Oracle Health Insurance Claims Adjudication and Pricing (3.21.3)

Developer Guide
Configuration Guide Developer Guide Installation Guide Operations Guide Security Guide System Administration

Developer Guide

    • Claims Transaction Repository
      • Repository Model
      • Financial Transaction Model
      • Reversal Transactions
      • Repository Configuration
      • Transaction Creation Scenarios
      • Claim Transaction Event Rules
      • Dynamic Logic Functions
      • Dynamic Logic Object Reference
      • Dynamic Logic Conditions
      • Repository Base Views
      • Seed
      • Examples
        • Claim Transaction Versioning Example
        • Creation of a Transaction from a Claim Example
        • Repository Configuration Approach Example
      • Claims Out Integration Point
      • CTR to Claim Out Mappings
      • Free Format Claim Transaction Event Integration Point (REST)
    • Dynamic Logic
      • Introduction
      • Validations
      • Conditions
      • Functions
      • Parameters
      • Reference Sheets
      • Call Out to External Service
      • Predefined Methods
      • Dates
      • Groovy Examples
      • Object Model
    • Integration
      • HTTP API/IP Concepts
        • Concepts
        • Context Root
        • Content Negotiation
        • Pagination
        • Property Representation (GET)
        • Property Representation and Handling (PUT, POST, PATCH)
        • Response Messages
        • Long Running Operations through REST
        • Metadata (OpenAPI specification)
        • Security Overview
        • HTTP API Caching
        • HTTP API / IP Logging
      • HTTP API
        • Overview
        • HTTP API Resources
        • Query API
        • Default Resource Representation (GET)
        • Influence Resource Representation
        • Data Access Restrictions
          • Data Access Restriction Concept
          • Address Contact Detail Restriction
          • Data Access Group Restriction
          • Non Address Contact Detail Restriction
          • Person Details Restriction
          • Relation Identifier Access Restriction
          • Diagnosis Restriction
          • Procedure Restriction
          • Provider Identifier Access Restriction
        • HTTP API Operations
          • Operations Overview and Concepts
          • HTTP API GET
          • HTTP API POST
          • HTTP API PUT
          • HTTP API PATCH
          • HTTP API DELETE
      • General
        • Introduction
        • Generic Claims Resource Behaviour
        • Web Service Locations and Modules names
        • Claim Status and Technical Error Notification
      • Operations
        • Back to Change
        • Resolve Pend Reasons
        • Submit a Claim for Processing
        • Claims Advice Service
        • Un-finalize
        • Remove from Financial Transaction Set
        • Undo Line Replacements
        • Unlock Lines
        • Update Skip Tags
        • Cancel
        • HTTP Error Messages
        • Integration Point Authorization
        • File Based Import
      • Integration Points
        • System Administration
          • Activity
          • Base View
          • Control Task Processing
          • Current Properties
          • Data File Set
          • Data Set Operations - Config Migration
          • Data Replication of Persons
          • Data Exchange
          • Note
          • Objects Integration Point
          • Outbound Integration Points
          • Property Definitions
          • Provisioning
          • Reference Sheet Line
          • Reference Sheet Line API
          • Flex Code API
          • Configuration Migration Integration Point
          • User Information
          • Extract Integration Point
        • Claims
          • Claim Callout
          • Claim Event
          • Claims In
          • Claims Pre-finalized Out
          • Claims Reprocessing
          • Claims Out
          • Claims Update
          • Pend Resolution
        • Limits
          • Counters
          • Product Service Consumption
        • Diagnosis and Procedures
          • Diagnosis
          • Procedures
        • Providers
          • Providers
          • Draft Provider Pricing Clause
          • Fee Schedule
          • Retrieve Contracted Providers
        • Products
          • Product Benefit Specification
          • Product Building Blocks
        • Members and Enrollments
          • Relations
          • Enrollment Status Callout
          • Insurable Object
        • Financial
          • Financial Hold
          • Financial Message
          • Financial Transaction Process Data
          • Payment Status Callout
          • Registration
          • Resend Financial Message
          • Unsend Financial Message
    • Base Views
      • Overview
      • Base Views Details
      • Security
    • Operational Reporting Views
      • Reporting Views Overview
      • Base Views
      • Functional Views
    • UI Patterns
      • Template Overview
      • Search Object - List View
      • Search Object - Table View
      • View and Edit - List
      • View and Edit Recursive
      • Widgets
        • Widgets Overview
        • Data Table
        • Pie Charts
      • Presentation Configuration
        • Conditional Loading
        • How Tos
      • References
        • Properties
        • Quick Search
        • Advanced Search
        • Filter
        • Sort
        • Results
        • Region
        • Tab
        • Table
        • Label
        • Pagination
        • Condition
        • Links
    • Seed Data
      • Overview Seed Data
Developer Guide
  • Configuration Guide
  • Developer Guide
  • Installation Guide
  • Operations Guide
  • Security Guide
  • System Administration
  • Developer Guide
  • Integration
  • HTTP API
  • Data Access Restrictions
  • Procedure Restriction

Procedure Restriction

See the User Access Guide for details of this type of access restriction. The implementation in the HTTP API is exactly the same as the Diagnosis restriction. Refer to the Diagnosis Restriction section, mutatis mutandis.

Diagnosis Restriction Provider Identifier Access Restriction

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