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  1. FHIR Specification Feedback
  2. FHIR-41219

coverage profile needs a clear member number in identifier

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci CRD (FHIR)
    • 1.1.0-ballot [deprecated]
    • Financial Mgmt
    • CRD Coverage
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      We will change this to be a MS 0..1 slice with identifier type of MB for those EMRs that have multiple identifiers for a coverage.

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      We will change this to be a MS 0..1 slice with identifier type of MB for those EMRs that have multiple identifiers for a coverage.
    • Bob Dieterle / Andy Stechischin : 8-0-1
    • Enhancement
    • Non-compatible
    • Yes

    Description

      At connectathon we realized that the Coverage resource is rather ambiguous about where the member id should be stored, and Epic's version (storing it in Coverage.dependent, unless member and subscriber are the same person, then in Coverage.subscriber) didn't line up with Evernorth/eviCore (storing it as a Patient identifier).

      We should update the CRD coverage profile to have a mandatory slice on Coverage.identifier of type "MB" (see http://hl7.org/fhir/R4/v2/0203/index.html) so it's clear to everyone where to store and retrieve the member number.

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            Unassigned Unassigned
            kjohnsen Kyle Johnsen
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              Updated:
              Resolved: