Details
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Change Request
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Resolution: Not Persuasive
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Medium
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US Da Vinci PAS (FHIR)
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current
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Financial Mgmt
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Formal Specification
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Bob Dieterle / Rachael Forester : 16-0-1
Description
PAS is a vehicle for electronic prior authorization. In the prior authorization workflow, many payors have various turn around time reporting requirements. Similarly rules/laws put various notification requirements to the patient and to the requesting provider.
Can the PAS IG cover the various turn around time clocks that start/stop ticking at various points in the PAS workflow (and perhaps CRD/DTR if relevant) so that this does not become a point of contention in implementing PAS?
Similarly, does a ClaimResponse coming back to the provider side constitute as "notification" for the provider? How does PAS IG impact notification requirements? Can this be captured in the IG?
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