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  1. FHIR Specification Feedback
  2. FHIR-26719

Define Provider Network Contracting Status in the adjudication section of the EOB Resource

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    • Icon: Change Request Change Request
    • Resolution: Unresolved
    • Icon: Highest Highest
    • US CARIN Blue Button (FHIR)
    • 0.1 [deprecated]
    • Financial Mgmt
    • (NA)
    • NEW

    Description

      H.Resources (Claim / ClaimResponse / ExplanationOfBenefits). I.HTML Page Names (https://www.hl7.org/fhir/claim.html
      https://www.hl7.org/fhir/claimresponse.html

      https://www.hl7.org/fhir/explanationofbenefit.html). Description: Indicates that the Provider has a contract with the Plan (regardless of the network) as of the effective date of service or admission. Values are contracted | non-contracted.
      The data element resides in all claims.

      Existing Wording:

      The IG defines the Provider Network Contracting Status for several types of providers; i.e., billing, attending, refering, performing, PCP, site as supporting.info

      Proposed Wording:

      Define these data elements within the adjudication section

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            Unassigned Unassigned
            taylorpatriciab Patricia Taylor
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            Dates

              Created:
              Updated: