Details
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Change Request
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Resolution: Persuasive
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Highest
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US CARIN Blue Button (FHIR)
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current
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Financial Mgmt
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C4BB ExplanationOfBenefit Professional NonClinician
C4BB Professional And Non Clinician Claim SubType Value Set
C4BB Professional And Non Clinician Claim Type Value Set -
7.20.5.29. ExplanationOfBenefit.type, 7.20.5.30. ExplanationOfBenefit.subType,
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Corey Spears / Jeff Brown: 9-0-0
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Correction
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Non-compatible
Description
The definition for C4BBExplanationOfBenefitProfessionalNonClinician ExplanationOfBenefit.type states "The category of claim, e.g. oral, pharmacy, vision, institutional, professional." However, the binding is to C4BB Professional And Non Clinician Claim Type (required), which only allows "professional". Vision EOB must use ExplanationOfBenefit.subtype to identify the EOB as vision (C4BB Professional And Non Clinician Claim SubType (required) contains only "vision"). This could cause confusion with implementers as it appears that "vision" would be stated as the .type, but actually must be sent as the .subtype.
If there is a reason for identifying 'vision' as a subtype, it should be made clear in 7.20.1.0.2 Notes on Fields and in the Comments for ExplanationOfBenefit.type.
If there is not a specific reason for 'vision' as a subtype, then 'vision' should be added to C4BB Professional And Non Clinician Claim Type (required) and removed from C4BB Professional And Non Clinician Claim SubType (required)
Attachments
Issue Links
- is voted on by
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BALLOT-27257 Affirmative - Scott M. Robertson : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted
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BALLOT-28169 Affirmative - Alan Abilla : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted
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BALLOT-28369 Affirmative - Walter Suarez : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted
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BALLOT-28371 Affirmative - Kevin Geminiuc : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted
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BALLOT-28373 Affirmative - Jamie Ferguson : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted
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BALLOT-28375 Affirmative - Elizabeth Newton : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted
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BALLOT-28377 Affirmative - Arthur Hermann : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted
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BALLOT-28379 Affirmative - Cathy Plattner : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted
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BALLOT-28381 Affirmative - Brian Pech : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted
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BALLOT-28383 Affirmative - Sandra Stuart : 2022-Jan-FHIR IG BLUEBUTTON R1 STU
- Balloted