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  1. FHIR Specification Feedback
  2. FHIR-40812

Change AEOB adjudication[adjustmentreason] binding to adjustment reason codes

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US Da Vinci Patient Cost Transparency (PCT) (FHIR)
    • 1.0.0
    • Financial Mgmt
    • PCT Advanced EOB
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      Change the ExplanationOfBenefit.item.adjudication[adjustmentreason].reason and ExplanationOfBenefit.adjudication[adjustmentreason].reason binding to the Adjustment Reason VS

      (http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjustmentReasonVS)

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      Change the ExplanationOfBenefit.item.adjudication [adjustmentreason] .reason and ExplanationOfBenefit.adjudication [adjustmentreason] .reason binding to the Adjustment Reason VS ( http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjustmentReasonVS )
    • Corey Spears / Paul Knapp : 9-0-0
    • Correction
    • Non-compatible

    Description

      The AEOB ExplanationOfBenefit.adjudication[adjustmentreason] and ExplanationOfBenefit.item.adjudication[adjustmentreason] currently have a binding to the Payer Benefit Payment Status VS.

      Change this binding to the Adjustment Reason VS (http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjustmentReasonVS). 

      This was previously voted on in FHIR-34955, but did not make it in to the specification.

       

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            corey_spears Corey Spears
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