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  1. FHIR Specification Feedback
  2. FHIR-36586

requirements needs to be explicitly communicated

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • US Da Vinci PAS (FHIR)
    • 1.2.0-ballot [deprecated]
    • Financial Mgmt
    • STU
    • Use Cases and Overview
    • 2.3.7
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      We will add the following sentence:

      NOTE: A payer can request information in a number of means but SHALL explicitly communicate the method by which the information will be provided to the provider using the CommunicationRequest.method element.

      to Section 2.3.7, right after it mentions the request for additional information.

      We will also change the CommunicationRequest.medium binding to use a new extensible binding to a value set that incorporates the existing X12 codes plus the new methods that we discuss in the guide.

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      We will add the following sentence: NOTE: A payer can request information in a number of means but SHALL explicitly communicate the method by which the information will be provided to the provider using the CommunicationRequest.method element. to Section 2.3.7, right after it mentions the request for additional information. We will also change the CommunicationRequest.medium binding to use a new extensible binding to a value set that incorporates the existing X12 codes plus the new methods that we discuss in the guide.
    • Bob Dieterle / Jeff Brown : 8-0-0
    • Clarification
    • Non-substantive

    Description

      There should be a requirement on the payer that there be explicit information to the provider on what exactly they need to do in the case where additional information is needed to complete the PA. So "payer 'can' request information in a number of means but MUST explicitly communicate those requirements to the provider to be conformant with this IG"

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            celine_lefebvre Celine Lefebvre
            Celine Lefebvre
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