Add Scoping Section for PAS  In scope 1) Prior Auth for services/devices performed/supplied by the ordering provider; 2) Prior Auth for services/devices performed/supplied by a different provider where the ordering provider is required or permitted to request authorization for another entity to provide the services; 3) Prior Auth for medications that are covered under a medical benefit; 4)When Prior Auth is required by the rendering provider. Out-of-scope 1) SHOULD not be used for any Medication that is covered under a prescription drug program benefit where PA is provided by another electronic exchange process (e.g. NCPCP Script) Change label on FHIR <-> to Clearing House or BA or Translation software Add to Note below diagram Note: In some cases, X12 Portion will be handled entirely within clearing House … and CH< >Payer will also be FHIR. In the event there is no requirement for FHIR< >X12 conversion, then 3., 4. and 5. will communicate directly with the Initial and pended PA process.