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  1. FHIR Specification Feedback
  2. FHIR-40412

Add a statement that matching requirements are defined in the 278 I transaction

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US Da Vinci PAS (FHIR)
    • current
    • Financial Mgmt
    • Formal Specification
    • 5.2.6
    • Hide

      We will add statements that indicate that the matching rules are specified in the X12 278 Inquiry specification.

      Show
      We will add statements that indicate that the matching rules are specified in the X12 278 Inquiry specification.
    • Bob Dieterle / Jeff Brown : 9-0-1
    • Clarification
    • Non-substantive

    Description

      Current
      "The parameter to the inquiry operation is a PAS Inquiry Request Bundle which has a Claim Inquiry profile instance as well as any referenced resources if needed. The operation is basically a query-by-example where the incoming Claim resource provides elements that will match existing prior authorizations. Any authorizations that match the incoming resource elements will be returned by the operation."

      Recommended
      The parameter to the inquiry operation is a PAS Inquiry Request Bundle which has a Claim Inquiry profile instance as well as any referenced resources if needed. The operation is basically a query-by-example where the incoming Claim resource provides elements that will match existing prior authorizations *as defined in the 278 I*. Any authorizations that match the incoming resource elements will be returned by the operation.

      Version should be specified

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            Unassigned Unassigned
            lmichaelsen Linda Michaelsen
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              Created:
              Updated:
              Resolved: