The Risk Adjustment use case project participants and implementers had extensive discussions around the workflow around annotation and remediation post ballot. The updated design uses a new Risk Adjustment Data Exchange MeasureReport profile and uses the base FHIR $submit-data operation for Provider to submit clinical evaluation evidence data to Payer. For example, Provider may submit a patient's medical record such as a C-CDA document (using DocumentReference resource) to Payer as clinical evaluation evidence to close and/or invalidate coding gaps using this method. The Task profile included in the ballot will be removed and no longer used. The updates will also include updating the term from remediation to submitting data to payer across the IG where applicable, including narratives, examples, etc. After the Payer receives and processes the clinical evaluation evidence data submitted by the Provider, the data will then be used for the next coding gap evaluation and coding gap reports generation. If Provider identifies issues with the gaps shown on the new coding gap reports, they will use the data submission process again to submit proper data and documentation to address the issues.  Will ensure there is guidance added in the IG to state this.