Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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US CARIN Blue Button (FHIR)
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1.2.0
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Financial Mgmt
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C4BB ExplanationOfBenefit Oral
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Corey Spears / Rachel Foerster : 7-0-2
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Correction
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Non-compatible
Description
The Oral EoB Profile ExplanationOfBenefit.item.bodySite, subsite, and ExplanationOfBenefit.supportingInfo[additionalbodysite] are related.
Add guidance detailing the relationship, including that the bodysite should be used to the first occurrence of the body site data and that subsequent body sites, like additional tooth numbers, would appear in the supportingInfo[additionalbodysite].
Add guidance as to whether the supportingInfo[additionalbodysite] applies to all line items or need to be linked to particular line items.
You cannot have an additional body site without the body site. Add an Invariant that enforces that requirement.
There is no way to link ExplanationOfBenefit.item.subsite to particular body sites (be they in item.bodySite or a supportingInfo slice). Add guidance stating that the subsite applies to all body sites on the claim.