Details
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Change Request
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Resolution: Not Persuasive with Modification
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Medium
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US Da Vinci CRD (FHIR)
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Financial Mgmt
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Cards Profiles
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Clarification
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Non-substantive
Description
https://hl7.org/fhir/us/davinci-crd/cards.html#create-or-update-coverage-information
This workflow appears to overlap with with HRex member-match. Do we really want to provide similar functionality? This doesn’t seem like the appropriate place to do this. Additionally ordering clinicians are not likely to update coverage information at the time they are ordering a service. This would be outside the workflow they are intending to accomplish and likely would not have the correct information to intervene appropriately.
If there is a mismatch between payer and provider, that should be resolved in a separate workflow. There should be some error handling to deal with a situation where information is not synchronized.
Attachments
Issue Links
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