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  1. FHIR Specification Feedback
  2. FHIR-33996

Add a code to the C4BB Adjudication value set for amount paid by member from their HSA account

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    • Type: Change Request
    • Status: Resolved - change required (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive with Modification
    • Specification:
      US CARIN Blue Button (FHIR)
    • Raised in Version:
      1.1.0
    • Work Group:
      Financial Mgmt
    • Related Artifact(s):
      C4BB AdjudicationVS
    • Resolution Description:
      Hide

      Add codes to the adjudication value set and code system

       
      Code: paidbypatientcash
      Display: "Paid by patient - cash"
      Definition: "The amount paid by the patient at the point of service using cash, check, or other personal account."
       
      Code: paidbypatientother
      Display: "Paid by patient - other"
      Definition: "The amount paid by the patient using another method like HSA, HRA, or another means other than by cash, check, or other personal account."
       

      Show
      Add codes to the adjudication value set and code system   Code: paidbypatientcash Display: "Paid by patient - cash" Definition: "The amount paid by the patient at the point of service using cash, check, or other personal account."   Code: paidbypatientother Display: "Paid by patient - other" Definition: "The amount paid by the patient using another method like HSA, HRA, or another means other than by cash, check, or other personal account."  
    • Resolution Vote:
      Pat Taylor / Corey Spears: 17-0-0
    • Change Category:
      Enhancement
    • Change Impact:
      Compatible, substantive
    • Pre Applied:
      Yes
    • Applied for Version:
      current

      Description

      At Anthem a requirement came up to make available the amounts a member paid against a claim (and a claim item) from their HSA account, so add a code to the value set to represent that.

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            Assignee:
            Unassigned Unassigned
            Reporter:
            michelemottini Michele Mottini
            Watchers:
            3 Start watching this issue

              Dates

              Created:
              Updated:
              Resolved:
              Vote Date: