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  1. FHIR Specification Feedback
  2. FHIR-42785

Add "negotiated" code to Network status CodeSystem and adjudication and item.adjudication bound ValueSet

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci Patient Cost Transparency (PCT) (FHIR)
    • 1.0.0
    • Financial Mgmt
    • PCT Network Status
      PCT Payer Benefit Payment Status
      PCT Payer Provider Network Status
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      Add negotiated code to PCTNetworkStatusCS
      "Negotiated Service or Product"
      "Indicates a special negotiated status in relation to a patient's coverage"

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      Add negotiated code to PCTNetworkStatusCS "Negotiated Service or Product" "Indicates a special negotiated status in relation to a patient's coverage"
    • Corey Spears / Mark Scrimshire : 15 - 0 - 0
    • Enhancement
    • Compatible, substantive

    Description

      To benefit and payment status there is the option of in network, out of network, and other. To this, there should be the concept of a limited negotiated status for an out of network provider or service.

      Negotiated:   A single, one-time rate that will be used to reimburse a service provided.   Negotiation has occurred due to an out-of-network provided service with a negotiated rate of reimbursement.

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            Unassigned Unassigned
            corey_spears Corey Spears
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              Created:
              Updated:
              Resolved: