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 Patient Cost Transparency (PCT) (FHIR)
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0.1.0 [deprecated]
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Financial Mgmt
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PCT Coverage
PCT Good Faith Estimate Institutional
PCT Good Faith Estimate Professional
Submit a GFE resource for the creation of an AEOB -
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Rick Geimer/Jeff Brown: 9-0-0
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Enhancement
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Non-substantive
Description
Need to define assumptions about what payers must verify in the GFE such as member/subscriber eligibility. If failed, would they immediately kick it back to the submitter, or accept it then go through the whole process and finally deny it?
This need was raised while discussing https://jira.hl7.org/browse/FHIR-34990
Attachments
Issue Links
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