Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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US Da Vinci Patient Cost Transparency (PCT) (FHIR)
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0.1.0 [deprecated]
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Financial Mgmt
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STU
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Use Case and Actors
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2.2
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Vanessa Candelora/Celine lefebvre. 9-0-0
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Clarification
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Non-substantive
Description
Modify the definition of the Advanced EOB Proposed Definition as follows: The Consolidated Appropriations Act includes provisions whereby health plans, based on charges, billing and diagnostic codes provided by the provider(s), provide an Advanced EOB for scheduled services to give patients transparency into which providers are expected to provide treatment, the network status of providers, good faith estimates of cost, cost-sharing and progress towards meeting deductibles and out-of-pocket maximums, as well as whether a service is subject to medical management and relevant disclaimers of estimates; for example a disclaimer that the information provided in the notification is only an estimate based on the items and services reasonably expected, at the time of scheduling and is subject to change. To ensure compliance, Implementers should reference the CAA and associated regulations.
Attachments
Issue Links
- has to be finished together with
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FHIR-34937 References to CAA
- Published
- is voted on by
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BALLOT-28935 Negative - Lenel James : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
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BALLOT-27039 Negative - Michael Gould : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Balloted