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  1. FHIR Specification Feedback
  2. FHIR-36115

PA Support Additional Doc Rqst Workflow Diagram shows 278 PWK on Inquiry

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Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US Da Vinci PAS (FHIR)
    • 1.2.0-ballot [deprecated]
    • Financial Mgmt
    • Use Cases and Overview
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    • Bob Dieterle / Rachael Foerster : 10-0-1
    • Clarification
    • Non-substantive

    Description

      This diagram shows a purple line coming back on the Inquiry response:
      http://hl7.org/fhir/us/davinci-pas/2022May/pas-additionaldoc-workflow.png

      According to the legend, this signifies a 278 PWK request. This is fine for the PA request submission. However, the 278 Inquiry does not support a PWK response and the PAS Claim Inquiry Response appears to be in the same bucket. See related issue (https://jira.hl7.org/browse/FHIR-36114) for more information.

      It is not clear how a payer is supposed to return this information to the submitter when the specified information is not available.

      Attachments

        1. PAS Addl Documemtation Workflow V7.jpg
          PAS Addl Documemtation Workflow V7.jpg
          310 kB

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            Unassigned Unassigned
            abarbieri Andrew Barbieri
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            Dates

              Created:
              Updated:
              Resolved: