Details
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Change Request
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Resolution: Unresolved
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Highest
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US CARIN Blue Button (FHIR)
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0.1 [deprecated]
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Financial Mgmt
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(NA)
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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: Describes the various amount fields used when payers receive and adjudicate a claim.
Values are submitted | eligible | deductible |coinsurance | copay | noncovered | priorpayerpaid | benefit | paidbypatient | paidtoprovider | paidtopatient | memberliability | discount | drugcost
The data element resides in all claims.
Existing Wording:
The IG defines the Adjudication Amount Category as supporting.info
Proposed Wording:
Define these data elements within the adjudication section
Attachments
Issue Links
- is voted on by
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BALLOT-12251 Affirmative - Lenel James : 2020-Feb-BLUEBUTTON R1 STU
- Closed