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  1. FHIR Specification Feedback
  2. FHIR-42791

Make clear can have multiple extension repetitions for different codes

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci CRD (FHIR)
    • 1.1.0 [deprecated]
    • Financial Mgmt
    • Coverage Information
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      Indicate that multiple repetitions are allowed, also include and example of in-network vs. out-of-network.

      Indicate that the coverage-assertion-ids and satisfied-pa-ids (if present) SHALL be different for multiple repetitions where the coverages differ, but SHALL be the same if there are multiple repetitions for the same coverage.

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      Indicate that multiple repetitions are allowed, also include and example of in-network vs. out-of-network. Indicate that the coverage-assertion-ids and satisfied-pa-ids (if present) SHALL be different for multiple repetitions where the coverages differ, but SHALL be the same if there are multiple repetitions for the same coverage.
    • Bob Dieterle / Rachael Foerster : 10-0-0
    • Clarification
    • Non-compatible
    • Yes

    Description

      Need to indicate that multiple repetitions of the extension can be present if the payer wants to make different statements.  For example "prior auth not needed for bill codes A&B, but is needed for bill code C"

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            lloyd Lloyd McKenzie
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              Updated:
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