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  1. FHIR Specification Feedback
  2. FHIR-26723

Description: Indicates the in network or out of network payment status of the claim

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    Details

    • Type: Change Request
    • Status: Published (View Workflow)
    • Priority: Highest
    • Resolution: Persuasive with Modification
    • Specification:
      US CARIN Blue Button (FHIR)
    • Raised in Version:
      0.1
    • Work Group:
      Financial Mgmt
    • Outstanding Negatives:
      Withdrawn
    • Related Page(s):
      (NA)
    • Related Section(s):
      NEW
    • Grouping:
    • Resolution Description:
      Hide

      The definition of the Value Set and associated Code System will be resolved when FHIR-27002 is completed  

      Show
      The definition of the Value Set and associated Code System will be resolved when FHIR-27002 is completed  
    • Resolution Vote:
      Pat Taylor/Mark Roberts: 24-0-2
    • Change Category:
      Enhancement
    • Change Impact:
      Non-substantive

      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 the in network or out of network payment status of the claim.
      Values are in network | out of network | other.
      The data element resides in all claims.

      Existing Wording:

      The IG defines benefit payment status as supporting.info

      Proposed Wording:

      Define benefit payment status within the adjudication section

        Attachments

          Issue Links

          is voted on by

          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-12253 Affirmative - Lenel James : 2020-Feb-BLUEBUTTON R1 STU

          • Withdrawn
          relates to

          Change Request - A request for a change that is more than a simple Technical Correction to one of HL7's specifications FHIR-25630 Essentially all the CARIN code systems have concepts with no definitions

          • Medium - Has the potential to affect progress.
          • Published

          Change Request - A request for a change that is more than a simple Technical Correction to one of HL7's specifications FHIR-27002 Replace CARIN Blue Button Adjudication Benefit Payment Status Category Value Set with Payer Benefit Payment Status Value Set

          • Highest - This problem will block progress.
          • Published

            Activity

              People

              Assignee:
              Unassigned Unassigned
              Reporter:
              lenel.james Lenel James
              Watchers:
              1 Start watching this issue

                Dates

                Created:
                Updated:
                Resolved:
                Vote Date: