Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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National Directory of Healthcare Providers and Services (NDH) (FHIR)
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1.0.0-ballot
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Patient Administration
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STU
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NDH Base InsurancePlan Profile
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(many)
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Bob Dieterle / David Pike : 6-0-0
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Clarification
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Non-substantive
Description
Can you clarify the difference between the multiple relationships between InsurancePlan and Network, and how the client should interpret them?
For example:
- Suppose my InsurancePlan resource lists Network A in the base network property, and its dental coverage lists Network B. In other words:
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- InsurancePlan.network[0] = Network A
- InsurancePlan.coverage[0].type = "dental"
- InsurancePlan.coverage[0].network[0] = Network B
- Does this mean a patient with this plan can be seen at the providers in both Network A and B for dental visits, but only providers in Network A for other visit types?
It looks like this specification was pulled from the R4 spec, but I did not see clarification there either.
Attachments
Issue Links
- is voted on by
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BALLOT-51801 Negative - Christopher Schaut : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52832 Negative - Danielle Friend : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52838 Negative - Daniel Zhang : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52844 Negative - Cooper Thompson : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52850 Negative - David Sundaram-Stukel : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52856 Negative - Amit Popat : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52904 Negative - Thanos Tsiolis : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52910 Negative - Carl Dvorak : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52916 Negative - Kimberly Herman : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52961 Negative - Isaac Vetter : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-52967 Negative - Chris Courville : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
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BALLOT-53151 Negative - Vassil Peytchev : 2023-Sep-FHIR IG NDH R1 STU
- Balloted
- mentioned in
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