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  1. FHIR Specification Feedback
  2. FHIR-42840

Copay type lists Rx but Tiers are needed

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Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US CARIN Digital Insurance Card (DIC) (FHIR)
    • current
    • Payer/Provider Information Exchange
    • C4DIC Copay Type
    • Artifacts Summary
    • 7.2.1.1
    • Mark Roberts/Christol Green: 8-0-2
    • Enhancement
    • Compatible, substantive

    Description

      We noticed that copay type was bound extensibly to a list that contained RX. For Rx, co payments are most often based on a Tier, i.e. Tier 1 RX copay, etc. Because Rx is on the list, we have to use it but it could be confusing. For example, we might use Rx 3 timex with an additional code of the Tier. Consider how multiple tier Rx copays should be modelled please.

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            Unassigned Unassigned
            lmichaelsen Linda Michaelsen
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              Created:
              Updated:
              Resolved: