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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • US Da Vinci CRD (FHIR)
    • 1.1.0-ballot [deprecated]
    • Financial Mgmt
    • Use Cases and Overview
    • 2.3
    • Hide

      Will change "By requesting information from the EMR directly, a CRD Service can avoid interrupting provider workflow with information about coverage requirements that have already been met. This is expected to be done in all cases where it is possible."

      to

      "By requesting additional information directly from the EMR, a CRD Service can determine what documentation already exists and what requirements already exist and thus provide the most accurate information possible before providing cards that suggest additional documentation is necessary or prior authorization needs to be requested.  CRD Services should always attempt to gather what information they can automatically before providing responses that might require human action, such as completing a Questionnaire or launching DTR."

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      Will change "By requesting information from the EMR directly, a CRD Service can avoid interrupting provider workflow with information about coverage requirements that have already been met. This is expected to be done in all cases where it is possible." to "By requesting additional information directly from the EMR, a CRD Service can determine what documentation already exists and what requirements already exist and thus provide the most accurate information possible before providing cards that suggest additional documentation is necessary or prior authorization needs to be requested.  CRD Services should always attempt to gather what information they can automatically before providing responses that might require human action, such as completing a Questionnaire or launching DTR."
    • Bob Dieterle / Chris Cioffi : 8-0-0
    • Clarification
    • Non-substantive

    Description

      This note is unclear. "By requesting information from the EMR directly, a CRD Service can avoid interrupting provider workflow with information about coverage requirements that have already been met. This is expected to be done in all cases where it is possible." Checking whether requirements have been met would go beyond the scope of requirements discovery? Is this supposed to mean whether the document requirements are met or not? Please clarify.

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            celine_lefebvre Celine Lefebvre
            Celine Lefebvre
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              Created:
              Updated:
              Resolved: