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  Agenda Outline

Recap

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nameCARIN Consumer Directed Payer Data Exchange IG Ballot Reconciliation Agenda 080320 v1.pdf
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Block-Vote-6

  • The group reviewed the update search parameter proposed disposition to FHIR-26693 to include an update to search by service-date/
  • search by service-date definition:

    "expression": "ExplanationOfBenefit.billablePeriod | ExplanationOfBenefit.serviced as Date | ExplanationOfBenefit.serviced as Period",

    "xpath": "f:ExplanationOfBenefit/f:billablePeriod | f:ExplanationOfBenefit/f:serviced/f:servicedDate | f:ExplanationOfBenefit/f:serviced/f:servicedPeriod"

  • The group did not have any comments, therefore we will proceed with submitting this as block-vote-6


Continue review of tickets to be included in Block-Vote-2b

  • FHIR-25682  - the group agreed to the following changes:

    • CARIN BB PractionerRole:  This profile builds upon the R4 PractitionerRole Resource.   It is used to map to Organization or Practitioner. Conditional acceptance if this is not addressed by the errata addressed in released 3.1.1 in US Core. We are planning on harmonizing this work with Plan-Net.

  • FHIR-26793 - the group agreed to the following changes: 

    • By definition, the Coverage.type with "pay" will never display or occur in a payer issued EOB.

      InsurancePlan details are not supplied on the claim or reflected back on the EOB.

      The Coverage Profile is a reference resource of the EOB Profile.  The overview of the Coverage Profile will reflect that the coverage information provided is that which was effective as of the date of service or admission. 

      If an initiative is approved to provide a virtual current ID card capability, it will be addressed as a separate project and the API will be defined in a separate IG.  

  • FHIR-28124 - the group agreed to the existing proposed dispositions.
  • FHIR-28108 - the group agreed to the existing proposed dispositions.
  • FHIR-26732 - the group agreed to the existing proposed dispositions.
  • FHIR-24836 - the group agreed to the existing proposed dispositions and discussed changing the urls in the IG to C4BB instead of CARINBB
  • FHIR-25697 - the group agreed to the existing proposed dispositions.