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
Request Daily Totals & Adjudication Details Parameters:IN
Daily Totals Response Parameters:OUT
Adjudication Details Response [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
Reversal Request,Parameters IN Reveral Parameters:IN
Reversal Response, Parameters OUT Reversal Parameters: OUT



Under development

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