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  1. FHIR Specification Feedback
  2. FHIR-38771

Add note in overview that this IG does not address eligibility, prior authorization, or coordination of benefits

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci Patient Cost Transparency (PCT) (FHIR)
    • 0.1.0 [deprecated]
    • Financial Mgmt
    • Use Case and Actors
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      Will add the following to the Overview section on the home page after the 4th paragraph. 

      "It is also assumed that eligibility has already been identified prior to creating a GFE.

      This IG should be used in coordination and not in replacement for eligibility or prior authorization. Additionally, coordination of benefits is challenging and is not included in the first phase of this IG."

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      Will add the following to the Overview section on the home page after the 4th paragraph.  "It is also assumed that eligibility has already been identified prior to creating a GFE. This IG should be used in coordination and not in replacement for eligibility or prior authorization. Additionally, coordination of benefits is challenging and is not included in the first phase of this IG."
    • Rick Geimer/Paul Knapp: 9-0-1
    • Clarification
    • Non-substantive

    Description

      This IG should be used in coordination and not in replacement for eligibility or prior authorization. Additionally, coordination of benefits is challenging and is not included in the first phase of this IG. That should be made clear in the overview of use case definition. Some language needs to be added that if such capability is needed that it be addressed through the specific standards and capabilities that support it.

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            nussteja Aaron Nusstein
            corey_spears Corey Spears
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              Created:
              Updated:
              Resolved: