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  1. FHIR Specification Feedback
  2. FHIR-34918

Modify bindings for AEOB profile claim.type, claim.subtype

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci Patient Cost Transparency (PCT) (FHIR)
    • 0.1.0 [deprecated]
    • Financial Mgmt
    • STU
    • (NA)
    • 7
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      After reviewing the data elements for the AEOB with a desire not to duplicate elements in the referenced GFE, agree we will not split into separate profiles, but will instead bind type to a VS with institutional and professional and make it must support. Also decided that we do not need subType. 

       

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      After reviewing the data elements for the AEOB with a desire not to duplicate elements in the referenced GFE, agree we will not split into separate profiles, but will instead bind type to a VS with institutional and professional and make it must support. Also decided that we do not need subType.   
    • Rick Geimer/Paul Knapp: 9-0-1
    • Enhancement
    • Compatible, substantive

    Description

      Assuming the AEOB is split into institutional and professional profiles,

      On the Institutional Profile: 

      Modify binding for eob.type to be required.  Mark as Must support.

      Change binding for the Institutional profile  eob.subtype to the value set C4BB Institutional Claim SubType with binding strength required.   Mark as Must Support.  Modify cardinality to be 1..1

      On the Professional Profile:

      Modify binding for professional profile eob.type to be required.  Mark as Must Support

      Change binding for eob.subType to the value set C4BB Professional And NonClinician Claim Type with binding strength required.  Mark as Must Support.  Modify cardinality to be 1..1

       

       

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            rgeimer Rick Geimer
            taylorpatriciab Patricia Taylor
            Patricia Taylor
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              Updated:
              Resolved: