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  1. FHIR Specification Feedback
  2. FHIR-27574

Confused on use of CDex in the case of supplier not payer

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    Details

    • Type: Change Request
    • Status: Applied (View Workflow)
    • Priority: Highest
    • Resolution: Persuasive with Modification
    • Specification:
      US Post Acute Orders (FHIR)
    • Raised in Version:
      0.1.1
    • Work Group:
      Orders & Observations
    • Related Page(s):
      (NA)
    • Related Section(s):
      2.1
    • Grouping:
    • Resolution Description:
      Hide

      CDex is intended for both Provider to Payer and Provider to Provider exchanges.  The use of CDex in this IG is to have the supplier (Rendering Provider) use CDex to ask the ordering provider for documentation when the information sent with the order is missing or incomplete.  

       

      Update documentation in IG to clarify the use of CDex.

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      CDex is intended for both Provider to Payer and Provider to Provider exchanges.  The use of CDex in this IG is to have the supplier (Rendering Provider) use CDex to ask the ordering provider for documentation when the information sent with the order is missing or incomplete.     Update documentation in IG to clarify the use of CDex.
    • Resolution Vote:
      Bob Dieterle / Vassil Peytchev: 8-0-0
    • Change Category:
      Clarification
    • Change Impact:
      Non-substantive

      Description

      CDex is to support the exchange of clinical information between providers and payers so if CDEX is in scope, so we are still unclear if by "supplier" you are trying to capture both traditional payers and other? Does this mean supplier uses CDex to ask ordering provider for missing info? Or, payer uses CDex to ask for missing info – but does that need to get routed to supplier than back to ordering physician? That would be cumbersome. Again, it needs to be clear that payer is calling the shots on what documentation is needed, and most likely the payer is going to initiate additional documentation request – unless supplier can easily see something is missing from initial order bundle.

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              Assignee:
              Unassigned Unassigned
              Reporter:
              celine_lefebvre Celine Lefebvre
              Request in-person:
              Celine Lefebvre
              Watchers:
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