Da Vinci Prior Authorization Support (PAS)

1. Overview

   Actors, workflow, and relationship to X12 278.

2. Claim/$submit

   Bundle-based prior auth submission with Claim, Patient, Coverage and supporting resources.

3. ClaimResponse decisions

   Approved, denied, partial, pended outcomes and reviewAction extensions.

4. Subscriptions for pended requests

   Using FHIR subscriptions or polling to receive final decisions.

5. X12 278 conversion

   Mapping FHIR PAS bundles to X12 278 at the intermediary.

6. Profiles and artifacts

   PAS Claim, Bundle and supporting profiles.

Each section links to the official page. Titles and summaries by Extra Credit; the docs belong to their authors.