{
"resourceType": "Bundle",
"type": "collection",
"id": "bundle-priorauth-REQ-123456789",
"timestamp": "2026-04-10T11:00:00Z",
"entry": [{
"resource": {
"resourceType": "Patient",
"id": "P-987654",
"name": [
{
"family": "Doe",
"given": ["John"]
}
],
"gender": "male",
"birthDate": "1980-05-15",
"telecom": [
{
"system": "phone",
"value": "+1-404-555-0198"
},
{
"system": "email",
"value": "[email protected]"
}
],
"address": [
{
"line": ["123 Peachtree St", "Apt 4B"],
"city": "Atlanta",
"state": "GA",
"postalCode": "30303"
}
]
}
},
{
"resource": {
"resourceType": "Coverage",
"id": "coverage-M-55667788",
"status": "active",
"subscriberId": "M-55667788",
"payor": [
{
"display": "HealthCare Co"
}
],
"class": [
{
"type": {
"text": "group"
},
"value": "GRP-9900"
},
{
"type": {
"text": "plan"
},
"value": "HMO"
}
],
"beneficiary": {
"reference": "Patient/P-987654"
}
}
},
{
"resource": {
"resourceType": "Practitioner",
"id": "PR-112233",
"name": [
{
"text": "Dr. Jane Smith"
}
],
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1234567890"
}
]
}
},
{
"resource": {
"resourceType": "Organization",
"id": "facility-1",
"name": "Downtown Medical Clinic"
}
},
{
"resource": {
"resourceType": "Encounter",
"id": "ENC-445566",
"status": "finished",
"class": {
"code": "AMB"
},
"subject": {
"reference": "Patient/P-987654"
},
"period": {
"start": "2026-04-09"
}
}
},
{
"resource": {
"resourceType": "Condition",
"id": "cond-1",
"subject": {
"reference": "Patient/P-987654"
},
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10-cm",
"code": "M54.5",
"display": "Low back pain"
}
]
}
}
},
{
"resource": {
"resourceType": "ServiceRequest",
"id": "sr-1",
"status": "active",
"intent": "order",
"subject": {
"reference": "Patient/P-987654"
},
"code": {
"text": "MRI Lumbar Spine"
},
"authoredOn": "2026-04-10",
"requester": {
"reference": "Practitioner/PR-112233"
}
}
},
{
"resource": {
"resourceType": "Claim",
"id": "claim-REQ-123456789",
"status": "active",
"type": {
"coding": [
{
"code": "professional"
}
]
},
"use": "preauthorization",
"patient": {
"reference": "Patient/P-987654"
},
"provider": {
"reference": "Practitioner/PR-112233"
},
"insurer": {
"display": "HealthCare Co"
},
"priority": {
"coding": [
{
"code": "normal"
}
]
},
"insurance": [
{
"coverage": {
"reference": "Coverage/coverage-M-55667788"
}
}
],
"diagnosis": [
{
"diagnosisReference": {
"reference": "Condition/cond-1"
}
}
],
"item": [
{
"sequence": 1,
"productOrService": {
"coding": [
{
"system": "http://www.ama-assn.org/go/cpt",
"code": "99213"
}
]
}
}
]
}
}
]
}
Enables the transmission of both legacy-formatted data and FHIR-compliant resources directly to the PAS-Connect API endpoint, providing a flexible integration layer for organizations at any stage of digital maturity. The solution supports structured HL7 FHIR resources—such as Patient, Coverage, Claim, and Prior Authorization requests—while also accommodating non-FHIR payloads (e.g., X12, flat files, or proprietary formats) through intelligent transformation and mapping services.
PAS-Connect™ logic engine automatically generates ad hoc prior authorization notifications and letters by interpreting inbound, Da Vinci Prior Authorization Support (PAS)-aligned data in real time. Leveraging structured inputs delivered through FHIR and HL7 FHIR resources—such as Patient, Coverage, ServiceRequest, and Claim—the engine dynamically assembles context-aware communications tailored to each authorization scenario and payer-defined formats.
PAS-Connect™ seamlessly integrates with modern and legacy channels such as fax, EMR Direct messaging, and physical mail to accommodate varying levels of digital adoption across providers and payers. Intelligent routing logic determines the optimal delivery method based on recipient preferences, system capabilities, and compliance requirements, ensuring that every notification—whether it’s a request, status update, approval, denial, or additional information request—reaches its intended destination without delay.