Existing Wording: When requesting documentation, the payer must specify the claim and member (patient) details including PHI. Therefore, both the secure channel used to send the request and the destination to which the request is being sent need to be agreed upon by the Payer and Provider in advance.

Proposed Wording: When requesting documentation, the payer must specify the claim and member (patient) details including PHI. Therefore, both the secure channel used to send the request and the destination to which the request is being sent need to be agreed upon by the Payer and Provider in advance.

Comment:

This sentence is placed in this section twice, and is redundant. One of the two sentences can be removed.

Summary:

This sentence is placed in this section twice, and is redundant. One of the two sentences can be removed.