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 Da Vinci PDex (FHIR)
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2.0.0-ballot
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Financial Mgmt
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PDex Prior Authorization
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12.13.1
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Bob Dieterle / Mark Scrimshire : 9-0-0
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Clarification
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Compatible, substantive
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Yes
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2.0.0-ballot
Description
Change:
By including the profile reference in Prior Authorization resources a Payer will be able to exclude, or include, Prior Authorization records, dependent upon the use case. For the PDex IG it would be a case of adding the “_profile” search parameter to include only Prior Authorization records.
To:
By setting the value of ExplanationOfBenefit.Use to "preauthorization" in Prior Authorization resources a Payer will be able to exclude, or include, Prior Authorization records, dependent upon the use case. For the PDex IG it would be a case of setting “use=preauthorization” as a search parameter to include only Prior Authorization records.
Attachments
Issue Links
- is duplicated by
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FHIR-37576 Change use of _profile to ExplanationOfBenefit.use to filter on "preauthorization"
- Duplicate