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  1. FHIR Specification Feedback
  2. FHIR-44807

Drop Must Support from item.adjudication[consumeUnits] In PDex Prior Authorization

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US Da Vinci PDex (FHIR)
    • 2.0.0
    • Financial Mgmt
    • PDex Prior Authorization
    • Hide

      Change applied to item.adjudication[consumedUnits] slice to align with requirements of CMS Prior Authorization Rule.

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      Change applied to item.adjudication [consumedUnits] slice to align with requirements of CMS Prior Authorization Rule.
    • Correction
    • Non-substantive
    • Yes
    • current

      The CMS-0057 Prior Authorization Rule removed the need for Payers to record consumption of a Prior Authorization. This change removes the Must Support setting for 

      item.adjudication[consumedUnits] slice.

      The element remains with a 0..1 cardinality.

            Unassigned Unassigned
            ekivemark Mark Scrimshire
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              Created:
              Updated:
              Resolved: