It is unclear and could be confusing as to what is being referenced as "non-HIPAA-covered claims". - PAS #183

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Medium
    • US Da Vinci PAS (FHIR)
    • STU3
    • Financial Mgmt
    • (profiles) [deprecated]
    • Use Cases and Overvi
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      Change "However, where there is no regulatory requirement for X12 use (e.g. if this specification is adopted in non-U.S. environments or for non-HIPAA-covered claims) , the operation could potentially be invoked directly on the payer system." to

      "However, where there is no regulatory requirement for X12 use (e.g. if this specification is adopted in non-U.S. environments, for non-HIPAA-covered payers, or under a granted exception), the operation could potentially be invoked directly on the payer system."

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      Change "However, where there is no regulatory requirement for X12 use (e.g. if this specification is adopted in non-U.S. environments or for non-HIPAA-covered claims) , the operation could potentially be invoked directly on the payer system." to "However, where there is no regulatory requirement for X12 use (e.g. if this specification is adopted in non-U.S. environments, for non-HIPAA-covered payers, or under a granted exception), the operation could potentially be invoked directly on the payer system."
    • Laurie Burckhardt/Mark Scrimshire: 31-0-0
    • Correction
    • Non-substantive

      Existing Wording: However, where there is no regulatory requirement for X12 use (e.g. if this specification is adopted in non-U.S. environments or for non-HIPAA-covered claims) , the operation could potentially be invoked directly on the payer system.

      Proposed Wording: However, where there is no regulatory requirement for X12 use (e.g. if this specification is adopted in non-U.S. environments or for non-HIPAA-covered payers) , the operation could potentially be invoked directly on the payer system.

      Comment:

      It is unclear and could be confusing as to what is being referenced as "non-HIPAA-covered claims". I assume this is referring to workers comp claims?

      Summary:

      It is unclear and could be confusing as to what is being referenced as "non-HIPAA-covered claims".

            Assignee:
            Unassigned
            Reporter:
            Terrence Cunningham
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: