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  1. FHIR Specification Feedback
  2. FHIR-26760

Row 21: .payment.adjustmentReason is not to be used for adjudication results

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • US CARIN Blue Button (FHIR)
    • 0.1 [deprecated]
    • Financial Mgmt
    • (NA)
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      Explaining why the payment amount varies from the sum of the benefit amount was relocated to the EOB.adjudication section

       

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      Explaining why the payment amount varies from the sum of the benefit amount was relocated to the EOB.adjudication section  
    • Mark Roberts/Pat Taylor: 8-0-1
    • Correction
    • Compatible, substantive

    Description

      J.URL (CARIN%20Blue%20Button%20Framework_072219_BCBSA_11192019.pdf). Row 21: .payment.adjustmentReason is not to be used for adjudication results, it is for explaining why the payment amount varies from the sum of the benefit amounts on the adjudications.

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            Unassigned Unassigned
            pknapp Paul Knapp
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              Created:
              Updated:
              Resolved: