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Details

Type: Change Request
Resolution: Persuasive with Modification
Priority: Medium

Specification:

US Da Vinci CDex (FHIR)
Raised in Version:

1.0.0
Work Group:

Patient Care
Related Artifact(s):

Submit Attachment Operation
Grouping:
- Block-Vote-3
- EH-Review
Resolution Description:

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Clarify in request attachments and submit attachments documentation that when a claim is submitted by a provider an attachment request will be sent to the same provider.

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Clarify in request attachments and submit attachments documentation that when a claim is submitted by a provider an attachment request will be sent to the same provider.
Resolution Vote:
Eric Haas/Bob Dieterle: 8-0-3
Change Category:
Clarification
Change Impact:
Non-substantive

Description

In Anthem, there's a rule that the submitting provider for attachment must be the same as submitting provider on the claim/prior auth. Is this an industry-wide rule that should be declared in the spec, or is it independent.

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Activity

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Assignee:: Unassigned

Reporter:: Lloyd McKenzie

Watchers:: 2 Start watching this issue

Dates

Created:: 2022-05-04 03:11

Updated:: 2022-08-09 03:27

Resolved:: 2022-06-27 08:23

Vote Date:: 2022-07-11