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  1. FHIR Specification Feedback
  2. FHIR-41177

Capturing adjudication (determination) date for pre-auth

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci PDex (FHIR)
    • 2.0.0-ballot
    • Financial Mgmt
    • PDex Prior Authorization
    • Hide

      Add item.extension elements from Da Vinci PAS ClaimResponse:

      • itemTraceNumber
      • preAuthIssueDate
      • preAuthPeriod
      • PreviousAuthorizationNumber
      • administrationReferenceNumber
      • authorizedItemDetail
      • authorizedProvider
      Show
      Add item.extension elements from Da Vinci PAS ClaimResponse: itemTraceNumber preAuthIssueDate preAuthPeriod PreviousAuthorizationNumber administrationReferenceNumber authorizedItemDetail authorizedProvider
    • Mark Scrimshire / Rachael Foerster : 10-0-2
    • Correction
    • Compatible, substantive
    • Yes
    • 2.0.0-ballot

    Description

      For preauthorization use, we need to capture the date pre-auth was submitted & also the date the determination was made on pre-auth (adjudicated).

      We are using ExplantionOfBenefit.created for capturing the submission date for pre-auth. But there is no other attribute available for us to capture the date when the auth was adjudicated/final determination was made.

      Can we add another attribute for capturing determination date

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            Unassigned Unassigned
            kdlakhesar Kuldeep Lakhesar
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              Updated:
              Resolved: