource is essential for managing and processing healthcare billing, ensuring providers receive compensation for their services. By standardizing claim information, it facilitates accurate, efficient, and interoperable billing and reimbursement processes in healthcare.
Source https://hl7.org/fhir/r4/claim
Tables
| Resource Specific Tables | Common Tables |
|---|---|
| hc_claim | hc_address |
| hc_claim_accident | hc_ancestor |
| hc_claim_careteam | hc_annotation |
| hc_claim_diagnosis | hc_assigner |
| hc_claim_insurance | hc_canonical |
| hc_claim_item | hc_codeableconcept |
| hc_claim_payee | hc_contactpoint |
| hc_claim_procedure | hc_extension |
| hc_claim_related | hc_humanname |
| hc_claim_supportinginfo | hc_identifier |
| hc_reference | |
| hc_uri |
Referenced By
- ClaimResponse
- ExplanationOfBenefit