Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-37332

Need clarification on whether claims attachment submitter is same as claim submitter

    XMLWordPrintableJSON

Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci CDex (FHIR)
    • 1.0.0
    • Patient Care
    • Submit Attachment Operation
    • Hide

      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.

      Show
      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.
    • Eric Haas/Bob Dieterle: 8-0-3
    • Clarification
    • 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.

      Attachments

        Activity

          People

            Unassigned Unassigned
            lloyd Lloyd McKenzie
            Watchers:
            2 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: