Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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US Da Vinci Patient Cost Transparency (PCT) (FHIR)
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1.0.0
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Financial Mgmt
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PCT Network Status
PCT Payer Benefit Payment Status
PCT Payer Provider Network Status -
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Corey Spears / Mark Scrimshire : 15 - 0 - 0
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Enhancement
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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.
Attachments
Issue Links
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