Details
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Change Request
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Resolution: Persuasive with Modification
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Highest
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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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Corey Spears / Rachel Foerster : 14-0-0
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Clarification
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Non-substantive
Description
Current Language: "Note: The patient below could be using a third-party web portal or provider web portal." Should this say "payer web portal"? It is critically important that both patients AND providers receive AEOBs, but the diagram on the next page just shows the patient getting the AEOB (and that is all the law requires). How is the AEOB going to be on the provider portal if the provider isn't sent the AEOB by the payer? Suggest combining this diagram with the next one to show AEOB being returned to patient AND the provider – it's not clear that the AEOB goes to both by separating this flow out through 2 workflow diagrams.
Attachments
Issue Links
- is voted on by
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BALLOT-26992 Negative - Celine Lefebvre : 2022-Jan-FHIR IG DAVINCI PCT R1 STU
- Withdrawn
- relates to
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FHIR-34951 Stronger language as to why Provider SHOULD also receive AEOB
- Published
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FHIR-35104 Advanced EOB Response to Provider(s) Must Be Optional
- Published