Details
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Change Request
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Resolution: Unresolved
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Medium
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FHIR Core (FHIR)
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R6
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Financial Mgmt
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ClaimResponse
Description
Claim and ClaimResponse can be used for claim submission, or for prior auth. In the case of claim submission, you are submitting the claim for an encounter, so having a .encounter reference to Encounter makes sense.
However, for prior auth, you don't have an encounter yet, so you'd need to support a referenced to the Appointment that the prior auth is associated with.
Attachments
Issue Links
- relates to
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FHIR-26961 request-insurance standard extension should apply to Appointment
- Applied