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  1. FHIR Specification Feedback
  2. FHIR-36885

Use ExplanationOfBenefit.use to differentiate prior authorizations

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US Da Vinci PDex (FHIR)
    • 2.0.0-ballot
    • Financial Mgmt
    • PDex Prior Authorization
    • PDex Prior Authorization
    • Hide

      Examples already use use = "preauthorization" 

      Setting profile to make use 1..1 Must Support and setting value to "preauthorization"

      Add Use as Search Parameter for Explanation of Benefit

      Show
      Examples already use use = "preauthorization"  Setting profile to make use 1..1 Must Support and setting value to "preauthorization" Add Use as Search Parameter for Explanation of Benefit
    • Bob Dieterle / Mark Scrimshire : 9-0-0
    • Clarification
    • Compatible, substantive
    • Yes
    • 2.0.0-ballot

    Description

      ExplanationOfBenefit resources that correspond to prior authorization could be identified (and searched for) using the `use` element set to `preauthorization`.

      This would avoid having to make meta.profile required and search on profiles, and have a clear way to separate prior authorization from claim data in the resource itself.

      Examples already use use = "preauthorization" 

      Setting profile to make use 1..1 Must Support and setting value to "preauthorization".

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            Unassigned Unassigned
            michelemottini Michele Mottini
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              Updated:
              Resolved: