Details
-
Change Request
-
Resolution: Not Persuasive
-
Medium
-
US Da Vinci PAS (FHIR)
-
1.2.0-ballot [deprecated]
-
Financial Mgmt
-
PAS Claim Inquiry Response
PAS Claim Response -
-
Bob Dieterle / Rachael Foerster : 8-0-0
Description
The PAS Claim Response is making use of the PASCommunicationRequest Profile.
The PAS Claim Inquiry Response is just using the base FHIR R4 CommunicationRequest profile.
This is pulling forward one of the more frustrating aspects of the 278 Inquiry where the payer is not able to actually request additional information on a 278 Inquiry response.
It appears that the base CommunicationRequest might be able to support a solicited 275, but that really comes down to where the attachment control number is supposed to be returned on this profile. See related issue (https://jira.hl7.org/browse/FHIR-36097).
In any event, if the data needs to be translated to the 278I, the identifier for this profile would have no where to go and be lost in translation since the 278I does not support PWK and returning LOINC codes in the HI segment. So continuing to use the Inquiry as the vehicle for checking on status where a payer needs to request additional documentation will continue to suffer the same shortfalls that are experienced today when attempting to utilize the scheme that is laid out by X12.
These profiles and what is returned on the Inquiry needs to be identical between the ClaimResponse and the Claim Inquiry Response. Continuing to utilize the 278 scheme in the basis for this concept causes confusion, at best, and will not function, at worst.
Attachments
Issue Links
- has to be finished together with
-
FHIR-36097 PAS CommunicationRequest does not callout Attachment Control Number
- Published
- is voted on by
-
BALLOT-32459 Negative - Christopher Schaut : 2022-May-FHIR IG PAS R2 STU
- Withdrawn
-
BALLOT-32643 Negative - Daniel Rutz : 2022-May-FHIR IG PAS R2 STU
- Withdrawn
-
BALLOT-32666 Negative - Thanos Tsiolis : 2022-May-FHIR IG PAS R2 STU
- Withdrawn
-
BALLOT-32689 Negative - Chris Courville : 2022-May-FHIR IG PAS R2 STU
- Withdrawn
-
BALLOT-32758 Negative - Michael Clifton : 2022-May-FHIR IG PAS R2 STU
- Withdrawn
-
BALLOT-32781 Negative - David Sundaram-Stukel : 2022-May-FHIR IG PAS R2 STU
- Withdrawn
-
BALLOT-32827 Negative - Amit Popat : 2022-May-FHIR IG PAS R2 STU
- Withdrawn
-
BALLOT-32850 Negative - Cooper Thompson : 2022-May-FHIR IG PAS R2 STU
- Withdrawn
-
BALLOT-32873 Negative - Danielle Friend : 2022-May-FHIR IG PAS R2 STU
- Withdrawn
-
BALLOT-32712 Negative - Peter DeVault : 2022-May-FHIR IG PAS R2 STU
- Balloted
-
BALLOT-32735 Negative - Daniel Zhang : 2022-May-FHIR IG PAS R2 STU
- Balloted
-
BALLOT-32804 Negative - Isaac Vetter : 2022-May-FHIR IG PAS R2 STU
- Balloted
-
BALLOT-32896 Negative - Vassil Peytchev : 2022-May-FHIR IG PAS R2 STU
- Balloted
- relates to
-
FHIR-36097 PAS CommunicationRequest does not callout Attachment Control Number
- Published
- mentioned in
-
Page Loading...