Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-45380

Clarify means of sending AEOB to patient

XMLWordPrintableJSON

    • Icon: Change Request Change Request
    • Resolution: Unresolved
    • Icon: Medium Medium

      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.

            Unassigned Unassigned
            sutley Spencer Utley
            Watchers:
            1 Start watching this issue

              Created:
              Updated: