API end point: https://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir-r4.

Resource Claim (R4)

Maps CareEvolution Claim and contained Medication concepts

Supported interactions

Search parameters

Name Type Modifiers , prefixes Multiple values Can be chained Description
_id Token Yes See here
_lastUpdated Date lt le gt ge See here
created Date eq ne lt le gt ge sa eb ap See here
encounter Reference :missing Yes Yes See here
enddate Date eq ne lt le gt ge sa eb ap Searches for claims by end date-time
identifier Token Yes See here
patient Reference :missing Yes Yes See here
provenance-agent Reference Yes Yes Search by provenance, specified by its author (aka originator) Organization
provider Reference :missing Yes Yes Searches for claims by practitioner (caregiver), considering all possible references: provider, payee.provider and the http://careevolution.com/fhirextensions#claim-providers extension
startdate Date eq ne lt le gt ge sa eb ap Searches for claims by start date-time
status Token :not :in :not-in Yes See here
type Token Yes See here

Sorts

Supports multiple sorts

Includes

Operations

To FHIR mappings

CareEvolution FHIR
Claim.AdjudicationDate extension('http://careevolution.com/fhirextensions#claim-adjudicationDate')
Claim.AdmitDate extension('http://careevolution.com/fhirextensions#claim-admitDate')
Claim.AdmitSource extension('http://careevolution.com/fhirextensions#claim-admitSource')
Claim.AdmitType subType
Claim.AlternateIdentifier identifier
Claim.BillClass extension('http://careevolution.com/fhirextensions#claim-billClass')
Claim.CaregiverRelationships provider
payee
Claim.CaregiverRelationships.CaregiverID careTeam.provider
Claim.CaregiverRelationships.RelationshipType careTeam.role
Claim.CaregiverRelationships.Responsible careTeam.responsible
Claim.ClaimSupportingInformation.EndDate supportingInfo.timing
Claim.ClaimSupportingInformation.Reason supportingInfo.reason
Claim.ClaimSupportingInformation.Sequence supportingInfo.sequence
Claim.ClaimSupportingInformation.StartDate supportingInfo.timing
Claim.ClaimSupportingInformation.Term supportingInfo.code
Claim.ClaimSupportingInformation.Type supportingInfo.category
Claim.ClaimSupportingInformation.Value supportingInfo.value
Claim.ClaimType type
Claim.Comment text
Claim.ControlNumber extension('http://careevolution.com/fhirextensions#claim-controlNumber')
Claim.CreatedDate created
Claim.DataSource extension('http://careevolution.com/fhirextensions#dataSource')
Claim.DischargeDate extension('http://careevolution.com/fhirextensions#claim-dischargeDate')
Claim.Disposition extension('http://careevolution.com/fhirextensions#claim-disposition')
Claim.Drg extension('http://careevolution.com/fhirextensions#claim-drg')
Claim.Encounter.EncounterLocations facility
Claim.EncounterID extension('http://careevolution.com/fhirextensions#claim-encounterID')
Claim.EndDate billablePeriod
Claim.FacilityType extension('http://careevolution.com/fhirextensions#claim-facilityType')
Claim.Identifier identifier
Claim.InsuranceID insurance.coverage.reference
insurer
Claim.InsuranceIdentifier insurance.coverage.identifier
insurer
Claim.Mrn extension('http://careevolution.com/fhirextensions#claim-mrn')
Claim.NonPaymentReason extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason')
Claim.PaidDate extension('http://careevolution.com/fhirextensions#claim-paidDate')
Claim.PatientID patient
Claim.PatientStatus extension('http://careevolution.com/fhirextensions#claim-patientStatus')
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.OnAdmission diagnosis.onAdmission
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term diagnosis.diagnosis
Claim.Problems.Type diagnosis.type
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term procedure.procedure
Claim.Procedures.Type procedure.type
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
Claim.ReferralID extension('http://careevolution.com/fhirextensions#claim-referralID')
Claim.Revision extension('http://careevolution.com/fhirextensions#claim-revision')
Claim.Services.AllowedAmount item.extension('http://careevolution.com/fhirextensions#claimService-allowedamount')
Claim.Services.AmountClaimed item.net
Claim.Services.AmountPaid item.extension('http://careevolution.com/fhirextensions#claim-amountPaid')
Claim.Services.CaregiverRelationships.CaregiverID careTeam.provider
Claim.Services.CaregiverRelationships.RelationshipType careTeam.role
Claim.Services.CaregiverRelationships.Responsible careTeam.responsible
Claim.Services.CoinsuranceAmount item.extension('http://careevolution.com/fhirextensions#claimService-coinsuranceamount')
Claim.Services.CopayAmount item.extension('http://careevolution.com/fhirextensions#claimService-copayamount')
Claim.Services.DeductibleAmount item.extension('http://careevolution.com/fhirextensions#claimService-deductibleamount')
Claim.Services.EndDate item.extension('http://careevolution.com/fhirextensions#claim-endDate')
Claim.Services.HsaPaidAmount item.extension('http://careevolution.com/fhirextensions#claimService-hsapaidamount')
Claim.Services.LocationType item.extension('http://careevolution.com/fhirextensions#claim-locationType')
Claim.Services.Modifier1 item.modifier
Claim.Services.Modifier2 item.modifier
Claim.Services.Modifier3 item.modifier
Claim.Services.Modifier4 item.modifier
Claim.Services.Modifier5 item.modifier
Claim.Services.NotCoveredAmount item.extension('http://careevolution.com/fhirextensions#claimService-notcoveredamount')
Claim.Services.PatientPaid item.extension('http://careevolution.com/fhirextensions#claim-patientPaid')
Claim.Services.PatientResponsibleAmount item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount')
Claim.Services.Property('IsFromFhirCategoryProperty') item.category
item.revenue
Claim.Services.RevenueCode item.category
item.revenue
Claim.Services.Sequence item.sequence
Claim.Services.ServiceCode item.productOrService
Claim.Services.StartDate item.serviced
Claim.Services.Status item.extension('http://careevolution.com/fhirextensions#claim-status')
Claim.Services.Units item.quantity
Claim.StartDate billablePeriod
Claim.Status status
Claim.TotalAllowed extension('http://careevolution.com/fhirextensions#claim-totalAllowed')
Claim.TotalCharges total
Claim.TotalCoinsuranceAmount extension('http://careevolution.com/fhirextensions#claim-totalcoinsuranceamount')
Claim.TotalCopayAmount extension('http://careevolution.com/fhirextensions#claim-totalcopayamount')
Claim.TotalDeductibleAmount extension('http://careevolution.com/fhirextensions#claim-totaldeductibleamount')
Claim.TotalHsaPaidAmount extension('http://careevolution.com/fhirextensions#claim-totalhsapaidamount')
Claim.TotalNotCoveredAmount extension('http://careevolution.com/fhirextensions#claim-totalnotcoveredamount')
Claim.TotalPaid extension('http://careevolution.com/fhirextensions#claim-totalPaid')
Claim.TotalPatientPaid extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid')
Claim.TotalPatientResponsibleAmount extension('http://careevolution.com/fhirextensions#claim-totalpatientresponsibleamount')
Medications.AmountBilled item.net
Medications.Comment item.detail.category.coding.display
Medications.Date item.serviced
Medications.DaysSupplied item.quantity.extension('https://bluebutton.cms.gov/resources/variables/days_suply_num')
Medications.Identifier item.sequence
Medications.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Medications.Quantity item.quantity
Medications.RefillNumber item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num')
Medications.Term item.productOrService
item.quantity
Medications.Units item.quantity

From FHIR mappings

CareEvolution FHIR
Claim.AdjudicationDate extension('http://careevolution.com/fhirextensions#claim-adjudicationDate')
Claim.AdmitDate extension('http://careevolution.com/fhirextensions#claim-admitDate')
Claim.AdmitSource extension('http://careevolution.com/fhirextensions#claim-admitSource')
Claim.AdmitType subType
Claim.AlternateIdentifier identifier
Claim.BillClass extension('http://careevolution.com/fhirextensions#claim-billClass')
Claim.CaregiverRelationships provider
payee
Claim.CaregiverRelationships.CaregiverID careTeam.provider
Claim.CaregiverRelationships.RelationshipType careTeam.role
Claim.CaregiverRelationships.Responsible careTeam.responsible
Claim.ClaimSupportingInformation.EndDate supportingInfo.timing
Claim.ClaimSupportingInformation.Reason supportingInfo.reason
Claim.ClaimSupportingInformation.Sequence supportingInfo.sequence
Claim.ClaimSupportingInformation.StartDate supportingInfo.timing
Claim.ClaimSupportingInformation.Term supportingInfo.code
Claim.ClaimSupportingInformation.Type supportingInfo.category
Claim.ClaimSupportingInformation.Value supportingInfo.value
Claim.ClaimType type
Claim.Comment text
Claim.ControlNumber extension('http://careevolution.com/fhirextensions#claim-controlNumber')
Claim.CreatedDate created
Claim.DataSource extension('http://careevolution.com/fhirextensions#dataSource')
Claim.DischargeDate extension('http://careevolution.com/fhirextensions#claim-dischargeDate')
Claim.Disposition extension('http://careevolution.com/fhirextensions#claim-disposition')
Claim.Drg extension('http://careevolution.com/fhirextensions#claim-drg')
Claim.EncounterID extension('http://careevolution.com/fhirextensions#claim-encounterID')
Claim.EndDate billablePeriod
Claim.FacilityType extension('http://careevolution.com/fhirextensions#claim-facilityType')
Claim.Identifier identifier
id
Claim.InsuranceID insurance.coverage.reference
insurer
Claim.InsuranceIdentifier insurance.coverage.identifier
insurer
Claim.Mrn extension('http://careevolution.com/fhirextensions#claim-mrn')
Claim.NonPaymentReason extension('http://careevolution.com/fhirextensions#claim-nonPaymentReason')
Claim.PaidDate extension('http://careevolution.com/fhirextensions#claim-paidDate')
Claim.PatientID patient
Claim.PatientStatus extension('http://careevolution.com/fhirextensions#claim-patientStatus')
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.OnAdmission diagnosis.onAdmission
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term diagnosis.diagnosis
Claim.Problems.Type diagnosis.type
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term procedure.procedure
Claim.Procedures.Type procedure.type
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
extension
Claim.Revision extension('http://careevolution.com/fhirextensions#claim-revision')
Claim.Services.AllowedAmount item.extension('http://careevolution.com/fhirextensions#claimService-allowedamount')
Claim.Services.AmountClaimed item.net
Claim.Services.AmountPaid item.extension('http://careevolution.com/fhirextensions#claim-amountPaid')
Claim.Services.CaregiverRelationships.CaregiverID careTeam.provider
Claim.Services.CaregiverRelationships.RelationshipType careTeam.role
Claim.Services.CaregiverRelationships.Responsible careTeam.responsible
Claim.Services.CoinsuranceAmount item.extension('http://careevolution.com/fhirextensions#claimService-coinsuranceamount')
Claim.Services.CopayAmount item.extension('http://careevolution.com/fhirextensions#claimService-copayamount')
Claim.Services.DeductibleAmount item.extension('http://careevolution.com/fhirextensions#claimService-deductibleamount')
Claim.Services.EndDate item.extension('http://careevolution.com/fhirextensions#claim-endDate')
Claim.Services.HsaPaidAmount item.extension('http://careevolution.com/fhirextensions#claimService-hsapaidamount')
Claim.Services.LocationType item.extension('http://careevolution.com/fhirextensions#claim-locationType')
Claim.Services.Modifier1 item.modifier
Claim.Services.Modifier2 item.modifier
Claim.Services.Modifier3 item.modifier
Claim.Services.Modifier4 item.modifier
Claim.Services.Modifier5 item.modifier
Claim.Services.NotCoveredAmount item.extension('http://careevolution.com/fhirextensions#claimService-notcoveredamount')
Claim.Services.PatientPaid item.extension('http://careevolution.com/fhirextensions#claim-patientPaid')
Claim.Services.PatientResponsibleAmount item.extension('http://careevolution.com/fhirextensions#claimService-patientresponsibleamount')
Claim.Services.Properties item.extension
Claim.Services.Property('IsFromFhirCategoryProperty') item.category
item.revenue
Claim.Services.RevenueCode item.category
item.revenue
Claim.Services.Sequence item.sequence
Claim.Services.ServiceCode item.productOrService
Claim.Services.StartDate item.serviced
Claim.Services.Status item.extension('http://careevolution.com/fhirextensions#claim-status')
Claim.Services.Units item.quantity
Claim.StartDate billablePeriod
Claim.Status status
Claim.TotalAllowed extension('http://careevolution.com/fhirextensions#claim-totalAllowed')
Claim.TotalCharges total
Claim.TotalCoinsuranceAmount extension('http://careevolution.com/fhirextensions#claim-totalcoinsuranceamount')
Claim.TotalCopayAmount extension('http://careevolution.com/fhirextensions#claim-totalcopayamount')
Claim.TotalDeductibleAmount extension('http://careevolution.com/fhirextensions#claim-totaldeductibleamount')
Claim.TotalHsaPaidAmount extension('http://careevolution.com/fhirextensions#claim-totalhsapaidamount')
Claim.TotalNotCoveredAmount extension('http://careevolution.com/fhirextensions#claim-totalnotcoveredamount')
Claim.TotalPaid extension('http://careevolution.com/fhirextensions#claim-totalPaid')
Claim.TotalPatientPaid extension('http://careevolution.com/fhirextensions#claim-totalPatientPaid')
Claim.TotalPatientResponsibleAmount extension('http://careevolution.com/fhirextensions#claim-totalpatientresponsibleamount')
Medications.AmountBilled item.net
Medications.Comment item.detail.category.coding.display
Medications.Date item.serviced
Medications.DaysSupplied item.quantity.extension('https://bluebutton.cms.gov/resources/variables/days_suply_num')
Medications.Identifier item.sequence
Medications.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Medications.Quantity item.quantity
Medications.RefillNumber item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num')
Medications.Term item.productOrService
Medications.Units item.quantity