Details
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Change Request
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Resolution: Persuasive
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Medium
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US Da Vinci PAS (FHIR)
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current
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Financial Mgmt
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Formal Specification
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5.2.6
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Bob Dieterle / Jeff Brown : 9-0-1
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Clarification
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Non-substantive
Description
With the Da Vinci exception process, there will be some payers that submit the FHIR PAS Request Bundle directly to the Payer. What query (potentially with _include or _revinclude) would need to be run to make an inquiry on the response to serve the same function as the Claim Inquiry Operation and/or does it need to be an operation?
Request is to define what a provider doing straight FHIR for Prior Auth would need to do to inquire on a prior auth status
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