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  1. FHIR Specification Feedback
  2. FHIR-37727

Change performing provider terms to rendering provider

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US CARIN Blue Button (FHIR)
    • current
    • Financial Mgmt
    • C4BB Claim Pharmacy CareTeam Role Value Set
      C4BB ExplanationOfBenefit Oral
      C4BB ExplanationOfBenefit Professional NonClinician
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      Change all reference of "performing" profile to "rendering" provider in order to align with claims submission standards and PCT.

      This requires changes to:

      • all non-base explanationOfBenefit profiles (outpatient institutional, professional, oral, and pharmacy)
        • slices of performingnetworkcontractingstatus changed to renderingnetworkcontractingstatus
      • CodeSystem C4BBClaimCareTeamRole
        • change all "performing" term instances to "rendering"

      • CodeSystem C4BBSupportingInfoType
      • change all "performing" term instances to "rendering"
      • Update the following ValueSets (changing performing" term instances to "rendering") 
        • C4BBClaimInstitutionalCareTeamRole

        • C4BBClaimProfessionalAndNonClinicianCareTeamRole
      • Update the invariants accordingly:
        • EOB-inst-careTeam-organization
        • EOB-careteam-qualification
        • EOB-pharm-careTeam-organization

        • EOB-prof-careTeam-practitioner * Change all examples with references to performing to rendering
      • Change all notes referring to performing to rendering
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      Change all reference of "performing" profile to "rendering" provider in order to align with claims submission standards and PCT. This requires changes to: all non-base explanationOfBenefit profiles (outpatient institutional, professional, oral, and pharmacy) slices of performingnetworkcontractingstatus changed to renderingnetworkcontractingstatus CodeSystem C4BBClaimCareTeamRole change all "performing" term instances to "rendering" CodeSystem C4BBSupportingInfoType change all "performing" term instances to "rendering" Update the following ValueSets (changing performing" term instances to "rendering")  C4BBClaimInstitutionalCareTeamRole C4BBClaimProfessionalAndNonClinicianCareTeamRole Update the invariants accordingly: EOB-inst-careTeam-organization EOB-careteam-qualification EOB-pharm-careTeam-organization EOB-prof-careTeam-practitioner * Change all examples with references to performing to rendering Change all notes referring to performing to rendering
    • Corey Spears / Kathleen Conner : 13-0-0
    • Correction
    • Non-compatible

    Description

      Performing and rendering are synonymous, though rendering is the term used in claims submission standards. Change the code in care team role to rendering. 

      This will require a number of changes to references, language, slicing codes, and slice name (e.g. performingnetworkcontractingstatus)

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            Unassigned Unassigned
            corey_spears Corey Spears
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              Updated:
              Resolved: