Details
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Change Request
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Resolution: Persuasive
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Medium
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US Da Vinci HRex (FHIR)
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current
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Clinical Interoperability Council
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(NA)
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Bob Dieterle / Jay Lyle : 13-0-0
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Enhancement
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Compatible, substantive
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Yes
Description
Both CRD and DTR have a need to be able to create an "unsolicited" prior authorization that captures the details of what's been authorized, including:
- the billing code(s) authorized
- dollar amounts authorized
- modifiers authorized
- quantities authorized
- authorization number to quote
The profile should be aligned with the PAS ClaimResponse but should be much simpler, only mandating the key elements that a provider's admin staff would need to know in order to subsequently submit a successful claim.