Profile Summary

Profile Name Profile Link
Bundle Bundle Profile
MessageHeaderRequest Profile for MessageHeaderRequest
Claim - Dispense Profile Claim Dispense
Dispense Profile-Dispense
Prescription Profile for Prescription
Medication Profile for Medication
Patient Profile for Patient
Pharmacy Profile for Pharmacy
Coverage Profile for Coverage
Prior Coverage Profile for Prior Coverage
Clinical Issues Detected Profile for Detected Issue
Prior Claim Response Profile for Prior Adjudication Details
Claim - Professional Services ProfessionalServicesClaim
Parameters IN Request Daily Totals & Details Parameters:IN
Parameters OUT Daily Totals Response Parameters:OUT
Parameters IN Request ParametersIN
Parameters OUT Adjudication Details Response - Profile TBD* [ParametersOUT - TBD]
MessageHeaderResponse Profile for MessageHeaderResponse
ClaimResponse Profile Claim Response
Prior Payor Response Prior Claim Response Details
Clinical Issues Detected Profile for Detected Issue
Claim Response -Error Profile for Error Response



Under development

Extension Name Extension Profile Link
Extension - Medication Profile Ingredient Percentage Total Cost
Extension - Medication Profile Ingredient Quantity
Extension - Claim Rendered Dosage Instruction