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  1. FHIR Specification Feedback
  2. FHIR-28863

Is beneficiary coverage cost really minimally necessary?

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    • Type: Change Request
    • Status: Triaged (View Workflow)
    • Resolution: Unresolved

      Description

      Is beneficiary coverage cost really minimally necessary? Minimum necessary requirements would apply, so I guess as far as the beneficiary cost info, it might depend on how the old payer defines minimum necessary for care coordination (or whatever health care operation they’re using to justify the exchange). Could lead to price fixing/anti trust concerns.

      Existing Wording:

      Coverage.costToBeneficiary.type

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              Reporter:
              celine_lefebvre Celine Lefebvre
              Request in-person:
              Celine Lefebvre
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                Updated: