References to Member Authorization with Payer to Payer Exchange should be removed - HRex #152

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    • Type: Change Request
    • Resolution: Not Persuasive with Modification
    • Priority: Medium
    • US Da Vinci HRex (FHIR)
    • STU3
    • Financial Mgmt
    • Profile overview [deprecated]
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      There are two primary use-case for payer-to-payer exchange:

      • Care coordination which does not require member authorization, but may still allow it
      • Portability of member information from an old plan to a new plan, which DOES require member authorization

      Will find the language in the spec that refers to member authorization and ensure there's clarity about the situations where authorization is required vs. where it's optional

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      There are two primary use-case for payer-to-payer exchange: Care coordination which does not require member authorization, but may still allow it Portability of member information from an old plan to a new plan, which DOES require member authorization Will find the language in the spec that refers to member authorization and ensure there's clarity about the situations where authorization is required vs. where it's optional
    • Richard Esmond / Marti Velezis : 9-0-0
    • Clarification
    • Non-substantive

      Comment:

      References to Member Authorization with Payer to Payer Exchange should be removed

      Summary:

      References to Member Authorization with Payer to Payer Exchange should be removed

            Assignee:
            Unassigned
            Reporter:
            Tony Benson
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: