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Type:
Change Request
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Resolution: Persuasive with Modification
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Priority:
Medium
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US Da Vinci PAS (FHIR)
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STU3
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Financial Mgmt
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(profiles) [deprecated]
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Use Cases and Overvi
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Laurie Burckhardt/Mark Scrimshire: 31-0-0
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Correction
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Non-substantive
Existing Wording: Structured clinical data that is available through the EHR's FHIR APIs. This might include lab results, scores or assessments, past medications or procedures represented using the appropriate US Core profiles. Based on discussions payers that currently provide currently provide real-time responses (not PEND) for prior authorization transactions using either the ASC X12 standards or portal interactions, the combination of attestation and structured clinical data may support a real-time answer for up to 80% of PA requests
Comment:
The statistics utilized here are not cited and seem anecdotal. These do not line up with what physicians are experiencing/reporting. Suggest removing the statistics or providing more reliably sourced statistics.
Summary:
The statistics utilized here are not cited and seem anecdotal.
- is voted on by
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BALLOT-10984 Affirmative - Terrence Cunningham : 2019-Sep-FHIR IG PAS R1
- Closed