Claims on FHIR
summary
Modernizes claim workflows by mapping eligibility checks, preauthorization requests and adjudication to the FHIR financial model and building concrete APIs that exchange administrative and claim data as FHIR resources. Shows how to attach clinical documents to claims, represent denials and remittances, and run prepayment and postpayment audits against the same canonical data. Presents working integrations and operational benefits such as reduced manual coding, faster approvals and fewer phone calls. eligibility check preauthorization claim attachments remittance
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chapters (5)
- 0:00Introduction
- 5:57What is verification page
- 8:05Modernizing land transactions
- 12:06Online documentation benefits
- 16:52Opportunities for improvement
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