Details
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Change Request
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Resolution: Not Persuasive
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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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Technical Background
Use Cases and Overview -
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Bob Dieterle / Chris Cioffi : 12-0-0
Description
The workflow described assumes there are benefits for the covered service, especially when prior authorization is not required. To address this, the workflow should start with Benefits Determination as this would be necessary prior to determining what the coverage requirements are. This is the case for some specialty providers services, such as dietitians, depending on the insurance plan, as not all plans offer benefits for nutrition counseling.
Attachments
Issue Links
- is voted on by
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BALLOT-32564 Negative - Becky Gradl : 2022-May-FHIR IG COVREQDISC R2 STU
- Balloted
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BALLOT-33802 Negative - Ryan Baechler : 2022-May-FHIR IG COVREQDISC R2 STU
- Balloted
- mentioned in
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