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 / Kathleen Conner : 13-0-0
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Correction
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Non-compatible
Description
I believe the supportinInfo benefit payment status is the header level status and the one in item.adjudication is for the line level for a line level service or product. However, there are several supportingInfo[benefitpaymentstatus] allowed. Should that be?
Verify and add the following guidance
Add guidance that the supportingInfo[benefitpayementstatus] is the header level status and item.adjudication is line level
Also notes on Fields has 2 places item.adjudication[benefitpaymentstatus], but there should only be one.
- item.adjudication[benefitpaymentstatus]: in network or out of network payment status for the line
- .item.adjudication[benefitpaymentstatus]: place in network or out of network payment status here