Details
-
Change Request
-
Resolution: Persuasive with Modification
-
Medium
-
US Da Vinci Patient Cost Transparency (PCT) (FHIR)
-
current
-
Financial Mgmt
-
Formal Specification
-
-
Rick Geimer/Paul Knapp: 9-0-1
-
Clarification
-
Non-substantive
Description
Patients need additional context to understand the AEOB, especially in cases where they are getting cost estimates for several care options or a provider has submitted an updated GFE.
I want both a per-claim text field and "encounter" level text field where a provider can submit explanatory text that will be displayed to the patient when they are viewing the AEOB.
Example 1: A provider is offering both a surgical and a drug therapy based option to the patient. The provider would be able to add text such as "Surgical care option" and "Drug therapy option" to the GFE so that the patient could easy see what was intended without having to understand different CPT codes.
Example 2: A provider added services to a previously submitted GFE, they would be able to say "Added physical therapist on Sep 18, ignore estimates submitted on Sep 17".
Adding descriptions would be OPTIONAL for the providers, but payers SHALL pass that text along to the patient, without modification other than formatting.
We may wish to limit the allowed length of the text to some reasonable amount to limit impact on payer system storage.
Attachments
Issue Links
- mentioned in
-
Page Loading...