Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-42786

Correct Adjudication reason ValueSet binding for network status adjudication category slices

    XMLWordPrintableJSON

Details

    • 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 Advanced EOB
    • Hide

      Change the  AEoB ExplanationOfBenefit.adjudication reason binding for the slices billingnetworkstatusrenderingnetworkstatusbenefitpaymentstatus, set the reason element binding to the Benefit Payment Status VS

       

      The adjustment reason slice is being addressed in FHIR-40812

      Show
      Change the  AEoB ExplanationOfBenefit.adjudication reason binding for the slices billingnetworkstatus ,  renderingnetworkstatus ,  benefitpaymentstatus, set the reason element binding to the Benefit Payment Status VS   The adjustment reason slice is being addressed in  FHIR-40812
    • Corey Spears / Mary Kay McDaniel: 10-0-0
    • Correction
    • Non-compatible

    Description

      The AEoB ExplanationOfBenefit.adjudication reason binding for the slices billingnetworkstatus, renderingnetworkstatus, benefitpaymentstatus, and adjustmentreason are set to the same valueSet as adjudication category, which means these slices are unusable to convey the information intended.

      Instead, the benefit payment status slices should have a binding to the Benefit Payment Status VS, and adjustment reason slice should have a binding to Adjustment reason VS

      Attachments

        Activity

          People

            Unassigned Unassigned
            corey_spears Corey Spears
            Watchers:
            1 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: