Sample Claim response shared below. Please help on below queries
- Advise if revenue is correct element to represent CPT code in the claim response
- How to define multiple exams with their corresponding outcome response in the claim response
- How to define alternate exam suggested rather than sent exam (cpt) code from source in the claim response.
{
“resourceType”: “ClaimResponse”,
“requestIdentifier”: {
“system”: “http://<>.com/transaction-identifier”,
“value”: “test123”
},
“outcome”: {
“system”: “http://companyurl.com/outcome”,
“code”: “A”,
“display”: “Approved”
},
“addItem”: [{
“revenue”: {
“system”: “http://www.ama-assn.org/go/cpt”,
“code”: “72000”
}
}],
“note”: [
{
“type”: {
“system”: “http://hl7.org/fhir/ValueSet/note-type”,
“code”: “Criteria”
},
“text”: “Diagnostic Imaging”
}
]
}