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Change Request
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Resolution: Unresolved
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Medium
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US Da Vinci Patient Cost Transparency (PCT) (FHIR)
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2.0.0-ballot
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Financial Mgmt
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STU
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Good Faith Estimate (GFE) Submission and AEOB Overview
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4.3.4 Examples
9. The payer receives the GFE. Within one business day, the payer adjudicates it and sends the GFEs of cost, cost-sharing and progress towards meeting deductibles and out-of-pocket maximums, as well as whether a service is subject to medical management and relevant disclaimers of estimates as an AEOB securely to Eve.
11. Eve receives the AEOB from the payer based on the information provided by ABC Radiology.
These suggest that the payer proactively transmits the AEOB to the patient somehow. In 1.2.1 the description includes "(This would be through another means not defined in this IG.)" and I think we should clarify that here as well.
- is voted on by
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BALLOT-64587 Negative - Christopher Schaut : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65123 Negative - Kimberly Herman : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65133 Negative - Chris Courville : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65143 Negative - Danielle Friend : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65153 Negative - Isaac Vetter : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65163 Negative - Amit Popat : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65173 Negative - Cooper Thompson : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65183 Negative - Thanos Tsiolis : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65193 Negative - Carl Dvorak : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65203 Negative - Vassil Peytchev : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65213 Negative - Daniel Zhang : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65223 Negative - John Stamm : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65233 Negative - Daniel Rutz : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted
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BALLOT-65243 Negative - Casey Fitzgerald : 2024-May-FHIR IG DAVINCI PCT E2 STU
- Balloted