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  Agenda Outline

Agenda Item

View file
nameCARIN Consumer Directed Payer Data Exchange IG Ballot Reconciliation Agenda 061520 Final.pdf
height250
  • Search Parameters
  • Profile Abstract or Concrete
  • CarinEOB.id Cardinality
  • Increasing Binding Strength to Required
  • Example Binding Strength?






                                                                                                                                                                                                                                                    


Action ItemsRecapRecap


Search Parameters

  • CARIN BB RESTful API
    •  
  • RESTful Capabilities by Resource/Profile
    • The intent is to return the EOB with the reference resources, which are defined.


FHIR-26929 Is CarinEOB Profile Abstract or Concrete

  • Proposed disposition: set the EOB abstract flag in the base resource so you can’t instantiate instances of this profile.
  • ACTION ITEM:
    • This will be further discussed during the FM WG on 6/23


FHIR-25688 CarinEOB.id Cardinality  

  • Claim number mapped to EOB identifier
  • Proposed Disposition: (Persuasive with Modification)
  • ACTION ITEM:
    • This will be further discussed during the FM WG on 6/23


Increasing Binding Strength to Required

  • FHIR-27021 Coverage.relationship
  • FHIR-27014 PractitionerRole.specialty
  • Want to be prescriptive with the codes and do not want any codes to be added that the value set that are specific to CARIN BB so will increase the binding strength to required
  • Should be reported based on the claim paid
  • ACTION ITEM:
    • This will be further discussed internally and brought before the CARIN Ballot Reconciliation call on 6/22