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 CRD (FHIR)
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1.1.0-ballot [deprecated]
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Financial Mgmt
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STU
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CRD IG Home Page
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Bob Dieterle / Chris Cioffi : 12-0-0
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Clarification
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Non-substantive
Description
This framing is not fair. Physicians have asked payers to provide their PA criteria only to be told it's proprietary. Yet it's "providers who fail to adhere to payer or coverage expectations"? From our findings "Failure of payers to disclose transparent prior authorization requirements has resulted in 34% of physicians reporting that PA has led to a serious adverse event for a patient in their care." Suggest revising.
Attachments
Issue Links
- is voted on by
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BALLOT-32487 Negative - Celine Lefebvre : 2022-May-FHIR IG COVREQDISC R2 STU
- Balloted
- mentioned in
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