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Objective:

The goal of this use case is to give providers real-time access to payer approval requirements, documentation, and rules at point of service to reduce provider burden and support treatment planning.


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Sponsoring Workgroup: Financial Management Home

Coverage Requirements Discovery (CRD) Implementation Guide:

STU1 Ballot Reconciliation (May 2019):



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Da Vinci calls 

The remaining work to update and publish the CRD Implmentation Guide will take place in the Financial Management workgroup on Tuesdays at 11am ET.


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Team:

RoleName OrganizationEmail 
Business Process SMERobert (Bob) Dieterle EnableCarerdieterle@enablecare.us
Clinical Process SME Dr. Viet NguyenStratametrics vietnguyen@stratametrics.com 
Development Lead Larry Decelles MITREldecelles@mitre.org
IG LeadLloyd McKenzie Gevity
Project LeadRobert (Bob) Dieterle EnableCarerdieterle@enablecare.us
Project ManagerVanessa CandeloraPoint of Care Partners 

vanessa.candelora@pocp.com 

Testing LeadRichard EttemaAEGIS.net, Inc.

richard.ettema@aegis.net



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