Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-35104

Advanced EOB Response to Provider(s) Must Be Optional

    XMLWordPrintableJSON

Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • US Da Vinci Patient Cost Transparency (PCT) (FHIR)
    • current
    • Financial Mgmt
    • STU
    • Patient Cost Transparency Implementation Guide Home Page
    • Hide

      As reviewed and agreed to by the community per ready to vote ticket: https://jira.hl7.org/browse/FHIR-34951

      Revisited 8/5 as part of a larger discussion on the fully revised Overview section. These edits were approved so this can be again noted ready for vote:

      To ensure the IG supports all potential flows of information, the IG supports an AEOB being sent from the payer to the provider, in addition to a FHIR-based approach for the required flow from the payer to the patient. In this way, the IG can support providers and payers as they work to develop and implement a flow of information that allows them to meet the legislative and future regulatory requirement as well as enable information sharing valuable to supporting patient care.

      Show
      As reviewed and agreed to by the community per ready to vote ticket:  https://jira.hl7.org/browse/FHIR-34951 Revisited 8/5 as part of a larger discussion on the fully revised Overview section. These edits were approved so this can be again noted ready for vote: To ensure the IG supports all potential flows of information, the IG supports an AEOB being sent from the payer to the provider, in addition to a FHIR-based approach for the required flow from the payer to the patient. In this way, the IG can support providers and payers as they work to develop and implement a flow of information that allows them to meet the legislative and future regulatory requirement as well as enable information sharing valuable to supporting patient care.
    • Corey Spears / Vanessa Candelora : 20-0-1
    • Clarification
    • Non-substantive

    Description

      Response to the provider(s) with full or partial contents of the Advanced
      EOB that goes to the member must be optional.

      Attachments

        Activity

          People

            Unassigned Unassigned
            langfosl Susan Langford
            Patricia Taylor, Sam Undine (Inactive), Susan Langford
            Watchers:
            5 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: