The PA should be between a provider and a payor not a UMO. - PAS #73

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    • Type: Change Request
    • Resolution: Not Persuasive
    • Priority: Medium
    • US Da Vinci PAS (FHIR)
    • STU3
    • Financial Mgmt
    • (profiles) [deprecated]
    • 5.2.3.1
    • Hide

      The wording of this example was taken directly from the X12 examples website.

      Show
      The wording of this example was taken directly from the X12 examples website.
    • Robert Dieterle / Rachael Foerster: 20-0-1
    • Clarification

      Existing Wording: This is an example of a standard Referral Request / Response sequence between a Primary Care Provider and a Utilization Management Organization.

      Comment:

      The PA should be between a provider and a payor not a UMO. If the payor wishis to use UMOs that is their call and transparant to the provider.

      Summary:

      The PA should be between a provider and a payor not a UMO.

            Assignee:
            Unassigned
            Reporter:
            Paul Knapp
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: