Details
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Change Request
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Resolution: Not Persuasive with Modification
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Medium
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US CARIN Blue Button (FHIR)
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current
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Financial Mgmt
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C4BB Explanation Of Benefit
C4BB ExplanationOfBenefit Professional NonClinician -
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Corey Spears / Mary Kay McDaniel : 13-0-2
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Clarification
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Non-substantive
Description
US Realm claims and EOBs are supposed to use the CMS Place of Service Code Set. I recommend we increase the terminology binding conformance level for ExplanationOfBenefit.item.location and ExplanationOfBenefit.addItem.location from example to extensible (or perhaps even required), and change the value set to CMSPlaceofServiceCodes
Currently the C4BB ExplanationOfBenefit Professional NonClinician profile is inconsistent with our other EOB profiles because it has ExplanationOfBenefit.item.location conformance of required and is bound to the value set linked above. All of our EOB profile location element bindings should be consistent.